hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

  1. med profiles

    hoolahan replied to renerian's topic in Home Health

    My current agency is using healthcare concepts, I do not think it is easy to use at all, and don't like it. Other agency uses a fill in the blank type form w a sheet like Karen describes attached. I...

  2. Infection Control Nurse position in prison system??

    hoolahan replied to hoolahan's topic in Correctional

    sbic, Nah, I'm not worried about the negative replies here, I welcome them, it only gives me more questions to present. Karen, thanks for the link, I may well print that out and take it to the...

  3. Nurses are not Doctors

    hoolahan replied to Plato's topic in General Nursing

    OK, I won't go there anymore, enough other people are doing that for me. I am bowing out of this b/c I don't believe in hitting my head against a brick wall. You are narrow-minded, and I really no...

  4. Nurses are not Doctors

    hoolahan replied to Plato's topic in General Nursing

    Please don't presume that I feel second to an MD. Not all nurses feel like you do. Maybe that is how you feel, but I don't. Feel free to express your own opinions, but don't assume every nurse agrees...

  5. Nurses are not Doctors

    hoolahan replied to Plato's topic in General Nursing

    Seems to me that the real problem is that you[/i] think that anyone who is no longer at the bedside isn't a real nurse. I left the bedside b/c my back couldn't take the work anymore, esp since we had...

  6. @#%*!! (long.....sorry)

    hoolahan replied to VivaLasViejas's topic in General Nursing

    I do feel bad that you had a bad shift mjl, really I do, but I do not feel your can so easily dismiss that fact that you didn't report this to the surgeon the same evening. If this were your loved...

  7. Nurses are not Doctors

    hoolahan replied to Plato's topic in General Nursing

    Whoa, I sense some hostility toward an uppity NP perhaps? Maybe you should print this out and leave it in her mailbox. NP's are advanced practice nurses. They are still diagnosing human response to...

  8. How Do You End the Visit Gracefully and on Time?

    hoolahan replied to adaptation's topic in Home Health

    I agree w your husband. Start w the phone call. Hello Mrs. X, I will be arriving at your home at XX time. I will spend 30 minutes (or whatever) with you today. Please have any forms you need me to...

  9. Has anyone heard from Lois Jean??

    hoolahan posted a topic in Nurse Entrepreneurs, Innovators

    I'm worried. I e-mailed her a few times, left messages on her machine, and haven't heard back, which is unlike her. Maybe it's just that her computer is down, but what about the phone? Her hubby had...

  10. Has anyone heard from Lois Jean??

    hoolahan replied to hoolahan's topic in Nurse Entrepreneurs, Innovators

    OK, I have heard from Lois, she is OK. Her biz is bursting at the seams, she took on another partner, and couldn't leave her to go to Delaware. I am just relieved she is fine, and wanted to post an...

  11. all the latest tricks to keep nurses.

    hoolahan replied to alansmith52's topic in General Nursing

    Not to speak for anyone else, but you can't compare being beholden to a bank to mandatory overtime, working short-staffed, or dangerous nurse-patient ratios. Then, if something bad happens to a pt, as...

  12. Any independent case managers out there?

    hoolahan posted a topic in Case Management

    Anyone out there practicing independently? I would like to do this eventually, but I do not have workman's comp experience, and it seems that this is what they want. Any

  13. V Codes

    hoolahan replied to JennyHHRN's topic in Home Health

    OMG I have had to deal w this too, sub-ing in intake a lot these days. It is very hard to change your mindset!! I use a code book at work, it's pretty good, otherwise, I also call doc's offices for...

  14. Advise please

    hoolahan replied to uk_nurse's topic in Home Health

    I don't know what your course is like in the UK, but I would suggest you read the "Typical day for a Home Health nurse course on this forum. It may give you an idea of what to expect. I never had a...

  15. Re: Charting Help/Broken Fibula

    hoolahan replied to Nurse Candy's topic in Home Health

    {{{{{Candy}}}}}} I am sending warn fuzzy thoughts your way!! Hope you recover quickly and

  16. Typical Day For A Home Health Nurse | Life of a Nurse

    hoolahan replied to hoolahan's topic in Home Health

    All I can say is......WOW!!! What a contrast of sights you had the day from flappy perineal areas to giraffes! I can never top that!!! That even beats the horse in the house!!!! LOL! Thanks for...

  17. B12 Injections - Teach the Family?

    hoolahan replied to Jay-Jay's topic in Home Health

    What is a RPN? That is my first question. And, if we can teach families to monitor IV's at home, why not give an IM? I agree a SC would be much easier, but I see no reason why someone couldn't be...

  18. titrating drips and hemodynamics

    hoolahan replied to tsgarman's topic in General Nursing

    To titrate drips, you need to understand the halflife of a drug. Most IV drugs have very short half-lives, which is why the drug has to be given via continuous infusion as opposed to taking a po med q...

  19. Need Charting Help

    hoolahan replied to Nurse Candy's topic in Home Health

    This book is great too.... T. M. Marelli's ---The Handbook of Home Health Standards and Documentation Guidelines for Reimbursement, "The Little Red Book"

  20. B12 Injections

    hoolahan replied to JennyHHRN's topic in Home Health

    Here is the thing I have always wondered about this. Suppose the doc never ordered the nurse to draw labs, maybe he did them in his office, so how can we be certain the diagnosis is supported by the...

  21. Case Conferences

    hoolahan replied to amesly15's topic in Home Health

    That's a good system Karen. Our notes have a spot for IDC as well. Any time I got a call from a therapist, doctor or super, I wrote it in there. I like your sheet

  22. Case Conferences

    hoolahan replied to amesly15's topic in Home Health

    We had a "box conference" on all our cases q 2 weeks. Sat w super and rev'd all cases in our caseload (or tickler cards in our box.) I have never seen a supervisor document a case conference yet in my...

  23. Typical Day For A Home Health Nurse | Life of a Nurse

    hoolahan replied to hoolahan's topic in Home Health

    You are being so taken advantage of!! Unfortunately your peers have set the precedent by accepting this same situation. I don't know much about Canada, but can you deduct the mileage from your taxes?...

  24. Foot care training

    hoolahan replied to kernow's topic in Nurse Entrepreneurs, Innovators

    I did!! I went to beauty school! I did not unfortunately get any oedicure experience in school, just the theory. But, I am going to apply to work some PT hours in a salon, and the other nail tech has...

  25. Typical Day For A Home Health Nurse | Life of a Nurse

    hoolahan replied to hoolahan's topic in Home Health

    My agency started carepaths this week. It essentially involved takiung away one 3-page form, and adding 3 more 2-page or more forms in it's place. Now for each visit we have to document on a minimum...