indbletrble

indbletrble

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About indbletrble

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  1. Are nurses required to do HHA visits in your agency?

    "When you are working as a HHA, you are not working "below your license." Part of your training as a nurse is to assist patients with ADLs and personal care needs definitely within your scope of...
  2. Patient Consent to Treatment

    In our agency we mandate that an Agreement to Treat (or as others may call it a consent to treat form) be completed and signed prior to putting hands on the patient. We have recently had some...
  3. Food for Thought...........

    The following was shared with me today and tugged at my heartstrings. It made me stop and consider. When an old man died in the geriatric ward of a nursing home, it was believed he had nothing...
  4. Food for Thought....

    The following was shared with me today and tugged at my heartstrings. It made me stop and consider. When an old man died in the geriatric ward of a nursing home, it was believed he had nothing...
  5. 5 top things

    This is a tough question to answer. Having done home care for over 20 years, and still loving it I think I would say; 1. Never think you are suppose to have all the answers. There is always...
  6. 1st Nursing Cartoon caption contest - win $100

    "Oh that's Sadie....she's the new top dog on the
  7. What's your policy or protocol for vacs?

    Care of a vac is a routine part of patient/caregiver education at the START. Before we consider accepting a patient for service, we ask if there is a caregiver available AND willing to be taught the...
  8. Flu shots for homebound?

    My agency provides the flu shot to any of our home health patients that want to receive it. This is a reimburseable procedure by Medicare. As Medicare is federal, there is no reason the patient...
  9. HH Vital Signs to Include Pulse Ox?

    Thanks all for your input. We have raised the same questions Linda1208rn did on mulitple occasions, hence why we have not gone this route as yet. I read notes and see where the patient's sats have...
  10. HH Vital Signs to Include Pulse Ox?

    I am finding a number of our therapy groups whom we contract with for supplemental support are evaluating the patient's O2 sats as a part of their routine vitals. This has not been a policy of our...
  11. Ideal New Hire

    Kate love your wish list. I have found it amazing the number of applicants who come into the office and seem to have all the right answers to interview questions......yet are the total opposite when...
  12. Documentation of physician communication

    In my agency there is an area on the visit note where the nurse can document communication with the MD.....(MD name, what the issue was, outcome of the conversation) for something found that visit....
  13. Mini Inservices

    Another thing I do for the staff in the way of a "mini in-service" is to send out a weekly flier regarding a topic. An example is clarifying the data items for the OASIS assessment. (I am in home...
  14. Being a well seasoned......or as my colleagues would call me, ancient, home care nurse, I agree with the above quote.....but only to a point. As a new nurse, you will find yourself working...
  15. PT/INR instant results? Accurate?

    Our agency uses the Protime 3. It is approved by the FDA and has literature to support its accuracy. I am one who does not always take things at face value and have compared venipuncture results...