cara vander wiel

cara vander wiel

ICU, Critical Care, Home Care

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About cara vander wiel

cara vander wiel has 27 years experience and specializes in ICU, Critical Care, Home Care.

Started Nursing in 1974 in PCU and went on to work in ICU for 15 years. I took a break and worked on Broadway in NYC as a wardrobe person and then went back to nursing in the home care field, eventually becoming a Clinical Manager, a Director of Clinical Education and Training, and a Director of Patient Services. I am currently now living in North Carolina and ending a year long hiatus from work.

Latest Activity

  1. What to do? Alcoholic and discharge too soon

    cara vander wiel replied to annaliz's topic in Home Health

    I agree that this patient should be discharged from home care and 911 called. The hospital discharge planner really goofed this one up! They wanted to get rid of this one! Adult protective services would probable recommend that 911 be called.

  2. Which homehealth agencies are the best to work for?

    cara vander wiel replied to Nurse ABC's topic in Home Health

    Some Home Care RN jobs are much easier. The money may not be as great, but the stress is way lower. My experience has been with agencies that train home health aides and only do personal care services. These are non- certified agencies that do not...

  3. Orders

    cara vander wiel replied to emilysmom,RN's topic in Home Health

    It sounds like the meds need to be verified. As stated, the Zaroxolyn would be TID, but don't assume without verifying the MD's intent. Verbal orders should be verified before completing (at least in NY, the verbal orders had to have a "verified by...

  4. Experienced RN in search of greener pastures

    cara vander wiel replied to Genista's topic in Job Hunt

    I know what you mean about feeling restless. Let's face it, a job is always going to have its frustrations. I think that you want to make a move, but you are second guessing yourself. First, don't leave a job until you have another job lined up. ...

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

    cara vander wiel replied to smcelroy5's topic in Home Health

    I am surprised that your agency is not sending someone with you on your first visit. This seems wrong.