AMN74

AMN74

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All Content by AMN74

  1. New to Home Health - ?'s about 1st visit and PT/INR!!

    AMN74 replied to smcelroy5's topic in Home Health

    Apply tourniquet, look for a vein that you can SEE well, or feels juicy. Gloves on, clean with alcohol, stick vein. You can stop at the flash of blood, no need to advance to just draw blood. Then...

  2. Ethical Dilemma

    AMN74 replied to mglick's topic in General Nursing

    As an old time Peds nurse back in late 80s we had a kid (parents JW) that was bleeding out and was in desperate need of a blood transfusion. Of course the parents said no. Absolutely refused. They...

  3. Can anybody share any first hand experience with being coded, on a vent, sedated, etc

    AMN74 replied to Bruce_Wayne's topic in General Nursing

    I was put to under sedation for a procedure a few years ago. MD told me pre op that I would be asleep, not know anything and when it was over they would wake me up. I heard everything they said...

  4. Abolishing the Pinning Ceremony

    AMN74 replied to drem7116's topic in General Nursing

    My class of 88 was the first class that did not have a capping ceremony, we did get pins though, and I still keep it as a prized possession after all these years. I recall our class discussing the...

  5. Why is it important to know patient's insurance info?

    AMN74 replied to Despareux's topic in General Nursing

    In home health is is VERY important to know your patient insurance info. Some insurances require certain documentation, that others do not. Some insurances cover a limited number of visits while...

  6. Do you have patients call late

    AMN74 replied to emilysmom,RN's topic in Home Health

    My patients get my number from caller ID. I don't bother to hide it, and I often write it down for them on our admission booklet, but I also write down the OFFICE number and I tell them that they can...

  7. visiting nursing

    AMN74 replied to ashla's topic in Home Health

    I know it seems like the nurses know all their clients and so things just go in a routine manner, but I can assure you that if you are doing intermittent SN visits you will be assigned new clients and...

  8. Murphy's Law of Nursing

    AMN74 replied to Pepper The Cat's topic in General Nursing

    If you say a "frequent flyer's" name... they WILL show

  9. Post Hospital....Orders

    AMN74 replied to Amelias's topic in Home Health

    I'm just curious, how did you know the patient was home from the hospital? If you had no orders to resume care on the patient, would you consider practicing without a license? Please don't get...

  10. PICC Ports that won't Flush

    AMN74 replied to *4!#6's topic in General Nursing

    first try gentle aspiration.... gently aspirate, then try to flush, gently aspirate and then try to flush... 9 times out of 10, i'll pull back a small fibrin strand and then i can discard that syringe...

  11. Am I Qualified?

    AMN74 replied to ksreuter's topic in Home Health

    WOCN is the "queen" of wound certifications. There may be some other wound certifications out there, but I am not familiar with them. I work for a very large home health agency and we have several...

  12. Am I Qualified?

    AMN74 replied to ksreuter's topic in Home Health

    Do you have your BSN? You have to either go to a 6-8 week course where they provide clinicals, or if you do it on line you have to find some place to do your clinicals and get the required number of...

  13. Do you worry?

    AMN74 replied to emilysmom,RN's topic in Home Health

    You are going to burn yourself out. Are you a full time employee? What is your agencies productivity? Maybe, if your productivity is 6 you should cut back to 6 per day for a while and say NO to the...

  14. How to Ensure I am never in ER Naked

    AMN74 replied to Melissa1971's topic in General Nursing

    Are you ever going to get an annual pap smear or mammogram? If you are that adamant about it maybe you could get a medic alert bracelet. And most smart phones you can download an app called ICE (In...

  15. If you have a home patient like this?

    AMN74 replied to micstn's topic in Home Health

    So I work in a really bad part of town sometimes. Shootings and drug deals going on 24/7, especially a rough place to be at night. We have NO back up....The old home health agency I worked for...

  16. If you have a home patient like this?

    AMN74 replied to micstn's topic in Home Health

    I work in a rural area and most of my patients have guns. If your patient told you he had a gun, did he seem threatening? Just owning a gun is not a reason to not see a patient, but if he says "If...

  17. YOU as a Pt-what would you allow a student nurse to do?

    AMN74 replied to KellNY's topic in General Nursing

    I'd let a student do anything to me if I were alert and oriented. I would quiz them about what drug they are giving and how they were going to give it. I'd give them a chance to anything, but I'd...

  18. Difference of the nature of the disease between patients at a home care that uses pap

    AMN74 replied to 50kn's topic in Home Health

    1. when i went to an interview the interviewer emphasized that “in our home health company, nurses open a case.” is there somebody who opens a case other than a nurse at other home health...

  19. Administerring 5-fu at home, urgent advice needed

    AMN74 replied to sailkeys's topic in Home Health

    The 5FU patients that we get at home get it set up in the oncology clinic, usually after POC is accessed and labs are drawn. They put it on a pump and send the patients home with the drug to infuse...

  20. Sorry Nurse Recruiters/Nurse Managers!

    AMN74 replied to Isitpossible's topic in Nurse Management

    I am a RN, BSN with nearly 25 years of experience and I am in the midst of interviewing for other jobs. I have been at my current job for more than 15 years. When I interviewed with a recruiter over...

  21. New neighbor slipped through the cracks. What do I do?

    AMN74 replied to fiveofpeep's topic in General Nursing

    As a home health nurse of 20 years all I can say is if he is competent, and refusing help from his friend, then he is making his own decisions. If he seems depressed then a "friendly nurse" popping...

  22. Happening again

    AMN74 replied to emilysmom,RN's topic in Home Health

    I don't know if you're cut out for the job or not, only you can decide that. I feel like you are a very consciousnesses nurse by calling CHF patients to check weights etc... but there is something...

  23. Can I read TB test result that was given in Dr's office?

    AMN74 replied to umharhar's topic in Home Health

    If you're not sure... I'd say don't do it. Or you may become more confident if you read the agency policy and procedure about it, but again, when in doubt....I wouldn't do

  24. What is an example of a math problem involving a bolus for dehydrated ped pts

    AMN74 replied to J-Swish's topic in General Nursing

    It's been more than 20 years since I've done peds but if it's over 20-30 minutes I wouldn't push it. In the old days we had syringe pumps for that when it was not enough to put in at least a 50 ml...

  25. Malpractice Insurance?

    AMN74 replied to s.d.RN's topic in General Nursing

    I have always carried my own malpractice insurance. First of all, until you call your own malpractice insurance for assistance, who has to know that you have the insurance? Second of all, most...