84RN

84RN

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All Content by 84RN

  1. Online Courses, CEU's for School Nsg?

    84RN posted a topic in School

    I'm considering a part-time job-sharing position with the school nurse at my kids' charter school. The school has grades 6-12. My experience has been most recently: 6 years of home health (adult,...

  2. Online Courses, CEU's for School Nsg?

    84RN replied to 84RN's topic in School

    Thank you! I've been helping with the screenings (hearing, vision, BMI, scoliosis) for a few years, and she told me there are a lot of district compliance stuff that is required. Documentation...

  3. Patient Picking At Clothing/Bed Linens

    84RN posted a topic in Home Health

    Has anyone ever seen this? I work in home health and have a patient with multiple serious health conditions. During a visit the other day, she seemed normal clinically---all VS normal for her, her O2...

  4. Question about R.O.C.

    84RN replied to nurseratchit7's topic in Home Health

    For a ROC (resumption of care after hospital dc during a 60 day episode), we do a new SOC/ROC OASIS form --same form for both events. In addition, we have a Resumption of Care Orders sheet that you...

  5. ActiVAC

    84RN posted a topic in Wound, Ostomy, Continence

    Any experience/tips for working with a hh patient that has an ActiVAC wound care pump? My patient is getting one, ordered by the wound care center. It's being delivered this week and I'll be setting...

  6. Wound Care Suggestions?

    84RN posted a topic in Wound, Ostomy, Continence

    I have a home health patient that's getting daily wet-to-dry dressing changes: Iodoform 2" packed into the wound, topped with 4x4s, abd pad and tape. The wound is 4.2 x 2.4 x 4.0 and has a couple of...

  7. Wound Care Suggestions?

    84RN replied to 84RN's topic in Wound, Ostomy, Continence

    Thanks for your input. I did suggest getting a wound care center consult and also mentioned the possibility that her surgeon may eventually want to use a wound vac. She went to the wcc Friday, and is...

  8. Given a do over, which (feasible) career would you pursue?

    84RN replied to Libby1987's topic in General Nursing

    Still nursing, but a different career path. In retrospect, I should have gotten my CRNA after a few years of working in ICU. Instead, I went to L&D, then took years off to be home. When I...

  9. raises in homehealth

    84RN replied to Lpntxn1's topic in Home Health

    I've been perdiem with an agency for over 3 years---paid per visit. No increase in wages at all, despite performance reviews that are always positive and getting praise for my work. I'm wondering if...

  10. ESRD, stopping dialysis

    84RN posted a topic in Hospice, Palliative

    I work in home health and have a long-time dialysis patient that is considering hospice. He's in his 90's and has multiple comorbities, is just frail and tired at this point. How long would he live if...

  11. condom catheters

    84RN posted a topic in General Nursing

    Give me your best tips for getting condom caths to stay put. I work in home health and have a patient that had a foley, but kept pulling it out. The physician said ok to try a condom cath, but after...

  12. When a Mom Miscarries

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

    I'm so sorry for the loss of your little one. I have miscarried 4 times, and had varied experiences with what I experienced physically, and also the medical care. As medical professionals we all need...

  13. condom catheters

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

    That's what the focus of my visit tomorrow will be. Will be doing all we can do keep him dry and watching skin closely. He really does have a very good aide, wish all my patients were as fortunate....

  14. condom catheters

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

    Yes, he definitely has a say in his poc, which is why I asked for the order to remove the foley in the first place. Now it's obvious he doesn't want the condom cath, so readjusting the plan...

  15. condom catheters

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

    I'm trying to advocate for him, and at the same time make sure his skin is given the best chance at staying intact. His aide is good, but I worry about the constant wetness on his skin. I saw him...

  16. condom catheters

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

    He's in his own home (condo) and has a private home health aide 24/7. The reason for the foley was because he's incontinent (urinates a LOT), has advanced parkinsons and dementia, and is essentially...

  17. Which do you prefer?

    84RN replied to SallyTheCamel's topic in Home Health

    Well, I've never used computerized charting (they say it's coming....one of these days), but have a wicked case of writer's cramp after having 2 starts, one recert, 2 discharges and a few other...

  18. Per Diem and Availability

    84RN posted a topic in Home Health

    I work per diem, mainly because I need the flexibility to set my own hours around my family's needs. Just started with a new agency that seems to think that per diem means you are available 24/7...

  19. Refusing to Accept a Patient

    84RN replied to adreamdeferred's topic in Home Health

    I had one patient that I did a soc on and did not feel safe in her neighborhood/home. I completed the visit, did the OASIS, made all calls necessary to set things up, and then told my supervisor that...

  20. What's in your pockets?

    84RN replied to tokmom's topic in General Nursing

    I work in home health, so carry a bag and don't need a lot in my pockets. Rt pocket of scrubs: 2 pens, alcohol wipes and scissors Left pocket: my cell phone and large paper clips (we're still paper,...

  21. DFW rn with questions :)

    84RN replied to RobinMRn's topic in Home Health

    I work per diem and have been able to mostly fit patient visits into school hours. In my agency, I'm not required to do a minimum number of visits, so if I don't want to work one day, I don't...

  22. How to you organize a visit?

    84RN replied to DemonWings's topic in Home Health

    When doing a SOC, I start with the paperwork, first explaining and getting admission consent signed, then we have 3 other places that need a pt signature, so do those at this time: emergency form,...

  23. Best Bag?

    84RN posted a topic in Home Health

    I'm looking for a new home health bag and trying to decide which to get. There are several in the Hopkins catalog that look good. What do you think is important in a bag? If your agency is...

  24. Would you deliver your baby at your place of employment?

    84RN replied to BSNbeauty's topic in General Nursing

    I delivered in the hospital where I worked, and I was in L&D at the time. First two kids were in small hospital and I was treated like a queen :) My third was in a different state after we'd...

  25. Per diem schedule obligations.

    84RN replied to joy09's topic in Home Health

    in our agency, per diem staff are not required to work any minimum, no on-call, and can turn down any new patient offered---but if you say no very often, you run the risk of not being asked, too. Some...