jammycakesRN

jammycakesRN

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All Content by jammycakesRN

  1. Charity wound vac option

    There's also a fairly new SNAP Vac that's disposable you might check into. Not sure about charity availability.
  2. Medihoney as debrider?

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

    Look at Healogics. They have HBO units all over the states, might come in handy if you transfer often
  4. What to do?

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

    You are in a very dangerous situation & I would get outta there YESTERDAY!
  6. Interview for Home Health, input please

    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 home health nurses walk into a home with a patient th...
  7. Now you all are making me scared!

    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 the paperwork nightmare is a whole other story, bu...
  8. Patient refusing Hospice

    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 temporary basis until they are back on their feet. Duri...
  9. Tired HH nurse

    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 a normal hour & actually have a life!
  10. Patient refusing Hospice

    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 required BECAUSE we have a sister hospice company &a...
  11. Wound Care

    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 week.
  12. Patient refusing Hospice

    He passed tonight. Maybe he can finally get some rest.
  13. Do hospice nurses usually get benefits?

    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 pay.
  14. Patient refusing Hospice

    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 was okay with it. I don't think there will be muc...
  15. Patient refusing Hospice

    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 agreed & I explained that they can't have hom...
  16. Patient refusing Hospice

    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, calling in Hospice IS our "end of life resource" for our...
  17. Patient refusing Hospice

    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 needs more help than I can provide. I am only the...
  18. Patient refusing Hospice

    No. Just me! He got so upset that she won't even discuss any other disciplines.
  19. Leaving a non-ambulatory client alone overnight

    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 Services.
  20. Quit or keep on going?

    oh my gosh..these past few days I feel like saying "DITTO" to everything you just said.
  21. The Home Care Dialysis Patient

    I have recently admitted two patients with ESRD. I have NO IDEA what to do for them. Any advise would be extremely welcomed.
  22. 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 to get behind.
  23. Retake NCLEX RN

    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 time.
  24. Retake NCLEX RN

    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 payment screen...you DIDN'T pass. if it gives you some...
  25. Home Health Burleson/Joshua/Godley area?

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