RachRN66

RachRN66

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All Content by RachRN66

  1. Does Your Agency Set a Limit on Visits?

    RachRN66 posted a topic in Home Health

    I am a long time (>10 year with this company and >20 years nursing) employee of a not for profit agency. We are owned by our local "owner hospital". But we are not managed by that local...

  2. What can they do?

    RachRN66 posted a topic in Nurse Disabilities

    I'm a nurse with 20+ years of experience. I have worked at the same home health job for more than 10 years. In that 10 years I once was out of work for 2 months because of my Bipolar disease. I had...

  3. What can they do?

    RachRN66 replied to RachRN66's topic in Nurse Disabilities

    I wish you all the best. I have 6-7 years of managment/CM/DON experience in home health and hospice. I NEVER want to be in the office again, I am not a paper pusher (although that seems to be what...

  4. problem in home health. mandated reporter issue?

    RachRN66 replied to GapRN's topic in Home Health

    I know that the "care homes" or "group homes" that are established by individuals in the community have different laws and regulations than to SNF/LTCF/ALF. About 8 years ago I was assigned this...

  5. Male nurses student and skipping OB/L&D clinicals

    RachRN66 replied to Jfarmboy's topic in Male Nursing Students

    RN in training: I am a female with a lady parts, but foleys go into the urethra of a female, not in the lady parts... wouldn' be very effective IN the lady parts if the purpose is to assist with the...

  6. Do you guys start peripherals at home?

    RachRN66 replied to cayenne06's topic in Home Health

    I've been a home health nurse for a very long time. Yes, we start PIVs. Mostly for lasix protocol for CHF patients, but often we get a short term antibiodic in the home that we will do with a PIV....

  7. I'm trying my best, but seriously stop putting me down on the phone

    RachRN66 replied to Catch22Personified's topic in Emergency

    This is an example of a nurse in one discipline of practice (ER) thinking she is much better skilled and qualified than another discipline of practice (LTCF/SNF). You all took the same NCLEX or LPN...

  8. instructor says nursing is not for me..

    RachRN66 replied to Orlette's topic in General Students

    Why do you have to communicate? To 1) get to know them 2)elicit pertinent information 3) be a NURSE..nurses are treating the whole body HOLISTICALLY, that means the entire person, not just their...

  9. Cornstarch and incontinence care

    RachRN66 replied to CabanaDay's topic in Home Health

    I would also recommend barrier cream applied librally and thickly to the skin before going to bed at night and then cleaning as soon as possible in the AM. Using a thick barrier cream with zinc oxide...

  10. nursing school question: spinal cord injury; sacral vs higher lesion

    RachRN66 replied to unsaint77's topic in Nursing Student Assistance

    I have dealt with many sci patients over the years, some on a personal level and some on a professional level. I can tell you that no matter what you read, every patient regardless of where their sci...

  11. What's Wrong With 21st Century Nursing

    RachRN66 replied to All4NursingRN's topic in General Nursing

    I am an old nurse. I went to nursing school before HIV/ AIDS was known, graduated when AIDS was treated by suiting up in a martian like outfit and approaching the patient. We, as medical...

  12. Why can only nurses call the MD?

    RachRN66 replied to wooh's topic in General Nursing

    I don't call for other disiplines or other doctors. If they need information relayed then they need to relay it. I work in home health and do a lot of MD calls, but a week or two ago I was called by...

  13. What can they do?

    RachRN66 replied to RachRN66's topic in Nurse Disabilities

    My supervisor seemed a little "stunned" like she was almost put in her place when I told her about my conditions. I did not mention specific medications that I take, I just told her it was not safe...

  14. What can they do?

    RachRN66 replied to RachRN66's topic in Nurse Disabilities

    I have been treated for BiPolar for many years, and have been on and off so many meds that it makes me sound like a pharmacy if I'd list them all. Some meds with terrible side effects then I'd have...

  15. PICC

    RachRN66 replied to emilysmom,RN's topic in Home Health

    Your company should have a policy/procedure about how to manage PICCs in the home setting. For example, our company says to flush unused PICC lines with 5ml of 10:1 U heparin daily, PICC line...

  16. Weeding out of nursing students

    RachRN66 replied to Tweety's topic in General Students

    I read through this entire thread, 22 pages. I see some people whining, and some people here with some genuine concerns. I want to say a couple of things. To the nursing student that c/o failing a...

  17. Jobs available in the Triad for an experienced nurse?

    RachRN66 posted a topic in North Carolina Nursing

    Anyone working in the Triad area that has job openings? I've been a nurse for 20+ years, with a variety of experiences. I did the usual 5 years of hospital nursing as a new grad and gained lots of...

  18. Got citation on my documentation by department of health surveyor...;(

    RachRN66 replied to umharhar's topic in Home Health

    I've been a home health nurse for a long time and the oasis question deals with pain and/or the ability to perform normal activities. A patient may not have pain when you are assessing them at that...