RubyRN,CHPN

RubyRN,CHPN

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All Content by RubyRN,CHPN

  1. Best vehicle to use for visits????

    RubyRN,CHPN replied to JenRN22's topic in Home Health

    I have an 11 year Honda car with 150,000 miles on it. I do routine maint. every 5000 miles and have had no major unexpected repairs for it. My mileage reimbusement more than pays for gas (it gets 35...

  2. Alright to have your husband start an IV on your patient?

    RubyRN,CHPN replied to Nurse Joey's topic in General Nursing

    Alrighty then, I hear yea... I guess that does sound somewhat nepostistic. So the Nurse's husband does not extend his services to the other nurses at the facility to assist them or the other residents...

  3. Alright to have your husband start an IV on your patient?

    RubyRN,CHPN replied to Nurse Joey's topic in General Nursing

    Not sure from OP if this was a snap decision on part of LTC facility to allow this happen but IMO (and I say this from a place of not knowing what the paramedic's practice acts allow him to do) seems...

  4. Outside of your work environment......

    RubyRN,CHPN replied to shoegalRN's topic in General Nursing

    Get away from her and her toxic aura lickety

  5. Mckesson Horizon Home Healthcare

    RubyRN,CHPN replied to gaus0023's topic in Home Health

    I think McKesson is a very powerful program when you unleash it full potential. I love being able to read IDT notes, sending communication notes within the program securely to other disciplines,...

  6. First level telephone triage nursing

    RubyRN,CHPN replied to Bella RN's topic in Telephone Triage

    Hi Chica, I work currently work in home health as an after hours telephone triage nurse without the benefit of telehealth. I have excellent computer skills and often in the abesense of a capable...

  7. Worried about being sued

    RubyRN,CHPN replied to Susan9608's topic in General Nursing

    I'm so sorry you are having to encounter the patient's family every day and cope with their ongoing litany of negative remarks while you are caring for others. I would document every negative...

  8. My niece has a neck tumor, need to find a good doctor in MN

    RubyRN,CHPN replied to moliuchick's topic in General Nursing

    My dad is from MN and swears the best care anywhere is at Mayo Clinic in Rochester. Seems like they should have ENT clinic there. Best of luck to

  9. Anyone do VA Home Based Primary Care?

    RubyRN,CHPN posted a topic in Home Health

    Does anyone work for V.A. in Home Based Primary Care? How does it differ from regular home health visits done under Medicare PPS or other insurances? Is it offered in select areas only? How does the...

  10. Which is best type employer? Best HH websites?

    RubyRN,CHPN replied to 1RRRN's topic in Home Health

    I have worked at both not for profit private and hospital based home health agencies. Hospital based in my area pays 50 percent more hourly than not for profit in my area. With 50 percent more pay...

  11. indepenent nurse assessor

    RubyRN,CHPN replied to nycrncares's topic in Nurse Entrepreneurs, Innovators

    I sent you a private message....hope to hear back from you soon.

  12. LPN nurse manager in LTC

    RubyRN,CHPN posted a topic in LTC: Directors, Assistant

    My nursing experience does not include LTC so I hope someone can assist me with me with my question. I recently ran into an old aquaintance who informed me her DIL, a relatively new LPN with less than...

  13. Anyone done HEDIS with Outcomes Inc?

    RubyRN,CHPN replied to changeseeker's topic in Quality Improvement

  14. Do you experience jealousy from friends/family members?

    RubyRN,CHPN replied to Ms. Nurse Assistant's topic in General Nursing

    Boy, am I glad someone started this thread! I was beginning to think I was the only one who had this problem with family and deep seeded jelousy. I'm glad we are here to support each other. It is...

  15. Someone forged my signature!!!

    RubyRN,CHPN replied to kermitlady's topic in General Nursing

    Time to call the BON before she takes the place entirely

  16. LPN nurse manager in LTC

    RubyRN,CHPN replied to RubyRN,CHPN's topic in LTC: Directors, Assistant

    Thank you for this prompt, infomative posting. I appreciate

  17. Cell Phone Useage

    RubyRN,CHPN replied to ame222's topic in Home Health

    Bravo, $25.00 is by far better than a big fat zero. I would have gladly accepted $25 a month to offset my PERSONAL cell phone bill for BUSINESS calls. Not to mention my personal time to obtain an...

  18. Cell Phone Useage

    RubyRN,CHPN replied to ame222's topic in Home Health

    I worked for an agency for many years and they didn't provide a cell phone to their employees for calls. They had a cell phone for you to use when you were on call but never phones for the staff...

  19. What's the worst weather you've gone out in?

    RubyRN,CHPN replied to nurseby07's topic in Home Health

    Yikes, closed the office today at 3:00pm and agency cancelled all visits for tomorrow with al pt's, MD's, CG's, and families informed. Drove 55 miles home in blowing snow barely making up my hill...

  20. Considering working for LifePlans- need information

    RubyRN,CHPN replied to kgmiller1's topic in General Nursing

    Would you mind private messaging me and I can give you some details. Thank

  21. Nurse safety in the home

    RubyRN,CHPN replied to Jess_Missouri_RN's topic in Home Health

    You are welcome. Many agencies understand that an unsafe home would not support home health services and at time of admission visit that could be determined by the RN admitting the case and then...

  22. Nurse safety in the home

    RubyRN,CHPN replied to Jess_Missouri_RN's topic in Home Health

    Hi Jess, This is usually outlined the admission packet often in "Pts. Rights and Responsibilities" during the admission assessment. It is not acceptable to be intimidated or abused by a family member,...

  23. Disposing of medications at time of death

    RubyRN,CHPN posted a topic in Hospice, Palliative

    I was approached this week by a former colleague with a question. I thought I'd throw it to the experts: Is it becoming common at time of death for hospice nurse to release unused narcotics to funeral...

  24. mileage issue/home health issues

    RubyRN,CHPN replied to icare4icu's topic in Home Health

    Don't be afraid to ask for what you need because you have experience. Remember, the more experience you have the less orientation you will probably

  25. mileage issue/home health issues

    RubyRN,CHPN replied to icare4icu's topic in Home Health

    Wow, these stories are amazing. Last year I left my long time position where I had over 10 years in at a rural free standing home health agency to work at a hospital based home health agency an hour...