mittels

I have several pt's on home health that I CM. PT and I share the drsg changes. I go out 3 X week, she goes to the Dr. once a week, and then to PT out pt for wound care on alternating days.

2000mg/500ml =4mg/ml = 0.5ml/min = 30ml/hr This is the way I personally make sense of figuring out these calculations. I know there is an easier way, but I get to the same number.

Thanks for the info. Its been 3 years since I worked in the hospital enviorment and things change so much in that period of time.

What would be my local abuse hot line? Would this be like adult protective services?

I had this pt which was sick and getting sicker through out the end of Jan. and Feb. I sent him out by ems the first time in Jan. He ended up staying in the hospital for five days and when he came back to us they said he had positive stools. OK, but he was sent for his breathing. He came back in worse condition then when he left. The following day I send him to his PCP. The PCP ordered a cxr, which showed he had double pneumonia and was placed on O2 and neb tx and was not readmitted to the hospital but sent back to us (Assisted living facility). :angryfire The next day, I send him back out by EMS for increasing sob, the ems showed sats in the low 80's on 2 ltr (by the way he is a full code). He stayed there another 2 days and sent back in worse shape. They said again GI bleed, but they did not take care of the problem before sending him back. They gave us an appointment for 1 month away for barium and GI work up. :angryfire He then had a hgb of 9.0, and cont to be having problems with his breathing. The third time I sent him out, I called the PCP and told him that his breathing cont to worsen and that I am sending him back to the hospital. This time after day 2, he coded fully, and died. I dont get it? Well then my director said to me that she thought he did not get the proper care in the hospital and that she thought that the PCP was covering something up. She then ask me who to contact in this type of matter with regard to possible malpractice by the PCP. Duh, I didnt have the slightest idea. Any one have suggestions on what I should respond with. I personally believe something wasnt right, but I cant put my finger on it nor do I know what to do next.

The assistants that pass meds here are not considered cna's they are referred to as pca's (patient care tech's). They are trained to assist the residents with giving them their meds. If the the residents are not competent enough to know what they are taking then they are to high a level of care. The PCA's are tested prior to them being allowed to dispense meds and need to pass the test with at least an 80%. Seems a little strange doesnt it? Think about it, assisted living. If the resident was at home would they be able to even open the bottle of pills to even take their prescribed medication? Would their family come every day to do this for them? Would you? As I recall in school with my pharmacology test, it dealt with quit a few meds and what should basically be done prior to giving them.

For one thing, I didnt think you could have blood go through a picc line, I thought it would damage to many blood cells as it was pushed through. As for the abx and heparin, you did the right thing. it would give the pt a mass bolous if you were to let have the abx pump what was in the line prior to the abx.

I had to be on methotrexate po for my lupus so you can add that disease to the list of this horrible drug!!!!!!!!!! It causes nausea vomiting mouth sores teeth to decay (lots of fillings now). I finally had to go off of it when I developed an anaphalactic reaction from it. Never did put me into remission with my lupus. Suppose it may have helped so I wouldnt develp kidney failure.

This is funny. Walla Walla is such a small town. I grew up in tri-cities. Such a small world, but never realized so many people know about this small town.

agree totally. My babysitting duty is with 29 of them.

guess i really didnt answer your question in full here it is. there are @ five percentages that you can select from for az state tax to come out of your pay, this depends on how much you want taken out or have to owe at the end of the year. Such as 18% tax for az. this would be 18% of the federal with holding that is taken out of your paycheck, so say they take out 150, depending on your dependents that you clam. I claim 5, me, my spouce, and three children. then your total tax for federal and state would be roughly 27 dollars for az tax and 150 for federal and of course this depends on how much you gross. Does this make sense?

3000cc fluid each day is reccomended(SP) to try and get rid of the excess fluid given during child birth.

the answer would be C "to prevent" this is the question. "to help tx" would be D

make 52 K a year and bring home around 2100 every 2 weeks.

Okay, I think I can answer this one for you with what I have dealt with in the past few weeks. 1. Staffing! Probably the most difficult part of the job. Making sure that the aides are competant (sp) to complete their jobs. Like I tell my boss, Im going gardening. I first need to weed the bed, then when I'm done I hope to have a wonderful garden. Anyways, lots of call ins that are unnecessary. 2. Theft: Major issue. Since 1 week prior to my hire there have been 9 reports of theft of resident property like cash, jewerly worth alot, and the latest an unopened bottle of booze. Yes, these thefts are of residents property. There have been fingerprinting done on one of the latest incidences, but we now have to wait until the it comes back from the crime lab. Police reports have been filed and I hoped they catch him/her, or him, or her. There are a few of us directors who have our suspicions, but what do you do. The aides have no idea about what is going on and I want to keep it that way for now. So far that is some of my most challenging issues to date.