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 around that some. May want to consider being the a...
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 know that your orientation will only be a drop in the...
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 that some patients almost become a part of your fami...
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 emergency service any patients requiring IV fluids before...
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 others. Mother cannot care for herself much less a...
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 repositioning help? has she had pain med? what kind and when?...
: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 the hospital with the experienced nurses or the one ...
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 you know. As more and more people loose jobs you se...
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 for difficult deliveries. This isn't something th...
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 is a very prim and proper southern lady literally l...
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 me how terrible being a nurse is. I got married an...
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 something for the kids.
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 advocate. I've been known to ask the doc why not this or ...
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 eventually calm down, don't let them scare you, make ...
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 was recommended to me. My nails are much stronger a...
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 to speak. Just be patient with yourself, take the...
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 years to come. Hospitals are all too willing to p...
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 mother I pray I'm never in that situation. However...
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 do. This is especially difficult in L&D. Kuddo...
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 term 39 weeker come out and end up in NICU for a mon...
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 with her 3rd preg and doesn't understand why she's h...