RubyRN,CHPN

RubyRN,CHPN

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All Content by RubyRN,CHPN

  1. I know a CNA who's name badge says nurse!

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

    I think several of the posters have missed the point here. Your cousin's wife works in a clinic under the supervision of a physician and the umbrella of a hospital clinic. She is serving as an...

  2. 2007 HEDIS Anyone else signed up for this year?

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

    Hedis has began for this year......I'm curious how it is working out for everyone---the measures seem lengthy. Are we traveling far for assignments? How many miles a day are you traveling? How many...

  3. Anyone doing HEDIS???

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

    Any tips on how to ge through those long OB charts? I reviewed several charts yesterday with at least 50 scanned sheets per chart (these were GP's who did prenatal care). The charts took me at least...

  4. Upsetting Email about HH

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

    [size="3 I'd rather be a working in home health on my very worse day than at the hospital on my very best day! Best of luck to

  5. Pay per case

    RubyRN,CHPN replied to Traveler's topic in Case Management

    Hi Anne, I was looking for a position similar to yours in my area. Could you either PM me or write back and let me know what company you work for? This sounds like and interesting

  6. help, i'm lousy at blood draws

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

    Try hot packing the venipuncture site also. For sluggish blood return I will also use a larger gauge butterly to a syringe. You may also want to speak with customer service at the lab you use. Often...

  7. boils....septicemia

    RubyRN,CHPN replied to BRANDY LPN's topic in General Nursing

    In 10 years of home health nursing I have seen a more frequent occurance of community acquired MRSA infections which often manifest as skin lesions which resemble boils. Often the portal of entry is...

  8. Nausea

    RubyRN,CHPN replied to webblarsk's topic in Hospice, Palliative

    Nausea related to delayed gastric empyting? Bowel tones? Residuals? Reglan works wonders for nausea r/t delayed gastric emptying. Slow down the bolus

  9. Nausea

    RubyRN,CHPN replied to webblarsk's topic in Hospice, Palliative

    Nausea related to delayed gastric empyting? Bowel tones? Residuals? Reglan works wonders for nausea r/t delayed gastric

  10. Utilization of LPN's at Certified HHA

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

    Sorry, in my state LPN's in the home health setting cannot do picc lines, central lines, home infusions etc. They cannot complete OASIS paperwork from what I gather too. Met many skillful in drawing...

  11. Wage Scales for Home Health Nurses

    RubyRN,CHPN posted a topic in Home Health

    Does anyone work for a home health agency that utilizes a wage scale for their nursing staff? I am interested in suggesting the implementation of a wage scale at our next contract negotiations. I am...

  12. Computers in Home Health Nursing

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

    Ditto here. Yes, we were asked to sign an agreement for damage. When it came down to it from what I understand, one nurse is on her second or third computer in 2 years. She has never had to pay to...

  13. Cell Phones

    RubyRN,CHPN posted a topic in Home Health

    I work at a medium size home health and hospice agency which employs less than 30 RN's full time for a large two county area. This spring we will begin to negotiate a new contract. We have no...

  14. twitches and involuntary movement

    RubyRN,CHPN replied to obeyacts2's topic in Hospice, Palliative

    If the gentleman has end stage renal cancer, you may consider an electrolyte inbalance such as calcium as he may be experiencing renal failure on some level. Have you discussed your assessment with...

  15. How to become a Home Health Nurse in Minnesota?

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

    Have you requested an "informational interview" with any home health agency administrator to inquire if your experience will qualify you with a position

  16. tension between EMT and LTC nurses?

    RubyRN,CHPN replied to smk1's topic in General Nursing

    I can thoroughly understand where your are coming . When I'm in the home and I run into this situation. When I call 911 and request transport to the hospital, I explain to the EMS that "pt is going to...

  17. tension between EMT and LTC nurses?

    RubyRN,CHPN replied to smk1's topic in General Nursing

    Thanks for sharing yours story---I do home health and hospice and in the past 7 years of working in a rural area (where there are very few "paid" EMS staff-most of them volunteer) I have witnessed the...

  18. How to become a Home Health Nurse in Minnesota?

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

    What specifically is in the job description for your perspective employer? What are there requirements for previous work related

  19. Woman refuses CS, charged with murder

    RubyRN,CHPN replied to crankyasanoldma's topic in Ob/Gyn

    She made an informed choice. We as professionals are not to judge and assume the role of the investigative body and

  20. Critical thinking question for all you experts

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

    Hi Jen, thanks for your reply. A person's ability to ambulate, cook and bathe for themselves does not disqualify them from receiving home health services from a visiting nurse. If you are speaking of...

  21. shared case management

    RubyRN,CHPN replied to basil's topic in Hospice, Palliative

    Hi Basil! Good question. Your supervisor is right, your coworkers should not be calling you at home. After being called on sick days, vacation days, etc. I began billing for time. Your collegues...

  22. Critical thinking question for all you experts

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

    Speaking from an experienced home heath nurse, I think evaluation for appropriate skilled home health services would be appropriate. In order for a person to receive home health services, generally an...

  23. OUCH! Bet he'll never go without undies again!

    RubyRN,CHPN replied to Jay-Jay's topic in Wound, Ostomy, Continence

    This is probably a little late from my end, but I had a patient once with Fournier's gangrene and required extensive grafting and reconstruction. We used a lot of Xeroform gauze the gentleman's...

  24. Wound vac question

    RubyRN,CHPN replied to angelbear's topic in Wound, Ostomy, Continence

    Is the wound colonized or infected? I work in home health and have used wound vacs previously; however, in my training I believe there was something that was said re: it was not indicated for an...

  25. Going into hospice

    RubyRN,CHPN replied to burger914's topic in Hospice, Palliative

    Excellent idea!!! Wouldn't hurt to ask. I would before I would accept. On the flip side of things, be prepared to consider from the agency's standpoint that sometimes it does take longer for a nurse...