jnette ASN, EMT-I

Hemodialysis, Home Health

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All Content by jnette

  1. jnette

    Clueless Patients and The Problems They Cause

    jnette replied to AngelfireRN's topic in General Nursing

    Seems to me that these 2 women were doing something that is really quite "normal"... and that is simply "buying time". When presented with a new or frightening dx., or a...
  2. jnette

    Is it possible . . .

    jnette replied to KateRN1's topic in Home Health

    Sounds a lot like MY agency as well !!! Yes, they ARE out there... perhaps in the smaller town/rural areas.. small, privately owned and operated agencies as ours is. What you have described above is...
  3. jnette

    OASIS-C

    jnette replied to HmarieD's topic in Home Health

    Yep.. our inservices are being prepared a well... and LOTS of them !!!
  4. jnette

    Reimbursement and homebound status

    jnette replied to jacks07's topic in Home Health

    Wow.. I'm really blown away reading all this. I can't believe agencies sign up pts knowing full well they are NOT homebound. They are asking for trouble, and it is fraud, plain and simple. Our...
  5. jnette

    A Tribute to George

    jnette replied to HannahLeah's topic in Home Health

    We do get attached, don't we? Been there, done that, as I'm sure most of us have. Never easy, always sad.. even when we know their suffering is over. Having worked both dialysis and HH, I do know...
  6. jnette

    home health for a mom with kids

    jnette replied to lori86's topic in Home Health

    I would see 5-7 pts/day and be home no later than 2 pm.. usually 1pm as an average. I would jot down the most important home visit info on the pt. sheet while in their home.. such as vitals, basic...
  7. jnette

    Advice on hospice social worker role

    jnette replied to Spidey's mom's topic in Hospice, Palliative

    Well, from everything I've read here, Steph, I believe you were correct in your judgement and it should never have been taken "personally". I have never worked hospice, and I agree, they are a...
  8. jnette

    If it weren't for you the patients wouldn't get care at all..

    jnette replied to Ms. Nurse Assistant's topic in Home Health

    Wow.. every now and again, you will find some family members who are appallingly apathetic if not downright negligent. You need to make it clear that you provide NURSING services only, and not...
  9. jnette

    This is the end of this nightmare for me!!

    jnette replied to scoloya's topic in Home Health

    wow... I'm so sorry scoloya.. what a nightmare indeed. And exactly why I won't work in a hospital these days. You stated ALL the reasons. No way, no how. Hang in there, and keep pounding the ground......
  10. jnette

    Do you give chemo in your HH agency??

    jnette replied to newtelenurse's topic in Home Health

    Yes, our agency does give chemo txs.. we have had several patients who have needed home chemo.
  11. jnette

    Need Advice....

    jnette replied to muffin7's topic in Home Health

    Sure thing... there are plenty of threads here on the HH forum which wil give you some insight as to what to expect and what you will need to know. HH is truly the best, I hope you enjoy it as much as...
  12. jnette

    Need Advice....

    jnette replied to muffin7's topic in Home Health

    Hi Muffin... and WELCOME to HH nursing ! :w00t: You will need to brush up on your assessment skills... VERY important in HH, so you don't miss anything. Look at the patient thoroughly.. check for...
  13. jnette

    Question about drawing labs....

    jnette replied to luvmy2angels's topic in Home Health

    Our agency, too, has forms from the 2-3 lab companies we use, each describing the lab and what tubes will be needed for each, ( seems like each lab facility has different requirements)...as well as...
  14. jnette

    Am I ready?

    jnette replied to mimibear's topic in Home Health

    Sounds like the orientation is great. :) As is the caseload. I say go for it.. you'll love it. You always have back up.. only a phone call away to your agency.. don't ever forget that. As for...
  15. jnette

    OASIS C--- new features

    jnette replied to NRSKarenRN's topic in Home Health

    We'll be doing some serious inservicing on these new changes......... will take some time for everyone to make the required changes, and do them correctly. Hoooboy
  16. jnette

    LVNs do battle in dialysis!

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

    Teamwork is EVERYTHING in Dialysis. It hust can't be stated or valued enough. If everyone works together as a TEAM and helps put the others, it all runs so much smoother, and EVERYONE is happier.....
  17. jnette

    What is the typical day like for a dialysis nurse?

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

    Busy. Busy. Oh, and did I mention BUSY??? :D If you like to keep moving on your feet, this is the job for you !!! Seriously.. very busy, especially at turnover. But still.....
  18. jnette

    Dialysis Cruise

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

    HI muffin ! :) I worked in dialysis for nearly ten years before switching to HH. You don't have to be "certified" in dialysis (at least not while I was there) but a lot of nurses are getting their...
  19. jnette

    Dialysis Cruise

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

    Oh heck.. I'd do it in a heartbeat. :) Work 4 out of seven days.. so what? As soon as you're off, you can just stare at the ocean, enjoy all the amenities aboard ship, take moonlight walks and listen...
  20. jnette

    Help with Starting IVs

    jnette replied to Hina2007's topic in Home Health

    We do stock all IV supplies except for the fluids/meds themselves. As said above, if the doc orders any IVs, these will then be ordered from an infusion company or pharmacy and deliverd to the pt...
  21. jnette

    Venofer infusion complications

    jnette replied to mandykal's topic in Infusion, Intravenous

    We had a few outpatient soon-to be-dialysis-pts. who received monthly IV iron...... and we always ran it well over an hour. Always. Never less than 1 hour.
  22. jnette

    low albumin

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

    Couldn't agree more.. have had several of these.. very sad
  23. jnette

    Can a HHA be in charge in home care?

    jnette replied to Sherriblu's topic in Home Health

    Ditto the above..... get out. Sheeeeeesh.
  24. jnette

    YooHoo! I am joining the HH ranks!

    jnette replied to Limik's topic in Home Health

    Welcome to Home Health ! :) Yes, methinks you are going to love it !!! And yes.. your patients WILL and DO appreciate you ! Hoem health is VERY liberating, and you realy get to feel like you're a...
  25. jnette

    Prayer/positive thought request for a fellow nurse

    jnette replied to flightnurse2b's topic in General Nursing

    Oh my goodness.. this is horrible and frightening...and so tragic. Please know I am .. and will continue to lift her up in prayer for full and rapid healing