hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

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

    hoolahan replied to hoolahan's topic in Home Health

    Your agency actually has a policy about not using the patient's bathrooms??? I don't know about anyone else, but we don't have any policy like that, it's just that I would choose to not use anyone's...

  2. Anyone doing EPSDT or HealthStart audits?

    hoolahan replied to hoolahan's topic in Quality Improvement

    EPSDT is Early Prevention Screening and ?? I forget what else it stands for, I can write in from work one day. It is essentailly a well child visit. It is a program of what the fed and state...

  3. Vaginal Birth After Cesarean questions

    hoolahan replied to mdavidSN's topic in Ob/Gyn

    I can only speak as a mom (and a non-OB nurse) who had both. My first C-sec was a low transverse incision. No one discouraged me, but I went to a midwife, so I was encouraged. I had also read the book...

  4. how to change supra pubic cath

    hoolahan replied to SRbear's topic in Home Health

    Sometimes it is difficult to get the old cath out too, crusts/crystals can form. I have found that if I gently push the skin doen around the stoma, whila applying KY around the exposed cath, then...

  5. Scared of "Code" situation...how to prepare?

    hoolahan replied to RGrif's topic in Medical-Surgical

    Wow, consider yourself lucky!! But I can relate. I didn't really have code nightmares until I transferred to ICU, then I literally dreamed several times about putting the defib paddles on without gel....

  6. Detached Retina

    hoolahan posted a topic in General Nursing

    I am really scared for the first time in a very long time. I noticed in my right eye a little blurry spot, like a floater, in the right hand corner. My eye pressures have been borderline, pre-glacoma...

  7. Detached Retina

    hoolahan replied to hoolahan's topic in General Nursing

    Thanks guys. I do feel better now. The effects of the eye drops great;ly eggagerated the whole effect, and I am back to where I was before. I do love my eye doctor. IN fact, I had to see a diff guy...

  8. Home Care Treatment Sheets

    hoolahan replied to Dixiedi's topic in Home Health

    I don't do this kind of HH nursing, ie shifts, but my general rule is, if there is a check list I can intial, that is one less thing I have to write anywahere else. I NEVER double document unless it...

  9. Best shift to work with teens at home

    hoolahan replied to RodeoLP's topic in General Nursing

    I would suggest an alternative route in nursing. Like Home health. Typically hours are 8am to 4:30 pm, but you would find there is far more flexibility. For example, if you choose an agency that only...

  10. Home Health Nurse Safety

    hoolahan replied to JULESNYRN's topic in Home Health

    I have worked for 3 agencies, and never would we make a visit like that in the night unless there was an escort. A foley is NOT an emergency at 2am, even for a neurogenic bladder. It can wait until...

  11. ER abuse was encouraged last night

    hoolahan replied to Snowy's topic in Emergency

    In NJ, if you are a pedestrian or on a bike, etc, if you are hit by a car. The first 10 days after the injury, you can go anywhere and get any treatment w/o pre-auth from the auto insurance, it will...

  12. Breach of my confidentiality by unknown nurse-advice PLEASE!

    hoolahan replied to jackson's topic in General Nursing

    I thought that was what we were

  13. Breach of my confidentiality by unknown nurse-advice PLEASE!

    hoolahan replied to jackson's topic in General Nursing

    Meaning that you said he did tell one neighbor, and you know how nosy some neighbors can be, maybe it was from that original source, and someone else mentioned it may be easier to blame the nameless...

  14. Breach of my confidentiality by unknown nurse-advice PLEASE!

    hoolahan replied to jackson's topic in General Nursing

    First of all, if a person cares about you, they ask YOU how you are, call you, send a card, etc...not snoop through other people, unless they say "Tell so and so Lindsa said Hi." Second of all, you...

  15. Slandered at work by another nurse...need advice asap

    hoolahan replied to rosieseattle's topic in General Nursing

    Sounds like the staff want you to do their dirty work for them. They are probably tired of her too. I say, to confront her, privately first, just simply ask her if she has a problem with your nursing...

  16. ARE THERE ANY NURSES OUT THERE THAT ACTUALLY "ENJOY" or HAPPY WITH THEIR JOB.

    hoolahan replied to dream8's topic in General Nursing

    I love my present job, in a managed care company in the Quality department. I worked in hospitals for 20 years, 4 in Home Health, now I have a 9-5 job, and it's great. I still use my brain reviewing...

  17. Need rhythm interpretation help

    hoolahan replied to critcarenurse16's topic in Cardiac

    anyway you can scan it and post as a pic? I can't really say w/o seeing it. I first thought of U waves, which occue with hypokalemia, but actually, it seems like it could be a-fib returning, or who...

  18. I was a PT in my hospital YIKES!!!

    hoolahan replied to beckymcrn's topic in General Nursing

    I was a pt with my kidney stone about 3 years ago, and my ER nurses ROCKED!! Thank God you're ok

  19. Discharge Flap

    hoolahan replied to VivaLasViejas's topic in General Nursing

    I can probably tell you what popped her cork...if the pt stayed in the hospital, and didn't meet criteria for payment, the insurance company denies the hospital payment for those days. It sucks, but...

  20. Bee sting advice

    hoolahan replied to Louisepug's topic in General Nursing

    Yes, I agree. You can become more sensitive with subsequent exposure as well. Your reaction could be faster and more severe. To get an epi-pen, you need a Rx from the doc. I think that is all you...

  21. 50k sign-on bonus

    hoolahan replied to ethelbsnrn's topic in Texas Nursing

    I am in NJ, but...WOW!! Although... any place that desperate may be a true pit. That is my only concern. And four years is a looooooong time to work in a pit. When you think about it, it's actually...

  22. "Proving" yourself

    hoolahan replied to caren19's topic in General Nursing

    I understand what you are trying to say, but the interpesonal dynamic of this group seems to be passive aggressive behavior. It serves no one. A successful team develops their junior staff. Yes,...

  23. Sad story 480-pound woman dies after six years on couch

    hoolahan replied to dietersmanifesto's topic in General Nursing

    So, since she couldn't get up off the couch, it is her fault that the foods selected were not salads, cottage cheese, and lean meats? The best thing they could have done for her was to not come home,...

  24. Acute Rhabdomyolysis?

    hoolahan replied to adidas99's topic in General Nursing

    I have seen this several times too in post-op open hearts. Usually in the leg, if they have been shocky or very edemetous, ot had bleeding into the donor leg. Edema of tissues in those cases led to...

  25. Sad story 480-pound woman dies after six years on couch

    hoolahan replied to dietersmanifesto's topic in General Nursing

    I don't think the "judgements" have been harsh. Whoever was feeding her had enough cognitive skill to buy/prep/order food for her. How could the same person allow feces to remain on the walls?? Sure...