jammycakesRN

jammycakesRN

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All Content by jammycakesRN

  1. Charity wound vac option

    jammycakesRN replied to RiverNurse's topic in Wound, Ostomy, Continence

    There's also a fairly new SNAP Vac that's disposable you might check into. Not sure about charity

  2. Medihoney as debrider?

    jammycakesRN replied to onthemark's topic in Wound, Ostomy, Continence

    Many of our patients use medihoney in place of santyl. They aren't the same, but similar & medihoney is much more affordable for our

  3. New to HBOT...

    jammycakesRN replied to ThinkerBelleRN's topic in Wound, Ostomy, Continence

    Look at Healogics. They have HBO units all over the states, might come in handy if you transfer

  4. What to do?

    jammycakesRN replied to mysticalmoonray's topic in Home Health

    I've made several reports to APS. They've never done anything to help. And if they interview the lady & she denies the treatment to them (like she does the doctor) they won't help her

  5. New nurse / new to HH / tons of questions

    jammycakesRN replied to tinyRN72's topic in Home Health

    You are in a very dangerous situation & I would get outta there

  6. Interview for Home Health, input please

    jammycakesRN replied to Barnstormin' PMHNP's topic in Home Health

    Some people are under the impression that patients in their home are safe & stable, which is not always the case. These days hospitals are pressured to discharge patients too soon. Which means...

  7. Now you all are making me scared!

    jammycakesRN replied to RipeTomato's topic in Home Health

    I worked in physicians offices during nursing school as a float nurse & my very first official job as a RN was with home health. I haven't had any problems whatsoever with my clinical skills. Now...

  8. Patient refusing Hospice

    jammycakesRN posted a topic in Hospice, Palliative

    I have been a home care nurse for the past two years, prior to that I worked in the clinic setting. I am not, nor ever have been a hospice nurse. In my area, we come in and help the patient on a...

  9. Tired HH nurse

    jammycakesRN replied to IRNB's topic in Home Health

    I'm tired of working 10-12 hrs/day for 8 hrs of pay. I never have time to get it all done & they just keep piling it on! At this point I think I'd work anywhere that I can go home to my family at...

  10. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    Yeah, that's not even close to being the case. I went to every supervisor I had AND consulted with our sister hospice company. My supervisors told me that we could not provide the "hospice care" he...

  11. Wound Care

    jammycakesRN replied to WeirdNurseKelly's topic in Home Health

    We use unna boots frequently & they work well for most of our patients. Clean well with cleanser, apply unna boot wrap toes to 1" below knees, then Kerlix wrap, then coban wrap. Change 2-3 times a...

  12. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    He passed tonight. Maybe he can finally get some

  13. Do hospice nurses usually get benefits?

    jammycakesRN replied to orange_dolphin's topic in Hospice, Palliative

    The home health agency I work for has all benefits and pays more than the hospital. I know our hospice dept also offers benefits, but not sure what they

  14. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    I'm not really a fan of sticking around per se. But, seriously, if I tell him I won't ever see him again once he chooses hospice...he will NOT choose hospice. I discussed it with my director & she...

  15. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    Ok. Here's an update. He has agreed to have hospice come talk to him tomorrow. I hope he will agree to let them help him. He said he wasn't going to like it if I wasn't going to be his nurse. His wife...

  16. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    This was the reason for my original post. I'm not a hospice nurse & don't really know the info she needs for end of life care or about available resources. For me, in the home health field,...

  17. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    I don't think I'm trying to force him to be on hospice, it's just that I know his wife is struggling & I do not have the resources (or know what resources) she needs that are available. I know she...

  18. Patient refusing Hospice

    jammycakesRN replied to jammycakesRN's topic in Hospice, Palliative

    No. Just me! He got so upset that she won't even discuss any other

  19. Leaving a non-ambulatory client alone overnight

    jammycakesRN replied to CabanaDay's topic in Home Health

    I would not feel comfortable leaving that patient alone either. You could discuss it with your agency, or even make a call to the local Adult Protective

  20. Quit or keep on going?

    jammycakesRN replied to Burlshoe114's topic in Home Health

    oh my gosh..these past few days I feel like saying "DITTO" to everything you just

  21. The Home Care Dialysis Patient

    jammycakesRN replied to Twink's topic in Home Health

    I have recently admitted two patients with ESRD. I have NO IDEA what to do for them. Any advise would be extremely

  22. Home Health Nurses, how many opens and visits do you have a week?

    jammycakesRN replied to owleyes's topic in Home Health

    I'm salary and I'm required to have 20 visits per week, but an intake (new pt visit) counts as 2 visits. I do fairly well as long as I don't have more than 2 new pts per week. When I have 3, I tend...

  23. Retake NCLEX RN

    jammycakesRN replied to leo82's topic in NCLEX Exam, Programs

    Lots of nurses don't pass nclex the 1st time. It doesn't mean you're not a good nurse; just that you had a bad test. Hang in there, you'll do better the next

  24. Retake NCLEX RN

    jammycakesRN replied to leo82's topic in NCLEX Exam, Programs

    don't you know how to "trick" the computer into telling you whether or not you passed? log back in to pearson vue and go thru the registration process again. if it lets you go all the way to the...

  25. Home Health Burleson/Joshua/Godley area?

    jammycakesRN posted a topic in Texas Nursing

    Does anyone here know of a home health agency that can provide wound care visits in the Godley area?