tktjRN

tktjRN

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All Content by tktjRN

  1. Working for 2 agencies at the same time

    tktjRN posted a topic in Home Health

    I work for a HH agency that pays us per visit. We are very slow this time of year. I interviewed at another HH agency for part time to supplement my income. Word got out, that I applied for another...

  2. No trach experience

    tktjRN replied to chsc's topic in Home Health

    I've changed a trach about 5 times and I'm still not comfortable doing it alone and don't know if I will ever be comfortable doing it by myself. I have made everyone, I work with, aware of this fear....

  3. tx nurse responsibilities

    tktjRN replied to txnursegiggles's topic in Wound, Ostomy, Continence

    Unfortunately, every job description that I've had stated "and duties as assigned." Yes, bruises are part of skin care, but I do agree that it should be separate charting from wound care. Bruises of...

  4. LPN's in wound care?

    tktjRN replied to kwest99's topic in Wound, Ostomy, Continence

    Nurse4wounds I totally agree with you A lot of people are obsessed with letters behind their names, thinking that will get them to the top. I'm not saying continuing education and degrees are not...

  5. What do you love/hate about home health nursing?

    tktjRN replied to JJsMama79's topic in Home Health

    DavidDudley was very well said and 100%

  6. What do you love/hate about home health nursing?

    tktjRN replied to JJsMama79's topic in Home Health

    Oh

  7. When/how often...?? (new wound nurse)

    tktjRN replied to baygrl11's topic in Wound, Ostomy, Continence

    A pre albumin level is not usually ordered unless nutrition is an issue. A nutritional assessment should be conducted first. Any weight loss, how much is the patient eating at meals are they on...

  8. Organizing time, charting, not missing something???

    tktjRN replied to Misstia's topic in Home Health

    Look at the tread "Can you have a life in

  9. Stage 2 wound...

    tktjRN replied to MessyMomma's topic in Wound, Ostomy, Continence

    I would get her a speciality mattress and a roho cushion if she doesn't already have them. Ask yourself, is it really necessary to send a pt in there 90's to a wound clinic for sharp debridement??...

  10. Discharge date

    tktjRN replied to Tampa121's topic in Home Health

    Date of last visit is the last time you saw patient. Date of discharge is the day you found out about it. Example: I saw patient on 11/5 for wound care. I called patient on 11/12 and pt stated he does...

  11. Home Health Vs Hospital

    tktjRN replied to mgbutter's topic in Home Health

    I recommend staying in the hospital for a few years and get comfortable with your nursing skills. Acute care is the best place to

  12. Bag barrier paper

    tktjRN replied to ttouslee's topic in Home Health

    We use paper scale liner towels from

  13. Bag barrier paper

    tktjRN replied to ttouslee's topic in Home Health

    We use paper scale liner towels from

  14. How many employees are needed for 100 patients?

    tktjRN replied to enesberg's topic in Home Health

    We have about 150 clients and we have 8 RN's, 1 LPN, 4 OT, 8 PT, and 1 HHA. I think 20 HHA's is way to much. Our HHA is steady, but not overly busy. We also have to many nurses with not enough nursing...

  15. Can someone set me straight?

    tktjRN replied to nursekiddo's topic in Home Health

    1. DON should be doing DON duties, not case managing patients. 2. Our LPN's do none of that, but it would be nice if they did. RN must co-sign all MD orders for a LPN. 3. That's called Medicare fraud...

  16. medical supplies

    tktjRN replied to krayolaRN's topic in Home Health

    All the nurses, at my agency, carry a bin of supplies in our trunks. Our supply room is locked at all times so if we need something after hours or on weekends we're out of luck. We leave enough...

  17. Odourous wound

    tktjRN replied to nettie01's topic in Wound, Ostomy, Continence

    NC29mom, Just for clarification. The flagyl gel would be the primary treatment? Could you just use it for Odor control and then apply( for example) prisma dressing over it? What kind of pouch? If I...

  18. Odourous wound

    tktjRN replied to nettie01's topic in Wound, Ostomy, Continence

  19. New ADON feeling overwhelmed

    tktjRN replied to LittleMamaRomeoRN's topic in LTC: Directors, Assistant

    Hiring and firing and insubordination make up about 75% of your job. Like Orca said stick to your principles. Work with the staff who cares about coming to work everyday and caring for the residents....

  20. New ADON feeling overwhelmed

    tktjRN replied to LittleMamaRomeoRN's topic in LTC: Directors, Assistant

    Respect is earned. Show them that you do care by getting your hands dirty. Answer lights, help with the dining room or food trays. I'm not saying this is an everyday thing, but it helps them realize...

  21. PULSE OX

    tktjRN replied to babs1963's topic in Home Health

    You need to rewrite the order and say contact md if patient pulse ox is below 92%. Patient is on continuous

  22. HH hadd on young mom...

    tktjRN replied to erika.RN's topic in Home Health

    Home health is a very demanding job. Paperwork is endless and no you're not the only one whose doing paperwork, until 11pm at night.. I'm with you, on the daily wound care patients, they drive me...

  23. Can a new nurse be a case manager for a Home Health Agency

    tktjRN replied to SWRNUSA's topic in Home Health

    I disagree. I work for a home health agency that has hired new grads and they're doing great! I work in the field as the RN case manager. Basically, you're making sure all the disciplines are updating...

  24. Stalled wound

    tktjRN posted a topic in Wound, Ostomy, Continence

    I have a patient with a stage IV pressure ulcer to her coccyx. The patient has had this for over a year and I've been the primary nurse. When I first saw the patient it measured 6.0cm x 6.8cm x 1.3...

  25. Stalled wound

    tktjRN replied to tktjRN's topic in Wound, Ostomy, Continence

    Would I put the silver nitrate just on the wound edges or on the wound bed as well? Pt only stays up in the chair for a 1-2 hour period and then lays down. Spouse does not reposition Pt at noc, which...