alintanurse

alintanurse

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All Content by alintanurse

  1. I don't always agree with CNA's tactics and I'm not a member,but I am glad that they are very vocal about the nurse-patient ratio.I live in northern
  2. Moving to NJ, need advice...

    Get on all New Jersey web sites,request the free maps. I would see if it's possible to subscribe to the Star-Ledger newspaper and look through the apt/condo section. I would definitely stay out of...
  3. RSD Opinion????

    Thanks for the info--I haven't dealt with this dx yet,but I'm fairly new to workers comp.
  4. HH GN Internship

    I completely agree with renerian,I am so glad to have had my years on the med/surg and ortho floor. You need alot of nursing experiences to make a successful transition to home health (in my opinion)...
  5. Where do you look for job postings?

    If you live in California,Nurseweek magazine is a good
  6. tired of bedside care, options???

    I've been a home health nurse for 11 years,I don't know any agency that will hire a nurse with less than 1-2 years of hospital experience. The OP stated she didn't like the idea of being in someone...
  7. Substandard care in asst living

    steelcityRN, I also visited a facility that was abusive and neglectful to its residents. The owner was a man in...
  8. Gentiva

    My point about pt. acuity is that the visits take much longer than they did in the past,along with the followup afterwards (calling MD,supp orders ,ordering supplies etc.) You really can't see 8-9...
  9. Gentiva

    I work in northern cal. also and I will tell by experience that 5-6 snv's a day is all you will be able to manage. The paperwork has increased tremendously since the early nineties. Plus the acuity is...
  10. Ordered to Recert 2 days after last episode ended?

    Good for you! I would not being recert after the window period had ended either. I remember one time being asked to do that(the only person who had seen the pt. within the 5 days before end of...
  11. Medicine Orders??

    Glad to help! Always follow your gut feelings,I also worked for an agency that was unorganized --I notified the supervisor about the problems with the home charts and that I felt my license was on the...
  12. Medicine Orders??

    It's up to each nurse that follows to update and maintain the home record. The supervisor should be providing the nurses with copies of changed MD orders so that you are compliant with tx's,meds etc....
  13. Medicine Orders??

    I do intermittent snv's in home health and there should be a med sheet specifying med times,administration route and parameters if necessary. There should also be a wound record with type/size and...
  14. Ordered to Recert 2 days after last episode ended?

    I know what you're
  15. Ordered to Recert 2 days after last episode ended?

    I wonder how they think they will make it
  16. Trach Care..How do you keep from gagging?

    You know.....I thought I was the only one with this problem.It's nice to know I'm not alone. I feel sick when pts describe what their sputum looks like,I want to gag. Sometimes they "save" it for me...
  17. What's up with Human Resources

    It makes me wonder about the "nursing shortage", shouldn't HR being trying to entice you to work at their facility rather than discouraging you? I don't get it.......and it seems to happen...
  18. Managed Care pt's in SNF's

    CapeCodMermaid, At the LTC facility where I worked,I was responsible in obtaining auth for managed care...
  19. Typical Day For A Home Health Nurse | Life of a Nurse

    Jennifer. you should look up other threads pertaining to home health. It is best to have some hospital experience as you are very autonomous in home health and have to make many decisions sometimes in...
  20. Do Agencies have copies of Educational materials?

    All of our educational material and clinical proficiencies were handled by our nurse educator. Their was a policy and procedures book (clinical) available for review also. It sounds like your agency...
  21. NICU nurse thinking of making the switch

    As long as you are willing to learn and realize that Home Health is very different from the hospital experience,you will probably be fine. As I stated in a similar thread--I have a RN friend who also...
  22. Prevention in pressure ulcers

    Let's not forget that inadequate staffing also contributes to the development of pressure ulcers. Without enough staff to reposition,encourage/assist with hydrating,assess skin integrity and implement...
  23. Immunization question

    Last year I had to spend several days orientation with our local public health dept. There were several instances where adults/children came in without records of immunizations necessary for school....
  24. Immunization question

    If you can remember with the help of family--which county/counties you lived in while growing up,you might contact the public health dept. to see if they have record of your immunizations.Otherwise...
  25. Gentiva

    I think it depends on the area you are covering--I have a friend who works for Gentiva,she says she is paid very well and after two years of working for them,is now able to choose her assignment. She...