ProBeeRN

ProBeeRN BSN, RN

WOC, Hospice, Home Health

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All Content by ProBeeRN

  1. VENT--Boundaries please!!!!!

    ProBeeRN posted a topic in General Nursing

    Dear patient's fully grown adult son, Do not under any circumstances flick my scope tubing while I'm taking a BP. Do not tell me I'm a "hot-ass nurse". Do not interrupt me while I'm teaching my...

  2. body image, not helping in care

    ProBeeRN replied to anon456's topic in General Nursing

    Was homecare referred? We are usually the "bridge" between hospital and home. Worked with many a new ostomy with trouble coping with body image changes who refused to even touch a wafer until they...

  3. VENT--Boundaries please!!!!!

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    In response to the first post, he did actually say/do all of those things. I barely refrained from thwomping him one on the head. There was some serious teeth-gritting going on. For the record, this...

  4. HH visits at ALF

    ProBeeRN replied to anticoagulationurse's topic in Home Health

    I was always told that assisted living facilities do not provide wound care, period, even with a nurse on staff. Has something to do with their certificates or license or something. So we do go out...

  5. Lowest BP?

    ProBeeRN posted a topic in General Nursing

    So... Patient today had a BP of 70/40 when therapist was in home around noon. Notifies PMD who says to call cardiologist. Notifies cardiologist who says to call PMD. Patient gives up and doesn't...

  6. Lowest BP?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    nah, all manuals. She had a wrist cuff in the home but we couldn't get a read with it. She ended up going by ambulance, getting 750cc fluid en route and arriving at hospital with bp 100/50....

  7. What was your orientation like?

    ProBeeRN replied to HealthyNurse's topic in Home Health

    Out of the norm here but for experienced nurses: 2 weeks classroom to learn OASIS/ policies/ computer, 4 weeks with a preceptor. 3 months probation. I came in as a new grad so I got 2 weeks...

  8. PT INR

    ProBeeRN replied to Willow Moonsidhe's topic in Home Health

    I like the INRatio machines that use the fingerstick, then I can call in the results from the home. For venipuncture-- if a routine and result is in line with previous results, I will usually...

  9. Lowest BP?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    It was the first time I'd seen her, from her chart she usually ran much higher, 110s-130s systolic. Honestly, I just think the doc was a rude guy- interrupted me halfway through telling the situation...

  10. Lowest BP?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    She did go. I'll be checking later

  11. Lowest BP?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    She was symptomatic, very shakey, lightheaded. And now I have a new word to add to my medical vocabulary

  12. Caught a major med error today!

    ProBeeRN posted a topic in General Nursing

    So...I'm going about my business today in the world of homecare nursing, and I sit down to do my patient's insulin prefill for her. Her pharmacy (which shall remain nameless) sends her 3 boxes of her...

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

    ProBeeRN replied to JenRN22's topic in Home Health

    I live in Buffalo, NY so all-wheel drive for winters is a must. I drive a midsize SUV and love it. Had a Chevy Cobalt prior and was sliding all over/ got stuck a lot on side streets. No problem...

  14. To return to home health or to stay put in hospital??

    ProBeeRN replied to JenRN22's topic in Home Health

    I am full time, but our per diem staff has many of the same complaints-- they only get paid per visit, so there's a lot of paperwork left over at the end of the day. They aren't supposed to get any...

  15. Question about post CVA and blood pressure

    ProBeeRN replied to kimmie4476's topic in General Nursing

    I've had patients tell me that their BP isn't accurate on their effected side. As for blood draws, sometimes edema may make it more difficult to get a stick? So maybe more of a convenience issue...

  16. stress in home health nursing?

    ProBeeRN replied to pear8's topic in Home Health

    I usually see 6 "regular" revisits in a day. My patients are all pretty close together (urban area) so my drive time is only 5-10 minutes/patient. If we get a SOC, we get 4 visits (1 SOC and 3...

  17. How would you have handled this?

    ProBeeRN posted a topic in General Nursing

    So here's the basics- Went to the home of a pleasant 90 year old woman today for an assessment and to set up her meds. When I get there she's not "herself"- a little more confused, stating she's more...

  18. How would you have handled this?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    Well here's an update-- patient was kept overnight for observation, sent home with a couple med adjustments. THEN yesterday one of the daughters calls my boss insisting that it was the agency's fault...

  19. Do you wear your engagement rings at work?

    ProBeeRN replied to SarahBerah's topic in General Nursing

    I wear my wedding ring (very small bang with channel-set diamonds) only usually. Got the diamonds on it so I could have some sparkle without worrying about the big diamond. Sometimes I forget to...

  20. hematoma after CABG

    ProBeeRN replied to littleannabell's topic in General Nursing

    In my experience, open heart surgeons tend to be very particular. When in doubt, make the call and give your assessment

  21. How would you have handled this?

    ProBeeRN replied to ProBeeRN's topic in General Nursing

    Thanks. Had no doubt initially-- did an "oh s--t!" in my head and then kept my head together and took it from there-- it was trying to explain everything to the EMTs-- "but, but, she wasn't stable 5...

  22. Disorder of the GI System

    ProBeeRN replied to us2uk4u's topic in General Nursing

    check you nursing assessment book in the GI section, usually lists several disorders and their s/s- then you can use your other books or google to fill in the rest. I have to admit I giggle seeing...

  23. Skin care... what dressing for what?

    ProBeeRN replied to Nuieve's topic in Geriatric, LTC

    There's a sticky under the Home Health Nursing category called "Wound care words of wisdom"- ignore the stuff about payors as it won't apply to you in a facility, the rest is a really good overview of...

  24. Scary story I heard from some nursing students

    ProBeeRN replied to NurseyPoo7's topic in General Nursing

    HA! One clinical rotation while I was in school when we told the nurse assigned to our patient that we were taking them for the day--that was it...never saw them again. Some would occasionally check...

  25. Is this a problem? taking your neighbors blood pressure

    ProBeeRN replied to HappyNurse2005's topic in General Nursing

    I don't see a problem with it. I go over to my 88 year old grandmother's house and check her blood pressure every now and then. And if I'm in a patient's home and their spouse/son/daughter asks, I...