jnette ASN, EMT-I

Hemodialysis, Home Health

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  1. jnette

    Does anyone know a Nephrology CNS?

    jnette replied to thomstew's topic in Dialysis, Renal, Urology

    That's the way to go. At our dialysis facility, our nephrologist hired a NP to stop at each of his clinics once a week. She was awesome, and really enjoyed her work.. and we nurses all loved her, as...
  2. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    I do believe she is chronic hypoxia, Tweety. But the recent increased episodes of SOB had me worried.. and yet her lungs are clear. I guess I'll suggest an ABG just to be sure of everything, then if...
  3. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    Aha ! That's the info I was looking for. So she should be doing as weel, if not better on the Coreg, then. hmmm.... OK.. so is it OK for me to ask for them to get an ABG, or would that be considered...
  4. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    Thanx, Tweets... she IS on Lasix for the CHF. And yes, I fully understand that having to rub her hands, etc. is NOT giving me an accurate reading at all. But I cannot leave her until I get a reading...
  5. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    That's what I'm interested in finding out as well... I can't answer your questions, as I really don't know. I was wondering if the hypoxia was due to perfusion (or lack thereof) with her hx. of Afib,...
  6. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    Not that I'm aware of, Andy. I do have an RT referral to hopefully do an overnoc reading... see what happens there. I need something to light a fire under her PCP's butt.
  7. jnette

    Rapid A. Fib or PACs?

    jnette replied to harley_fan's topic in Cardiac

    While we're on this Afib subject, mind if I ask a quick question? I'm not a cardiac nurse and I really don't know all the ins and outs of this stuff... and like Steph, I agree that it can get...
  8. jnette

    Do docs really even care about their patients anymore?

    jnette replied to jnette's topic in Home Health

    Yes. they did a CT for head... they said she was having TIAs... but she was released to be followed up by appt. with PCP. Nearly two weeks fom now, though??? And yes... she still has ongoing...
  9. jnette

    Do docs really even care about their patients anymore?

    jnette replied to jnette's topic in Home Health

    And as for my little lady with the poor O2 Sats which the doc is well aware of as I've faxed him NUMEROUS times and they just keep telling me to tell her to wear her 02 24/7.... I did make a referral...
  10. jnette

    Do docs really even care about their patients anymore?

    jnette replied to jnette's topic in Home Health

    Ask away... I'm NOT always on top of things as I'd LIKE to be! This is all pretty new to me still.. when to call/fax the doc and when to send to ER. And I come here to LEARN from all of you, too, so...
  11. jnette

    OMG ! The price of gas! No reimbursement...

    jnette replied to DutchgirlRN's topic in Home Health

    Dutch.. I drive a SantaFe as well. :) While gas here is still at $2.87/gal. (but not for long, I'm sure)... it sure has got our HH feathers ruffled! Our agency did increase our mileage reimbursement...
  12. jnette

    Do docs really even care about their patients anymore?

    jnette replied to jnette's topic in Home Health

    You're speaking to the eternal idealist here, Marla.... that is sooooo UNACCEPTABLE to me !!! So very, very WRONG. SHAME on them !!! :trout: :trout: :trout: :trout: :trout: :trout: :trout: :trout:...
  13. jnette

    is this the norm

    jnette replied to reddellrn's topic in Home Health

    I had a little over a week of shadowing other nurses on their visits, too. One day of "office" orientation in the paperwork end of it. Went on my own in my second week, and like you, was started with...
  14. jnette

    Medicare coverage out patient IV antibiotic

    jnette replied to grannynurse FNP student's topic in General Nursing

    I certainly agree. And we DO give a lot of home abx txs.. via IV Ball, and other methods. But these are patients already established and previously receiving HH. I guess if it's a new pt. not already...
  15. jnette

    Please Refresh My Memory

    jnette replied to Brita01's topic in Home Health

    Brita.. on our sheets if we have a DAILY visit it is written as QD 10, or 14, or however many days a daily visit is neccessary, then goes on to 3wk1, then 2wk2, then 1wk4 thru cert period. The way I...
  16. jnette

    on call

    jnette replied to G'smommy's topic in Home Health

    We work pretty much the same way. I will end up doing a 4:30 pm- 8 am call once every ten-14 days or so. For the weekend call schedule, we usually have to pull a weekend every 6- 7 weeks.. that...
  17. jnette

    A Fellow Nurse Called Her Patient an A......

    jnette replied to Zee_RN's topic in General Nursing

    Big fat DITTO here as well. There are very few things that I would consider reporting if it wasn't out and out jeopardizing a patient's health or safety.. but let me tell you that THIS is something I...
  18. jnette

    "Pre" code team

    jnette replied to ERERER's topic in General Nursing

    Yes.. I read it there as well, and it was the first time I had heard of it. Sounds to be promising. Nice to see some really good and beneficial things come down the pike now and then, eh?
  19. jnette

    Medicare coverage out patient IV antibiotic

    jnette replied to grannynurse FNP student's topic in General Nursing

    Grannynurse... let us know what you find out. Is it really coming to this? Another way to cheat you out of your medicare you paid into for so long ...and most certainly deserve to get something in...
  20. jnette

    Unna Boots... to cover the heel or not?

    jnette replied to jnette's topic in General Nursing

    Pedal edema, I suppose... ? The instructions state to start wrapping behind the first metatarsal, but no mention is made of whether or not to wrap the heel. We do have several patients with...
  21. jnette

    Unna Boots... to cover the heel or not?

    jnette posted a topic in General Nursing

    Seems to be some difference of opinion amongst coworkers. Some state they were taught to leave the heel uncovered, others insist the heel should always be covered. Since I haven't had much experience...
  22. jnette

    I can't believe it, I just got my dream job!

    jnette replied to Brita01's topic in General Nursing

    that's awesome, brita... yay for you !!! :balloons: i do wish you all the best, and hope it's every bit as wonderful as you had hoped. ermmmmmmmm..... replacing hh nurse visits with tele and...
  23. jnette

    Question about enemas...

    jnette replied to jnette's topic in General Nursing

    Well, this young man is kind of in a different situation, as he is paraplegic (from waist down). He has orders for fleets QOD or as needed, I guess because he is a HH pt. and has no one with hi 27/7...
  24. jnette

    Question about enemas...

    jnette replied to jnette's topic in General Nursing

    Thanx, peeps. It is my paraplegic... and he gets fleets QOD or so. But recently he's been having trouble.. the last time I had no results after 40 minutes.. not even a tiney bit of fluid return,...
  25. jnette

    Nurse killed at work

    jnette replied to chapmajc's topic in International Nursing

    Whoa. Very sad indeed ! I agree that the no smoking thing has gone overboard. I guess smoking DOES kill... in more ways than one. I'm so very saddened to hear