cherricka

I am a home care nurse, and I have never run into this question before. I know of a close friend of the family that had one kidney removed because of cancer. He recently had some issues with a blockage in his ureter. Before he had his surgery, they t...

The on call nurse, who takes on call during the week from 4 pm to 8 am Monday to Saturday, gets a regular salary. Depending on the Position Grade of course. Within my own Position grade, that would mean between $54,171- $69610 a year

I agree with the other posts. I do not miss the company of other nurses 90% of the time. I go to the office once a week or so, and get my fill of socialization then. I also am a preceptor, so I do get a welcome break of solitude once in a while. Man,...

Answers to your questions. 1. I work part time, 20 hours (yeah right!) a week. I am expected to see twelve patients 2. I would say I average about 200 miles for three days work. We get something like a .25 point if you go over so many miles a day. I ...

Medicare will not reimburse an agency for a "lab only" visit (so I have been told). So this visit is combined with a regular visit. If I were to just draw labs, or just do a PT/INR, I would make it a non-billable visit. We also do not bill medicare f...

No where in motorcycle mama's post, do I see her "bashing" anyone. I see that she is venting her frustration about situations that she has come across. Unfortunately, as a community health nurse (home care nurse) you see some people possibly at their...

Our company has just upgraded to the CoaguChek PT Test machine. This is much better than the older ones with the cuve (I think that is what those strips were called). You use a capillary tube, after you use a small lancet--thus needing much less bloo...

I found this term in a book once, but I can't find it now that I need it. What is the one word you use to describe the bumps on someones legs s/p cellulitis. You know, the bumps that stay there forever.

I know this is an old post, but I finally found the word I was looking for-Lipodermatosclerosis- This color change is due to a buildup of hemosiderin in the interstitial tissue as the RBCs that have leaked into the tissue break down. The fibrin cause...

I would like to ask if anyone has a risk assessment tool to use for their Long Term Home Health Care patients, to reduce the likelihood of re-hospitalizations. Any input would be greatly appreciated. Thanks, Cherricka

Thank-you Karen, just what I was looking for. Cherricka

Currently I am using a piece of luggage, and need a new nursing bag. Any suggestions before I do a random search on the internet? I need two outside pockets for soap and paper towels, and a section for my file and 10 x 9 inch computer. And then just ...

I was 31 when I went back to school for my RN. Boy am I ever glad I did. I was just looking through my old pay stubs, and I have almost doubled my salary. I am a single Mom, and thought I could never do it, but with the help of my parents, the govern...

I was an LPN before I became an RN for several years, and that included working as a charge nurse responsible for 40 patients at one time. When I went to go work at the hospital after getting my RN, I thought-hey what's 5 patients when I use to take ...

In NY,at my hospital that I worked at, LPN's started IV's after they were certified. They can flush IV with NS each shift, and hang IV meds. They can monitor blood after the first 15 minutes, after a RN did the initial start. They do not do IV pushes...

I used my local library, and checked out any NCLEX book they had with a CD. THe CD's come with "mini" explanations of the rational of the answers. It is the same format as the computerized NCLEX exam, so you get used to it. Practice, Practice Practic...

When I took my Nclex exam, I only did the cd programs over and over for hours daily, even taking my computer to the beach and camping over the summer. I never looked at my nursing books. my computer at the test turned off after 75 questions, so I mus...

You are going to love it. I stated as an aide in a nursing home, this is much more laid back. Report to your casemanager anything unusual, such as open or red areas, increase in shortness of breath with activity, urine is now dark, cloudy or smells w...

I work per hour. I would not do per visit, because I take too long, and don't want to have to rush. One of the reasons I stopped working at the hospital, was so I can teach patients how to care for themselves better, and that takes time. I work in N...

Ok, who had to fight over the flu vaccine's this year? We had to use a multi-vial for ours this year. Did you know they are only stable for 24 hours after you draw them up? I went into the office and grabbed what I could, and did them all in one day....

"It is my PERSONAL OPINION that nurses who do not use local to start IVs (in a non-emergency situation) are lazy. Good nursing care is doing what is best for the patient, not what is easiest for you" Yoga- It isn't that nurses are lazy, it just may n...

Ok, here is my question, which of course I will find the answer quickly through work, but I thought another "new"IV nurse may need this information too. What do you suggest for the following. I have a new patient with a 3FR non-groshong picc line wit...

Gail- It turns out that this patient may have her PICC line pulled any way! I will find out on monday. I don't know what they were thinking by putting in a 3Fr. We can't do blood draws on anything smaller than a 3.8 Fr. So this poor thing has to endu...

I work with both CHHA patients , and Long Term Home Health Program patients (medicaid). For their spend-downs, I encourage them to use receipts from adult diapers/pads, vitamins, medication co-pays ($2-3 a pop), I think you can also count gas to trav...

How about using EMLA (lidocaine/prilocaine) cream. I have a patient on kidney dialysis, and she puts in on her AV shunt before she leaves the house, to lessen the pain of accessing it. It works well with no extra needles.