nursekelly217

nursekelly217

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All Content by nursekelly217

  1. pain with mesalt - advice, alternatives?

    I am a HHN with a pt with non healing wounds on both feet. Long history with the wounds and wound care has been changed to and from every product I can possibly think of. Aquacel, prisma, promogran, iodoform, accuzyme, mesalt, foam dressings, the w...
  2. Is 44 cents per mile good?

    I get 40 cents/mile. The IRS says we should get 45. I'd be happy with 44.
  3. Use of Narcan in cardiac arrest

    Not exactly cardiac arrest situations, but I worked in a freestanding (non hospital) detox where we routinely gave IM Narcan 1mg Q5min up to 10 doses with patients who had OD'd ... obviously while EMS was on the way and O2 and Defibrillator on hand. ...
  4. The worst or strangest orders you have seen...

    I worked in a drug and etoh inpatient detox where we had to verify all the pts meds on admission and call them in to whoever was covering (who was usually clueless about detox and defer to the admit nurse). So one night a girl comes in and along with...
  5. LPN's In Home Health! How Many Visits and Pay???

    I'm an LPN in HH. I work salary for 24.70/hr 37.5 hours/week, plus mileage. My quota is set at 7 pts a day... sometimes I may have 8, which is too many, I think. Any pts seen outside of 8-4 hrs is at per diem rate which is about $26. Also have ca...
  6. 1. Yes 2. N/A 3. Yes 4. 69
  7. Severe Asthma can it be a disability for a nurse?

    Ms Piggy you have my sympathy and understanding, though no solutions, unfortunately. I have mild-moderate asthma that is normally well controlled, however last year had a severe asthma attack at work (also at an acute detox center), triggered by the...
  8. Self inflicted

    in a detox center... syringe taped btw 17yo's buttocks to try and smuggle in (found in a "why is your bottom beeping" moment with the metal detector), a repeat offender old enough to be my father who had a piece of his syringe break off in his arm th...
  9. canker sores

    from repeated experience... zinc lozenges, held against the sore and allowed to dissolve there have really helped me.
  10. Long but desperate for advice

    I had originally posted this in the military section but it was mentioned that I might get a better response here. I'm hoping someone on here might be able to point my family and I in the right direction. I'll try to be concise. A 28 year old fami...
  11. desperate for advice/direction (Long but urgent)

    I have reposted this question in the general nursing section. Thank you for your advice.
  12. I'm hoping someone on here might be able to point my family and I in the right direction. I'll try to be concise. A 28 year old family member is active duty in the Air Force and returned to the US one week ago after 2 years overseas. While she was...
  13. desperate for advice/direction (Long but urgent)

    Gen- thanks for the links. I will contact the author to see if he has ideas. It's worth trying anything to me. It is so important to adequately protect and care for our troops. They do more for the country than any average citizen I know and yet ...
  14. What's your pay for an LPN working HH? Just curious.

    In MA, $24.70/hr for 35 visits/week. $.40/mile reimbursement. On call about 1 week/month at $2/hr with per diem pay of $26.70 for on call visits or after hours visits. Also on call every 8th weekend. Could be better but could also be much worse. ...
  15. IV certification in San Diego?

    I did my IV cert in San Diego 5 years ago... it was one day, about 6 hours. With a minimal amount of live sticks ... I think 3. The theory is easy and the live sticks on young, healthy, hydrated "patients" are too. The real training for me was on ...
  16. Home care salary for LPN's

    I recently moved from inpatient psych nursing to home health full time and make $1/hr more. Also get mileage and extra pay for > 7 visits/day, weekends or call visits. I'm on call 5 days/month and usually don't get called in ... but get paide pe...
  17. LPNs/LVNs: What's Your Specialty?

    Full time home health and PRN drug and etoh detox.
  18. hh nursing pay in mass??

    i'm an lpn on the north shore in homecare and the pay is great for me. i believe is also high for the rns at the agency as well. we're salary with per diem visit rates for anything over our scheduled day. also have a lot of schedule flexibility an...
  19. Hourly Rate For LPNS

    i'm north of boston and have been chg nurse in an inpt detox center for 2 years at 23.66 w/ $1 diff for 3-11 and w/e. am leaving next week for home health where base is 23.70 w/ $5 diff for the city and no w/e, minimal holidays!
  20. LPNs what are your roles in MA?

    I'm currently charge nurse in an inpatient detox - we have EXACTLY the same job as the RNs here... charge alternates btw me and a couple other nurses LPN or RN. We do continual assessments and meds for pts in withdrawal and do admit h&p, MD orde...
  21. Complaints about Patient Complaints

    I work in an inpatient detox... wondering if anyone in similiar could share how pt complaints (about staff, tx etc) are handled. Our facility has "grievances" that the pts are given when they cannot be redirected. My problem is this: the powers t...
  22. Complaints about Patient Complaints

    Thanks for the support... I think I just needed to vent. In the 18 months I've been there, have not had an official c/o against me... but occasionally get burnt out and pretty infuriated sometimes by how much abuse we take from clients... nothing li...
  23. Resources on drug/alcohol detox

    Anyone able to give me more info on the COWS system for assess opiate w/d? Our facility uses a very vague and mostly subjective scale and our patients can rattle of the qualifying sx better than me training a new detox nurse! I hate thinking I'm "i...
  24. Addiction

    Good definition. It is so important that addiction encompasses so much more than chemical dependence. That is why a physical detox from heroin in my facility is about a week... but no one leaves us cured... the behaviors that surround addiction, be...
  25. Inpatient Detox Nursing

    Hi simssn, About a year and a half ago I moved from Med-Surg to inpatient drug/etoh detox nursing... all I can say is that it is very different from all other nursing. On a daily basis I fluctuate from a medical nurse to a psych nurse to a correctio...