84RN

84RN

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All Content by 84RN

  1. H&P

    84RN replied to jmn126's topic in Home Health

    We're encouraged to ask the physician's office to fax an h&p if possible, when we call to let them know we've done the SOC. If not, then you can always ask "Are there any comorbidities that we...

  2. Tardive Dyskinesia

    84RN posted a topic in Psychiatric

    I work in Home Health, but knew you all would have much more experience with this one. My patient has multiple serious health problems--CHF, HTN, CAD, chronic renal insufficiency, Hep C and more....

  3. Tardive Dyskinesia

    84RN replied to 84RN's topic in Psychiatric

    Thanks, have a call into physician and awaiting the return call about some med issues, so will definitely mention

  4. Home Health Nursing Rates/Wages

    84RN replied to belal.RN's topic in Home Health

    Not near Jacksonville, but in Florida. Rates for per diem at my agency are $40 visit and $75 for SOC/ROC/Recert and $65 for

  5. Assaulted while working

    84RN replied to lovelucklaughter76's topic in Home Health

    Follow Kate's advice. This is a work comp issue, and you should be completely covered for getting treatment and any time off needed. PTSD is a real issue, and this is the result of something that...

  6. First day on my own and feel like a failure!

    84RN replied to txgal34's topic in Home Health

    Hang in there! It'll take a few months before you're feeling completely comfortable, so give yourself a break. Just the documentation alone is daunting when first starting in hh. For many of us,...

  7. Will i be able to get back into it?

    84RN replied to thumperxx's topic in General Nursing

    You'll surprise yourself at how quickly it all comes back to you. I was out of the workplace for 17 years, and when I took a refresher course, did 96 hours of clinical. After the 3rd of 8 12-hour...

  8. What does this mean?

    84RN replied to Elleveein's topic in Home Health

    It's the standard abbreviation for frequency of visits. 1w1 = 1 visit for 1 week 2w1 = 2 visits for 1 week On our Nursing Plan of Care worksheet, we have an area where we write in our frequency, and...

  9. Please Help - I have no where else to turn

    84RN replied to abbaking's topic in Patient, Colleague Relations

    My husband works in the insurance industry--worker's comp. He's told me several times that in California, employees can file for worker's comp for work-related stress. It sounds like the op's...

  10. Epidurals and caths

    84RN posted a topic in Ob/Gyn

    I'm having a disagreement with someone about this and wanted input from current L&D nurses. Is it standard procedure to have a foley with a laboring patient that has an epidural? I worked in...

  11. A Diabetic rant

    84RN replied to veggie530's topic in Diabetes, Endocrine Nursing

    The technology is here, but not used often due to cost. Some type 1's (and maybe some type 2's that are insulin dependent) use continuous glucose sensors that get a bg reading every few minutes. It...

  12. Bed Bugs

    84RN posted a topic in Home Health

    I did a start of care today, and the referral said "rash" on a wheelchair-bound patient. When I got there, she showed me the areas, and they were definitely bites, and then she had a ziplock baggie...

  13. A Diabetic rant

    84RN replied to veggie530's topic in Diabetes, Endocrine Nursing

    I've seen the same things happen and it's really appalling. Two of our kids have type 1 diabetes, and younger one dx at 18 mos, so I've been managing her diabetes for 8 years now. You wouldn't believe...

  14. Per diem question

    84RN replied to xoNurseRNxo's topic in Home Health

    I'm per diem, and when we are busy I can basically be fulltime if I want to take that many patients. The way my agency does per diem is that they are not obligated to give me any certain amount of...

  15. What would you do?

    84RN replied to xandarosa's topic in Home Health

    Our clinical managers call the hospitals each day to confirm if patients are still in-patient. Most of the time, families and the ALF's don't notify the agency when a patient is returns home from the...

  16. 5th Nursing Caption Contest - Win $100

    84RN replied to Brian's topic in News, Announcements

    Boy, when they say we're hiring too many foreign nurses, they're

  17. Education of nurses

    84RN replied to PCU_RN9's topic in Diploma, ADN, BSN

    I agree with the op. 30 years ago when in a BSN program, the professors repeated over and over again that "soon" a BSN would be required. It hasn't happened, at least not in most places. The...

  18. Skin tears

    84RN posted a topic in General Nursing

    What's the best way you've found to dress/treat skin tears in elderly patients? I have a patient right now (home health) that has several, and having trouble keeping the wound from sticking to the...

  19. What Have I Gotten Myself Into?

    84RN replied to Purple_Scrubs's topic in School

    As the mom of two kids with type 1, I applaud you :) Our school district doesn't hire RN's in any of the schools, and will only staff with agency LPN's if there are medical needs like diabetes. It's...

  20. I've made a mistake, and now I need help

    84RN replied to holdyourheadhigh's topic in General Nursing

    Report what you did to your immediate supervisor. It's the right thing to do, and if you don't, it'll always be hanging over your head and you'll feel guilty. Getting a consent signed may have been...

  21. Hourly per diem pay?

    84RN replied to ruthalittle's topic in Home Health

    I enjoy wound care and would love to become certified, but right now it's just too expensive. Your job sounds good to me, since I'm not a fan of doing the mountains of paperwork associated with SOC,...

  22. Hourly per diem pay?

    84RN replied to ruthalittle's topic in Home Health

    I work per diem and get paid per visit. This is in Florida. Start of Care: $75 Resume of Care/Recert/Discharge: $65 Regular visit: $40 I can see an advantage to getting an hourly rate for SOC,...

  23. Working for family directly, setting up meds

    84RN posted a topic in Home Health

    I recently had the family of a current patient ask me if I'd consider continuing to set up the patient's meds (organizing in daily dispenser) after the medicare cert period is over. None of the...

  24. ketone meters ?

    84RN replied to Trekfan's topic in Diabetes, Endocrine Nursing

    I have two children with type 1, and we use the Precision Meter. The test strips are called Precision Xtra blood-ketone test strips, and come in a box of 10. They're expensive, but worth every...

  25. Discharged - RN doubts

    84RN replied to Nurse SMS's topic in General Nursing

    The discharging physician may not be aware of the patient's home situation, and lack of caregiver support. In this case, I'd give the dr a call and explain your concerns, and ask if the patient could...