kparry

Latest Activity

1. Can a home health nurse refuse to take a client?

   kparry replied to nurse98261's topic in Home Health

   Is it safe to say you are new to home health and new to this agency? To tell this agency the truth, as you have told us, "Frankly, I don't think this visit is worth the money" is silly - - - they already know that. That's why they sent you! They new ...

2. HH patient with homicidal ideation...

   kparry replied to rprn2009's topic in Home Health

   Sounds like you got exactly what you requested.

3. Did the shut-down of Mobile Doctors affect you?

   kparry replied to nursekiddo's topic in Home Health

   Seriously, Mobile, AL? http://mobiledoctors.com http://www.fbi.gov/chicago/press-releases/2013/mobile-doctors-chicago-ceo-and-doctor-arrested-on-federal-health-care-fraud-charges

4. Application and use of E-stim within HHA scope?

   kparry posted a topic in Home Health

   Is the use of E-stim within the scope of practice of a Home Health Aide or a CNA working in Home Health? The SCI patient is tetraplegic and unable to apply nor start/stop the units without maximum assist. Although we would like to help, we feel BioNe...

5. Decline a shift equals termination?

   kparry replied to kparry's topic in General Nursing

   The 24 X 7 grid was part of an application for employment to work as an "RN for medication management and caregiver training." I came across it during a work search and wondered if something similar was cropping up elsewhere. But there is no guaran...

6. Decline a shift equals termination?

   kparry posted a topic in General Nursing

   Seeking work and came across something odd. Preceeding the following paragraph is a grid 24 rows long by 7 columns wide with the instruction to put an x in each box for hours you are commited to work going forward. Hours commited can only be changed ...

7. What supplies would not leave home without?

   kparry replied to alabamagrad's topic in Home Health

   That's a different topic. This is about what's most needed. The preferred acquisition method was given. as I conceded

8. What supplies would not leave home without?

   kparry replied to alabamagrad's topic in Home Health

   Suture Removal Kits are online and contain sterile forceps, scissors, and gauze. Blairex Wound Wash Saline is at Wal-mart Transparent film dressing and steri-strips are at CVS pharmacy I can make a big difference in outcome by having what I need to t...

9. Can appropriate boundaries be rebuilt?

   kparry replied to kparry's topic in Home Health

   Thank you for a real world answer. You have actually nailed the situation precisely. I see client's families so in need of help, and so thankful they receive it, that they then feel the very natural emotion to give in return. The CNA came to me to ...

10. Can appropriate boundaries be rebuilt?

    kparry posted a topic in Home Health

    Can nursing boundaries be rebuilt after being crossed? Is there any way I can facilitate or encourage boundary re-building between a CNA and a Home Care Client? The CNA has accepted gifts, food, and clothing from the client, several hundred dollars ...

11. Barrier Cream on a Skin Tear?

    kparry replied to kparry's topic in Geriatric

    Thank you for the insightful input. Unfortunately, CNA's are allowed by policy to apply ZnO, and Band-Aids. So they combine the liberties and apply both to every cut scrape or skin tear they find. It seems like common sense not to do this. I didn't ...

12. Barrier Cream on a Skin Tear?

    kparry posted a topic in Geriatric

    Any reasons not to put Barrier Cream (20% zinc oxide in petrolatum base) on a skin tear? What I'm hearing is band-aids and diaper creme are within policy for CNA's to apply. So they are using it on everything. (When all you have is a hammer everthing...

13. CNA/HHA Assisting with ADLs, Meds, etc., without a Care Plan

    kparry replied to CabanaDay's topic in Private Duty

    Yes, the updated PoC are hopefully at the office in the clients home charts. Stop by the office at an appropriate time, not at 8:30 AM on Monday or 4:30 PM on Friday, and ask for a copy to place in the home. If a PoC is not available, ask when is a g...