hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

  1. I'm confused....

    hoolahan replied to harleytx's topic in Home Health

    Hi Harley, I think your friend has simplified it a bit. I think a big part of the difference may be that some of the things you read here are regarding the admission assessment, or the OASIS, and that...

  2. DME/Qxygen issues...

    hoolahan replied to hoolahan's topic in Home Health

    I can't find anything on the CMS site about the number of catheters allowed for oral suctioning. But I did find NIH guidelines about suctioning procedure and cleaning of catheters... Brief Summary...

  3. DME/Qxygen issues...

    hoolahan posted a topic in Home Health

    This weekend I had a bad experience with a DME vendor, I am considering reporting them to the state. I went to a member's home, when I got there, it was a doctor's office referral so you never really...

  4. DME/Qxygen issues...

    hoolahan replied to hoolahan's topic in Home Health

    Found this at Aetna's site... Home > Clinical Policy Bulletins > Medical > CPB0503 Clinical Policy Bulletins Number: 0503 Subject: Suction Pumps Important Note This Clinical Policy...

  5. DME/Qxygen issues...

    hoolahan replied to hoolahan's topic in Home Health

    The pt has both Medicare and Medicaid. Monica, that is true for us re wound care supplies, but oxygen supplies, at least where I am, are always provided by the DME. Trach care kits, suction caths, all...

  6. Home Health Aide shortages...

    hoolahan posted a topic in Home Health

    Is everyone having such problems? I am particularly curious about in rural areas. I am in the suburbs, close to the city. There are only a few compnaies left who will offer HHA/PCA under medicaid,...

  7. DME/Qxygen issues...

    hoolahan replied to hoolahan's topic in Home Health

    Not me trav, I am per diem, doing only weekends now. I hardly ever get to see the same pt's again. Although, I did go out and do a discharge on a pt I opened 8 weeks earlier, that was nice. I wasn't...

  8. Are these orders valid?

    hoolahan replied to Celia M's topic in General Nursing

    First of all, the supervisor should have defined the limits of being paid BEFORE this occurred. First she says it's a good idea, then it is a "little shopping trip?" That is pretty unprofessional of...

  9. Bad drug choice by DR.-scary! long rant

    hoolahan replied to okie2's topic in General Nursing

    Tell her to report him to her insurance company quality department. We had a case today, where I was slow, so I asked my boss if she needed any help, she asked me to contact a doc's office re...

  10. What makes the CPNE so hard?

    hoolahan replied to Jo Dirt's topic in Online Distance Learning

    I think too many people make the error of thinking I've been a nurse for XX years, I can fly by the seat of my pants and you can't. You must know those critical elements inside and out! You have to...

  11. books or study guides

    hoolahan replied to tinkaboo12's topic in Online Distance Learning

    Exactly right. Just follow the syllabus outline EC gives you, and do the recommended readings. Go to the library of a local nursing school for most of the books and xerox the chapters needed if it's...

  12. AJN Article Opinions.. "I'm No Angel"

    hoolahan replied to Trauma-tizedRN's topic in General Nursing

    I used to feel it was a calling, but now, this more acurately reflects my belief. Well

  13. AJN Article Opinions.. "I'm No Angel"

    hoolahan replied to Trauma-tizedRN's topic in General Nursing

    Not to minimize your angelicness or anything, but when I worked in PACU, all my patient's thought I was an angel too. I think they are just so darn happy to know they survived their surgery! That was...

  14. Bad drug choice by DR.-scary! long rant

    hoolahan replied to okie2's topic in General Nursing

    Wow! That is scary! Just the fact he puts her down for asking questions is scary enough! When I was pregnant with both my kids, I had wicked headaches in the first trimester, I mean, so bad, I was...

  15. 3rd week in home health, ready to quit

    hoolahan replied to SRbear's topic in Home Health

    I agree, sounds like you don't have a very good support system. Besides the paperwork, did you enjoy this kind of nursing? Do you find that you have any flexibility with your schedule? Are there...

  16. Anyone doing EPSDT or HealthStart audits?

    hoolahan posted a topic in Quality Improvement

    Just

  17. What are some of the strangest situations you have gotten into in home health

    hoolahan replied to lioneliz's topic in Home Health

    Missmercy, thanks for sharing that story. I was laughing my orifice off til I read about her trauma, then I started to get teary-eyed, how very sad. It is true, you never do know what a person has...

  18. What are some of the strangest situations you have gotten into in home health

    hoolahan replied to lioneliz's topic in Home Health

    Missmercy, thanks for sharing that story. I was laughing my orifice off til I read about her trauma, then I started to get teary-eyed, how very sad. It is true, you never do know what a person has...

  19. tonsilectomy

    hoolahan replied to hittme123's topic in General Nursing

    My daughter just had hers out at age 15, and I can vouch for everything okie said. She missed a week of school, and was in terrible pain. She doesn't like ice cream or popsicles, so she was a real...

  20. team leader model

    hoolahan replied to renerian's topic in Home Health

    We used to have Team Leaders, but it wasn't based on specialty, it was based opn geographical territory. Now they changed it to be Acute and Chronic teams, so all the long-term foley changes, SPT and...

  21. certified coder

    hoolahan replied to renerian's topic in Home Health

    Two agencies used coders, they were also data entry folks. Two of them did not want nurses to do coding, in the field. One agency used a seperate page for the diagnosis question, and enlarged it,...

  22. Stasis ulcer dilemma

    hoolahan replied to ljcraigrn's topic in Home Health

    Does the pt have a caregiver? I would think a Cath would be better since he is unstable on his feet, he could use a leg bag. Is he able to do anything for himself? It sounds like the home situation...

  23. OASIS question

    hoolahan replied to cynda's topic in Home Health

    I did get a kick out of that!! How true!! I agree that all meds via inhalayion nebs, MDI's, nasal sprays, discus, etc should be considered as an inhaled or mist med for

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

    hoolahan replied to hoolahan's topic in Home Health

    And No, I haven't seen that gadget to warm food. I would love that. I much prefer to have leftovers for lunch, saves a lot of money, but leftovers usually need to be heated. What is it called, do you...

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

    hoolahan replied to hoolahan's topic in Home Health

    How often?? Well, in all honesty, I don't drink much after I leave the office, or my house wherever I am starting from, so hardly ever really. I don't drink much specifically so I won't have to pee...