KittyLovinRN

KittyLovinRN

Pulmonary, Lung Transplant, Med/Surg

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All Content by KittyLovinRN

  1. Best Hallucinations Thread

    Had a loopy post lung transplant who was convinced there were giant holes in floor of her room, would SCREAM every time a nurse walked in to "warn us" Same transplant patient later thought we were...
  2. Brand New AFib Question

    Monday I found my patient (Ive had her a month now for foot wound vc, no cardiac history) in new afib HR 100, asymptomatic, I found it on vitals assessment. Because she was asymptomatic I didn't send...
  3. I have a Littmann Classic II but also chose bright orange, less likely to disappear!! I've had mine for 7 years and still going
  4. I left the hospital for home health last September and haven't looked back! Some nights I'm doing a lot of work at home (were on laptops) and other days I get everything done before I pull in the...
  5. Brand New AFib Question

    Holy moly!!! Just talked to my supervisor, turns out this patient went into VFib in hospital, was shocked out of it, and went for heart surgery yesterday. She's doing well though, enough so that she...
  6. Brand New AFib Question

    Yes I did report to them myself, you made a good point...if they felt it necessary they would have told her to go to the ER. She was not on any blood thinners which heightened my reporting to MD...
  7. homehealth oasis questions

    I didn't answer all of your questions sorry! I would make DC date the date the pt moved. Last assessment is the last time a nurse saw the patient. You could make the DC assessment the same day as the...
  8. homehealth oasis questions

    If you don't mind my asking, why hadn't you seen the patient in 30 days? With my agency the RN who case manages the patient does the discharge unless that RN never saw the patient. For example, I...
  9. favorite LOLs and LOM

    Had a 70-something y/o woman tell me about her days doing Media..no lie!! Another patient asked if I was married, when I responded yes she said "D@mn! I was hoping to hook you up with my son" Her...
  10. Pittsburgh hires new grads without blinking an eye! UPMC
  11. My poor coworker:(

    My agency has a strict pet policy, if family refuses to sequester pet in another room the nurse/therapist/msw, etc does not even have to go into the house. I wonder if this will entice your agency to...
  12. Bossy Patient

    I'm fairly new to home health (~6 months, did hospital nursing for 3 1/2 years before running for the hills!) and so far am enjoying the new challenges of the position. My question comes from a...
  13. need help with stasis ulcer!!

    I know this was a few months ago but I've had great luck with calcium alginate dressings with compression
  14. Thermometers and stethoscopes--any opinions?

    Ritann - we use the disposables also, I usually wait 30-45 seconds. What I do is pop it in their mouth and then go for the blood pressure/heart rate, by the time I'm done with those the temp is...
  15. Who provides the supplies?

    My agency also supplied everything we needed but I opted to stick with my Littmann stethoscope which I HIGHLY recommend if you're in the market for
  16. Bossy Patient

    Thanks everyone, I appreciate your advice! I'll do my best!
  17. Fasting labs?

    Our worst lab day is always Monday, I work with a lot of transplant patients who have to hold their immunosuppression medications until we draw their labs. Our agency has held strong in insisting...
  18. Landed my first HH job!!

    Hi all! I'm so excited to say that after seven months of applying I finally got an interview, shadow day and an offer for a home health job in Pittsburgh! I loved my eight-hour shadowing day, it...
  19. Charting by exception...

    The hospital system I work for also charts by exception but because this is the only charting I've ever known it has been a bit easier. My two jobs have both been in critical care so I like to add a...
  20. Where to move up to?

    Thanks so much! I think I'll keep an eye on the available positions and go for it when I have everything together! The description doesn't specifically state pre or post so I'm not entirely sure...
  21. Where to move up to?

    I'd like to, in the near future of the next two years or so, making an advancement away from the hospital bed-side. Currently I have 2.5 years experience in pulmonary medicine - 1.5 years of lung...
  22. Where to move up to?

    That's certainly not what I meant. To me personally, an advancement in my career is something that requires me to hone in on specific skills and need certifications. Like I originally stated in my...
  23. Physical Abuse against Staff

    Funny you should mention this I was just assaulted tonight by an etoh withdrawal... Seems like (at least here) if they're disoriented (not so much d/t dementia, I dont get upset about a dementia...
  24. Trach/PEG special

    I work at a community hospital that does pretty significant procedures (VATS, Trachs, lung CA lobectomies, bariatric surgeries). My question is...do the ICU docs in the hospitals you work at push for...
  25. Trach/PEG special

    Thanks everyone for your responses! I can see now that perhaps it IS the best thing at the time, although many of our patients are over 70 but also I don't see them when they leave for an LTAC/SNF...