Hina2007

Do field nurses regularly carry IV supplies in case they get an order from a physician based on pt's change in status to admin. IV fluids. And do pharmacies carry IV fluids that I can get right away. I am just concerned and wondering how can I prepare myself in case such need arises. Thank you in advance for any feedback.

Can anybody please tell me at what points forms 486 and 487 are used? Do we have to use either one of these forms when we get a new order during a certification period? Especially Form 487 bc it has a box for Physician's signature on it. Thanks!

Thank you so much cxg174. You knew exactly why I was asking that question. Now I dont have to wait for a PT eval to write a POC.

Is it Ok just to write PT to treat and eval on POC? I thought this has to be very specific too with modalities used and the duration/frequency?

Cookie102 or anybody else out there, Should the medication list that the nurses fill out during the first visit be sent to the doctor to be signed too? I feel like what if something is not right w/ the meds that patient is taking at home, and waiting for the POC to be returned like you said might take a long time. How can I know for sure that I will not get in trouble if the patient has been on some med at all this time that he/she may not have been supposed to be taking?

Cookie102, Than you from the bottom of my heart! I wish I had posted my question earlier. I was so confused and have been reading a lot of litraure but it did not make any sense. They make it sound like the doctor is always available right there to sign the orders. Thank you for making me understand how things work in real life.

Hello, I have just started home health nursing and have questions about start of care orders? 1)If the nurse goes out for initial visit and all he/she has on a refferal is Evaluate for home care, what is she supposed to do on that first visit? 2)And when can the next visit be made? Does a nurse have to have verbal orders cosigned by the physician before the next visit? 3)How soon are the plan of cares supposed to have been signed by the physicans? 3) Is it OK to just have the POC signed by the physician or the Verbal orders before the POC have to be cosigned seperately too? 3)And what about all the meds that I find on the first visit. Am I supposed to write each and every med on a physician order form or is writing continue all home meds enough? I guess I am confused about the events lthat ead up to the point when plan of care gets signed by the physician. I am getting some confusing information on this. So today I decided to register on All nurses and post my first question. Any help will be greatly appreciated. Thanks