AMN74

AMN74

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All Content by AMN74

  1. If You Give a Patient a Cookie

    AMN74 replied to Mully's topic in Nursing Humor

    Awesome!! I think I'll have a cookie

  2. Home health RN supervisory visits

    AMN74 replied to cshelly12's topic in Home Health

    I don't know about TX laws. In my state an LPN has to be supervised at least every 30 days. Aides every 14 or 15 days (can't remember), if they are skilled. And my agency doesn't just provide the...

  3. just venting about wound vac

    AMN74 replied to Anggelica's topic in General Nursing

    Other companies make negative pressure wound therapy devices. I know Smith-Nephew has a negative pressure wound device. KCI has the original "wound vac", but there are several companies that now...

  4. Admits and Resumptions without medical documentation

    AMN74 replied to Isabelle49's topic in Home Health

    First of all, as you know you can't do an admit, roc or recert without an MD order. Often times we get an order that says something like Home Health to eval and treat for patient needs.. Duhhhh So if...

  5. Some Medicare managed plans do not cover wound supplies?

    AMN74 replied to Isabelle49's topic in Home Health

    This is nothing new for the home health agency that I work for. When we get a wound patient that has insurance that will not provide wound care supplies...first of all, as the agency we always supply...

  6. ethical issues in home care

    AMN74 replied to shecub's topic in Hospice, Palliative

    Bottom line, she won't eat unless the nausea is palliated. More treatment may not be in her best interest...is that what she wants? Also, you mentioned BMs are difficult and make her bleed more....

  7. Nursing License

    AMN74 replied to tke4life556's topic in Diploma, ADN, BSN

    Back in the day, in NC they used to issue a plastic nursing license card every other year when you renewed your nursing license. Now you just verify licensure through the NCBON website. They may...

  8. teaching leg bag to overnight bag to a 93 yr old

    AMN74 replied to Sterlink's topic in Home Health

    If it's a problem because of his motor skills you could do an OT consult to see if they could be of any assist. I had to do this with a patient to get him independent with ostomy care

  9. All in my head?

    AMN74 replied to JVoEDrn's topic in General Nursing

    It's a challenge for you and you are letting your mind play games with you. Keep trying, when you have failed go get help, but once you finally tackle it a few times in a row you will have your...

  10. How to Ask for Annual Raise in HH

    AMN74 replied to WeirdNurseKelly's topic in Home Health

    Does your company do annual reviews? Every nurse should get a 90 day review to just let you know how you are fitting in with the new job and what you may need to work on. Most jobs don't offer a...

  11. Here is an example of a clincal finding narrative for SOC

    AMN74 replied to paradiseboundRN's topic in Home Health

    I would add any home enviorment issues, safety in home issues, barriers to education and learning, if the patient has and can afford all medications... but that's a a great narative you

  12. Salary for assistant nurse manager/clinical supervisor

    AMN74 replied to misswoosie's topic in Nurse Management

    That pay seems a little low to me too. Especially with your experience. Do you live in the Charlotte area? Are you aware that housing costs in Charlotte are one of the most expensive in

  13. help with documenting endurance - quadriplegic patient

    AMN74 replied to ChadRN2012's topic in Home Health

    First of all how does he transfer? Is he totally bed bound or does he get up into a chair/device? How does he get around? How long can he tolerate being up in that device? Does he get sob? Does he...

  14. Which would you hire

    AMN74 replied to christyrn05's topic in Nurse Management

    The education, in this instance, would really not affect my decision. If both of them have "relatively" the same educational experience then I would decide who to hire based on the interview. I...

  15. Unreasonable of my HH care company ?

    AMN74 replied to MomRN0913's topic in Home Health

    Lack of preparation on their part, Does NOT constitute and emergency on your part. I have been in home health for 20 years. 10 of those years was coastal nursing. I remember being in the office...

  16. Peds Nurse to Adult Nurse... Help!!!

    AMN74 replied to gahills's topic in General Nursing

    I started out 25 years ago in Peds and PICU. I worked there for 5 years. When I relocated to another area that did not have Peds, unless it was a LONG commute, I decided to do adult Med-Surg for a...

  17. Normal Saline Question

    AMN74 replied to DLStango's topic in Home Health

    Where I work, we use the NS that comes in 100ml bottles instead of those big 500-1000 ml bottles for wound care etc. If the saline has no preservatives in it, and it is not contaminated in any way,...

  18. Funniest Things Doctors say!

    AMN74 replied to RNdiva505's topic in Nursing Humor

    25 years ago I started my career by working Peds and PICU. Back then most patients were directly admitted, but a few that did not get directly admitted to the floor had to go through the ER. The ER...

  19. Advice need on Relocating

    AMN74 replied to lvrodgers02's topic in Georgia Nursing

    You should apply in advance if you want to be employed at the time you move, or have an income shortly thereafter. Nursing jobs are sometimes hard to find (even for a nurse with 25 years of...

  20. How Hard is Home Health Nursing on the Body?

    AMN74 replied to westieluv's topic in Home Health

    This question is going to be difficult to answer in an absolute. Home Health nursing is demanding, carrying around a nursing bag full of supplies and a laptop where ever you go. Unless, your company...

  21. Clinical Pathways

    AMN74 replied to KateRN1's topic in Home Health

    Kate, I worked for an agency that did just this very thing with some diagnosis. CHF, CVA, Post Joints, COPD, and to some degree diabetes,(even wound care patients) but that's a tricky one. With...

  22. Thinking about Grad School...???

    AMN74 posted a topic in Student Nurse Practitioner

    I'm a 46 year old BSN that graduated in 1988. Been a nurse all my life. Suddenly, I have this desire to get my NP. I never thought I wanted to go back to school, but now I do. I want to get this...

  23. Mckesson software nightmare!

    AMN74 replied to RN1263's topic in Home Health

    I came from a home health company that has been using McKesson for more than 5 years. I recently switched jobs and my new company uses Cerner. I can tell you from one switch to another, I MISS...

  24. Skin tears

    AMN74 replied to 84RN's topic in General Nursing

    Yeah, I use a lot of tegaderm on skin tears, cover them for 7 days, the the fluid collect (tell the patient a puddle of fluid under the clear bandage may be normal, have them call if it is...

  25. What to do? Alcoholic and discharge too soon

    AMN74 replied to annaliz's topic in Home Health

    You said he has no doctor.. who is going to sign your 485? I would have notified that doctor of what is going on, and probably called 911 to send him back to the hospital. He became a danger to...