hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

  1. 485 Summaries

    hoolahan replied to TopazStone's topic in Home Health

    Oh Topaz, what a great idea!! Why didn't I think of that?? I am sure you meant to say 487 though, as in when doing recerts. Our agency requires the OASIS, a client summary on the 487, detailing why...

  2. Any independent case managers out there?

    hoolahan replied to hoolahan's topic in Case Management

    Great ideas. I would love to be working with cardiac pt's and the elderly. Maybe I should contact some insurance companies and contract with them too. I just applied to take the CCM exam. What an...

  3. Any independent case managers out there?

    hoolahan replied to hoolahan's topic in Case Management

    Thanks Las Vegas! But, how do you go about getting business? Do you contract with insurance companies? I don't have a clue where to begin. I did cardiac nursing for years and now HH. Any ideas??...

  4. Patient non-compliance

    hoolahan replied to NH-Viking's topic in Activism, Healthcare

    Yet, on another thread, when a doc threatened to discharge his pt's who continued to smoke, people cried unethical? Hey, I am a firm believer of doing the assessments, making the referrals, and...

  5. Patient non-compliance

    hoolahan replied to NH-Viking's topic in Activism, Healthcare

    Exactly JennyP. In home care you see a whole different side of the picture of non-compliance. Spanish people have med bottles with English instructions on them (please don't start the argument of...

  6. Regents College

    hoolahan replied to NightOwl's topic in General Nursing

    I was enrolled in Regent's for a time, so I DO know what I am talking about. Regent's has two programs. One is an associates degree for RN, and yes, it can be done by someone who has never done any...

  7. The Teamsters

    hoolahan replied to Groovydogg's topic in Activism, Healthcare

    My agency is represented by Teamsters. Before I comment, I want to say I have no respect for the whole concept of unions. Secondly, I am forced to belong to the union, if I could choose, I would...

  8. pillow therapy

    hoolahan replied to thisnurse's topic in General Nursing

    Thisnurse, I just love reading your posts. I think if I could do what you do again, I would love to work beside you! Let me know when you want to do home health. We need a good sense of humor like...

  9. Mileage Reimbursement

    hoolahan replied to JennyHHRN's topic in Home Health

    So true Lisa, esp in your case when it may take an hour or more to get

  10. Mileage Reimbursement

    hoolahan replied to JennyHHRN's topic in Home Health

    We do not get reimbursed for milegae to and from work. However, if I travel to my first visit and it is much further than to the office, I deduct the trip to the office from the mileage. Eg from home...

  11. Back to the Bedside!

    hoolahan replied to Zee_RN's topic in General Nursing

    Zee, I have done that several times. I finally decided I belonged at the bedside. It is so much more rewarding. Other admin jobs can be rewarding, but the pay-off can be a very long wait. Not like...

  12. PAWP readings

    hoolahan replied to dewp_63's topic in CCU, Coronary, Cardiac

    In the CT ICU where I used to work, we also only used the PAD as a wedge. I once saw a surgical resident reposition a swan while we were in report, and she wedged it. I don't know if she forgot to...

  13. ? about SN frequency orders on 485

    hoolahan replied to hoolahan's topic in Home Health

    First, go to the source. Ask for an explanation and explain that you feel her changing a signed document that you and the pt agreed to is setting you up for fraud. Ask if there is something you have...

  14. ? about SN frequency orders on 485

    hoolahan replied to hoolahan's topic in Home Health

    KP, do you know what the HHRG is for those pt's? Maybe the cost of your predicted visits came out higher than the HHRG's were calculated to be. Howevere, it still seems to me that your supervisor...

  15. Out of curiousity

    hoolahan replied to Marianne518's topic in General Nursing

    I am not sure about the logistics of making this a nursing only BB. I would think the only way to do that is to register your nursing license, and that would mean someone would have to validate that...

  16. Vecuronium question

    hoolahan replied to VickyRN's topic in General Nursing

    The vecuronium is a skeletal mucle relaxant. The diprovan is a sedative, not really sure what the actual mechanism of action is, but it is not an analgesic, so maybe that is why the morphine was added...

  17. A squeaking heart

    hoolahan replied to mario_ragucci's topic in General Nursing

    I like the song idea, instead of "Your cheating heart," make it "Your squeaking heart.....will tell on you....you'll try and try....to make it new....but valves and discs....they wear out...

  18. A squeaking heart

    hoolahan replied to mario_ragucci's topic in General Nursing

    Mario, I am not nearly as witty as Mary and MHN! But squeaking of the heart with each beat may indicate a pericardial rub, which occurs when the tow outermost linings of the heart become inflammed and...

  19. Possible insulin medication error

    hoolahan replied to hisblueskies's topic in General Nursing

    The regular insulin should be drawn up first. It is b/c after you then stick the same syringe into the long-acting, you could accidentally mix insulins (potentially) so if you put rapid acting into...

  20. Exchange meals for diabetics

    hoolahan replied to mario_ragucci's topic in General Nursing

    My scanner software is adobe photo, and my friend and I scanned a pic of us from work, and we darn near peed our pants laughing at the way I removed my double chin, and took away her bra strap from...

  21. Exchange meals for diabetics

    hoolahan replied to mario_ragucci's topic in General Nursing

    Mario, the concept is just like deal-a-meal! I was oging to use that analogy, but figured by your trim-looking picture, you would not be familiar with it You are right, this is a tough assignment....

  22. Exchange meals for diabetics

    hoolahan replied to mario_ragucci's topic in General Nursing

    Mario, Exchange simply means you can fill in any food of equal nutritional value. Ex in an 1800 ADA diet, a person can have one fruit veg/exchange at breakfast, so a fruit exchange is 1/2 banana 4 oz...

  23. Please join me in a toast....

    hoolahan posted a topic in General Nursing

    ....To a wonderful nurse, Ginny, from my agency. She is retiring and we gave her a roast tonight. She spoke at the end, and just spoke from her heart about how much she loves her pt's and co-workers,...

  24. Incident report happy nurse

    hoolahan replied to ohbet's topic in General Nursing

    I always discuss it with the nurse first. I rarely ever write anyone up. There would have to be harm done for me to write someone up. I once was working agency in a local hospital. A new nurse was...

  25. Questions about transfusions...

    hoolahan replied to plumrn's topic in General Nursing

    Ditto all of the above. FFP can be given via your regular blood tubing, same size micron filter, but platelets require a special filter. FYI, usefulness of platelets as a coagulant agenct expires in 4...