I am a home health nurse. I have a patient who is bed bound. Her caregiver is wonderful to her. takes great care of the patient, but at the same time calls for every little thing. This patient has a feeding tube, and everything is great with that...
we are having a debate on which is the best skin protectant to use. I was wanting the thoughts of other nurses too! what is under everyone elses cases that you seem to get the best satisfaction from skin protectant? wether you are using it to just ...
Help! I have a patient that is dear to my heart. I am a home health nurse, and have a pt that was on the wound vac, doing great, but according to medicare guidelines the wound was not closeing the 10% the two cycles...so it stalled. even thought t...
ok. I am lost. I just started in a LTC facility. maybe I am just not "up to date". but this place does not used alcohol to clean off any tops of bottles before they stick their needels in like for TB injections, or insulin. are you supposed to a...
I have a Young 28 y/o female living in a LTC due to an open abd wound. it tunnels over 15 cm from 8-11 oclock.....this wound l and w is getting smaller but not the tunnel. the "weekend" manager ordered the smith and nephew for her over two or three...
ok....I work in LTC On a friday I told the staff to get the patient to the hospital, or call the doctor due to his "black toes" were no longer hard and black. they were "wet and black" we know what that means. they said ok...we will do that. I l...
I have just asked for a pre-albumin, so i will see.....it is drainig a mod-large amount. it is a wound that dehisced from a gastric bypass. so yes we are packing the wound with the "wet 4x4's" from the smith and nephew NPWT system. she has so much...
I have a patient that has a huge stage IV on her sacral area. She is hospice, and we are using w/d on her, due to the doctor states, we do not intend it to heal, so keep the wound care products at a minimal. Which I understand, but....ya know! the...
oopps...I see I did my title wrong too....sorry!!!!!!! Please I need help and feed back. I work in a LTC facility, and I am currently going through webwoc program to attain my WOC nurse. I am totally torn on the KCI and the new smith and nephe...
I was told by a nurse to let the MD know when a patients wound was ready for a muscle flap. the patient has bilateral isch tub wounds on a wound vac. they are doing well, and progressing wonderfully. How, or what criteria am I supposed to look at ...
bebop1 replied to JordanGirl143's topic in Home Health
Well the economy is "changing" home health in ways like, patients are more and more being taken care of by family members, and not by nurses. Or a lot of the insurances do not approve home health, or even LTC for patients to help. The home health c...
bebop1 replied to JordanGirl143's topic in Home Health
Home health is wonderful. But you have to be ready for a lot of paperwork...if you are a RN. OASIS!!!! a lot of paperwork. But you get to become a "part of the family" a lot. you get to know your patients. You can walk into a patients home, say...
Hi....I work in a LTC unit, and have a pt with a pacemaker. she has afib, and she is "going all over the place". at one moment her heart rate will be 40, but most of the time her heart rate is in the 110-130's. the md states the pacer will not ki...
I was just writing to tell ya all...I am a military wife. My husband has been "in the sandbox" as they say. He is very aware of this, and he knew how to pronounce this...I had no clue! he said ya...we all just about get this and get bit by the san...
hello..... I was wondering...I am a RN BSN...and have been hired on as a unit manager at a LTC facility. what can I expect? I have been in Home health and have been a field nurse, an ADON and a Branch manager. so I have had a lot of experience. ...
I wanted to leave the home health company I was with because, I pretty much did not like the "politics" in the office. It was horrible. It was like high school, and everyone trying to be the best, most popular and not listening to the field staff. ...
I thought somewhere I have either place adaptic or was told to do that if bone. thanks! I will try and contact KCI and ask them!! thanks...anyone have any info on xcell? the wound product thanks!!!
Hi. I am a student in the webwoc program. I am very excited, and love it. I have a few questions that I have not had answered, maybe they are wanting me to wait until clinicals for this...but I want to know NOW!!! LOL... wound vacs. who likes KCI...
Thank you thank you thank you. I was like....how in the world did my 4.5 years working in home health did the rest of the world go crazy! lol...... the same I found out with the blood sugars! I was down a nurse yesterday so I did the med cart. and...
make sure you dust off any excess powder, the eakins seals are wonderful, or especially with the ileostomy I love using the moldable wafers. its from convatec, its great. it doesn't need any kind of past or anything the wafer itself is like the pas...
thank you! everything you have said has come true so far. I have enjoyed it so far. I have come from home health with ADON, and Branch manager experience and I think that has helped me. I hope it keeps up! thanks!
bebop1 replied to ittybittybabynurse's topic in Home Health
home health is great. most of the time it is monday thru friday. and then rotate weekends depends on how many nurses you have to work....like the last home health I work for I worked once a month on weekends. I would go to work like 8 or 9 and fin...
Hey....well...I am a about ready to file for the big "B"...cause I have no money. I had surgery in December...thinking my case load would be given back to me, or I would go back to work in a month after I healed. well I got ok'd to go back to work ...
Hi! well.....I am actually a military wife, and a nurse. I am trying to get on at Madigan, but yet has the luck of doing so...like ya said it can take awhile. And sometimes when you apply for a job, you really don't know what you are applying for ...
I guess I didn't get to do the FLMA because I was not working with this company more than 12 months, and I am per diem, even though I was working more than a full time nurse. I work per diem because I am a military wife, so I don't need health insu...