riern

riern

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All Content by riern

  1. What are typical HHN hours?

    riern replied to SoundofMusic's topic in Home Health

    This is something you'd need to discuss with the agency you apply to. Remember there are sometimes labs (ie vanc troughs) and IV medications that require visits by 830 or 9am so you may need to work...

  2. Taking a management position in home health

    riern replied to meluhn's topic in Home Health

    I've been in a management position with HH for 4 years now, and I had field experience of about 6 years. My suggestion would be to make sure you find out exactly what you'll be responsible for and...

  3. New home health nurse here...seeking advice

    riern replied to JordanGirl143's topic in Home Health

    Home health is one of those either you really like it or you hate it kindda jobs. You'll be going into homes of all types..some that will leave you wondering how people live that way. You will find...

  4. Help with Starting IVs

    riern replied to Hina2007's topic in Home Health

    Our nurses don't carry any IV supplies, we don't stock them in the office either. Anytime we get an order for IV meds everything comes from Infusion co or DME with Pharmacy. Since HH is not an...

  5. Anyone had this situation? Geez Louise

    riern replied to nurseby07's topic in Home Health

    If you have SW on staff that should be your first call before leaving that home. If no SW on staff to assist you- talk to daughter and firmly but caringly tell her the dangers to both her parents and...

  6. Pitocin d/c?

    riern replied to romantic's topic in Ob/Gyn

    At any point the nurse sees any indication of distress, ie decreased variability, decels (early,late,variables) the patient should be assessed. Has she progressed? membranes ruptured? does...

  7. Being eaten alive!

    riern replied to teensmom's topic in Ob/Gyn

    :angryfire As one of the "experienced nurses" I'm not real impressed with your response. While there are some "hateful,snooty" nurses, not all of them are the ones with experience. Would you prefer...

  8. My Heart is Broken

    riern replied to HeyHeyitsMaay's topic in LPN, LVN Students

    I've been a nurse for 16 years and have worked from ER, med surg, L&D, NBN and now in home health. There is ABSOLUTELY NO excuse for that to happen to any patient. However, it happens more than...

  9. Directed pushing

    riern replied to LauraLou's topic in Ob/Gyn

    The old fundal pressure. As SmilingBlueEyes said this should not be done. However, when I started in OB many years ago we did this frequently. Even had a little stool we used to stand on especially...

  10. Directed pushing

    riern replied to LauraLou's topic in Ob/Gyn

    I'm with SmilingBlueEyes! Nothing beats laboring down. It's better for mom and baby.

  11. Need Input from the Pros

    riern replied to StressedDad2Be's topic in Ob/Gyn

    Congratulations!! She's absolutely beautiful.... thanks so much for the

  12. Ever had a family overdramatic with dying patient?

    riern replied to rn-jane's topic in General Nursing

    Everyone deals with grief differently. I'm not sure nor do I even want to think about how I will react when I lose a parent or heaven forbid if I have to bury one of my children. My grandmother who...

  13. Did anyone try to talk you out of being a nurse?

    riern replied to following_faith's topic in General Nursing

    Did anyone try to talk me out of being a nurse....You bet! I had the administrator of a diploma program tell me I wasn't cut out to be a nurse and I should look at something else. I had nurses tell...

  14. Guess what happened to me the other night...

    riern replied to Mermaid4's topic in Ob/Gyn

    Mermaid, sorry you were injured and I'm sure this wasn't funny to you at the time but the visual sure did give me a chuckle this

  15. What do patients say that irks you?

    riern replied to NurseforPreggers's topic in Ob/Gyn

    My standard reply lately has been "not today, today I'm just a big people nurse so mommy will have to get all the shots today." The kids love that and of course then I come in with a coloring book or...

  16. 20 wk fetus, prom

    riern replied to Minou's topic in Ob/Gyn

    Ok, in this hypothetical situation what kind of relationship does your doc and nurse manager have? Have these concerns been stated to the doc and nurse manager? A big part of my job is patient...

  17. Would you have called the doc? (LONG)

    riern replied to SierraN's topic in Ob/Gyn

    You did a great job. I'd rather be yelled at for being cautious and my patient and baby being fine than be yelled at and have to deal with a sick patient and/or bad baby. Your new coworkers will...

  18. Needed... Public Relations Ideas for failing LDRP

    riern replied to kc2004's topic in Ob/Gyn

    I am so sorry to hear that your unit is closing. Good luck to

  19. artifical nails off..angry nurse

    riern replied to Lady Sapphire's topic in Patient Safety Issues

    I wasn't real happy about removing my acrylic nails either. I used them for the same reasons you did. What I've done is used some nail hardeners such as sally hansen's or whatever I could find or...

  20. I'm having a hysterectomy!

    riern replied to SouthernLPN2RN's topic in General Nursing

    I had my hysterectomy one year ago last month. I must say it was the smartest thing I've done in years. I feel so much better. Now, that said, it took a long time for me to get back to "normal" so...

  21. Have I made a mistake?

    riern replied to tryingtomakeit's topic in Ob/Gyn

    I'm sure you're discouraged but you've gotten some great advice here. Listen to it, don't drag your feet, it only takes one dead baby. I too am afraid we'll see this happening more and more in the...

  22. Artificial feeding-Terri Schiavo

    riern replied to ktwlpn's topic in General Nursing

    This is a very touchy subject and I personally would not want to live as Terri is living right now. I believe in looking at the quality of life, not quantity. I know her family loves her and as a...

  23. "Pit to distress..." (Rant)

    riern replied to camay1221_RN's topic in Ob/Gyn

    You handled the situation well. I agree, always use your chain of command. The days of doing what the doctor said because he said so are long gone and we are expected to be accountable for what we...

  24. Please complete this hypothetical, preemie discussion:

    riern replied to StressedDad2Be's topic in Ob/Gyn

    The problem here is that we never know. I've seen a 32 weeker come out screaming, pink, perfect except for being tiny and needing to grow(mom had several shots of celestone)...and I've seen a full...

  25. Frustrations about L&D nursing

    riern replied to RNLaborNurse4U's topic in Ob/Gyn

    I agree with everyone of your frustrations.....thought I'd add a few more... --the boyfriend who comes in at 2am smelling like pot and demands a work excuse for the day. -- the patient who comes in...