chenoaspirit

chenoaspirit ASN, RN

Med/Surg, Home Health

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All Content by chenoaspirit

  1. Returning nurse needs help with documentation

    chenoaspirit replied to AussieKylie's topic in General Nursing

    yep, just chart from the patient's head to toe, detailed review of all systems like above posted. I hated working ICU with the narrative charting. When I worked the floor, we used focus charting,...

  2. Difficult familily members (VENT)

    chenoaspirit replied to Spritenurse1210's topic in General Nursing

    Crisco? WOW, would have never thought of that. But I bet thats cheaper than barrier creme. Before I left the hospital, some used colmoseptine (spelling?). I dont know much about it, but Im sure...

  3. Taking patients outside to smoke?

    chenoaspirit replied to herring_RN's topic in Addictions

    I had a patient sneak out to smoke after a TURP surgery and a wide open CBI with blood loss. I should have wheeled him outside to smoke, but I was so busy. I told him I would, but to give me a few...

  4. How do you protect your back health?

    chenoaspirit replied to Silas's topic in General Nursing

    I just had surgery on my C spine, had ACDF surgery. Please use proper body mechanics and always have help when lifting someone. Dont try to do it alone. Always try to have a draw sheet under every...

  5. Im a BAD patient

    chenoaspirit posted a topic in General Nursing

    Its funny how a nurse can explain things to patients, but when it comes to ourselves that exact same info just cant seem to register in our head that it also applies to us. I feel like an idiot. I...

  6. No Lunch Break

    chenoaspirit replied to barkandwag's topic in General Nursing

    Its very common unfortunately. And as far as munching while charting...we were not allowed to have food/drinks at the nurses station so that was not an option for us and we could not leave the nurses...

  7. Do you get paid per hour or per patient?

    chenoaspirit replied to jordydan7295's topic in Home Health

    We are paid per patient...A routine visit is 34.00 (level 1), SOC/Recert/ROC is 52.00 (level 2), routine visit after hours pays level 2. A SOC/Recert/ROC after hours is level 3...74.00. Our oncall...

  8. Heart that squeaks

    chenoaspirit replied to bluebloods's topic in General Nursing

    http://solutions.3m.com/wps/portal/3M/en_US/Littmann/stethoscope/education/heart_sounds/ https://allnurses.com/general-nursing-discussion/squeaking-morning-heart-23879.html...

  9. Im a BAD patient

    chenoaspirit replied to chenoaspirit's topic in General Nursing

    OMG, you guys made me laugh. Im so glad Im not the only one! And btw, I left AMA once too right before my colon surgery. I had requested IV Reglan as pre op drug and the nurse pushed it too fast...

  10. Ive worked 2 weeks in hh with ruptured C6/C7 discs

    chenoaspirit posted a topic in Home Health

    Ive been packing my heavy bag and stooping and driving for 2 weeks with excruciating pain, intractable pain, pain that made me CRY while driving between patients. My right arm is numb and im just in...

  11. New to Home Health...feel like an idiot

    chenoaspirit replied to KatieNoelLPN's topic in Home Health

    Talk with your manager. Maybe she will allow you to go out with the field nurses and get "checked off" on these skills as learning. With mine, I had been doing wound vacs and PICC changes for years...

  12. Oasis C

    chenoaspirit replied to Sue Damonas's topic in Home Health

    Im off work due to health problems, surgery tomorrow so I missed the OASIS training. But my coworkers say its alot longer and more complex and dread it. I plan on trying to look it up online and see...

  13. Patient requesting.....

    chenoaspirit replied to nursemomof3boys's topic in Home Health

    Oh, another thing....is she private pay/insurance? If so, the money may be an issue. maybe she cant afford the hh

  14. Patient requesting.....

    chenoaspirit replied to nursemomof3boys's topic in Home Health

    I agree...give her what she wants. If you dont, you are providing a service she isnt wanting and will not feel welcomed. Call the doc and tell them the plan. They may not want you to d/c her, but...

  15. classifying meds on med profile

    chenoaspirit posted a topic in Home Health

    The office has changed how we have to classify meds on the med profile. Like with Abx, there are approx 8 different abx classes and I usually have no clue how to classify. Does anyone know of...

  16. Shoes with Good Support!

    chenoaspirit replied to Dempather's topic in Scrubs, Uniforms, Gear

    why dont you go to a podiatrist and have an insole made for your shoes to fit exactly with your arch to keep you from hurting. I know a few who have done it and LOVE them. I wear the "Anywear" crocs...

  17. Fluctuating Blood Sugar?

    chenoaspirit replied to LuvMyGamecocks's topic in General Nursing

    CHF? The fluid buildup may have been an exac of CHF. Please give more info. Febrile?

  18. Struggling new grad - tell me it gets better

    chenoaspirit replied to NJRNtobe's topic in General Nursing

    We all have our own way of doing things and prioritizing. She is "set in her ways" and of course feels her way is the "correct" way and is teaching you her way. Once you get thru this, you will find...

  19. New grad RN finds job at ltc, but getiing paid as LPN

    chenoaspirit replied to newbiehere's topic in General Nursing

    All I know to say is.... no freaking way. I know you want experience, but if you are getting paid LPN pay, will you be "listed" as LPN on the paperwork? What will your scope of practice be...LPN or...

  20. Fluctuating Blood Sugar?

    chenoaspirit replied to LuvMyGamecocks's topic in General Nursing

    Illness causes serum glucose to elevate, body responds by trying to decrease it and level it out. Sometimes it overcompensates and decreases too much. So the body then tries to compensate THAT and...

  21. How to cope after a serious med error

    chenoaspirit replied to gardengal1's topic in General Nursing

    Like you said....the patient is ok. Just learn from it. Reflect to the situation and see what was going on to cause it.....lack of staff, lack of pt id, patient overload, etc Whatever it was, just...

  22. Chemistry skills relevant to nursing

    chenoaspirit replied to futurenurse93's topic in General Nursing

    They took chemistry out of our nursing prereqs AFTER I graduated. It isnt like Im going to explain to a patient how a tylenol affects them at the cellular level. However, it did give a great...

  23. anyone had herniated/ruptured c vertebrae discs?

    chenoaspirit posted a topic in General Nursing

    I just found out I have several cervical vert discs herniated and ruptured. Ive worked the past 2 weeks like this until I had the MRI that showed what was actually wrong. I have no idea how I did...

  24. Ive worked 2 weeks in hh with ruptured C6/C7 discs

    chenoaspirit replied to chenoaspirit's topic in Home Health

    Thank you guys for all of your support. I never thought of that though...answering the callbell. I am just so used to working, its like I dont know HOW to slow down. Janey, how are you now? I...

  25. How To Document Sleeping On Night Shift

    chenoaspirit replied to Iggy123's topic in General Nursing

    I always charted..."pt resting with eyes closed, no distress noted, RR regular and nonlabored." We did vital signs q 4 hr