KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Follow-up of the post titled: "Academic dishonesty dilemma! Advice needed, plz..."

    KateRN1 replied to aflac381's topic in General Nursing

    I taught briefly in a nursing program. I was told that I had to pass students who cheated, who turned in partially and wholly plagiarized term papers, etc., so that the school wouldn't lose their...

  2. Acryonym ***? PSWU

    KateRN1 replied to itsatrap's topic in General Nursing

    I vote for Post Surgical Work

  3. Home health charting in home

    KateRN1 replied to Barbie A Doll's topic in Home Health

    I always chart in the pt's home or the office and let me tell you why. If I do a string of regular visits and then save the documentation for when I get home, I run the risk of forgetting an...

  4. Need help with notes

    KateRN1 replied to Theone40's topic in Home Health

    Great advice, if you're able to view those notes. Our system is computerized and we cannot see other nurses' narrative notes--a sucky aspect of the system I think. Ask your supervisor for examples...

  5. Is Home Health Nursing still Growing

    KateRN1 replied to pat8585's topic in Home Health

    IMHO, home health is not an area for a new grad and some states, like FLorida, don't allow it. The jobs are out there, but often they are with some shady companies, and often are only

  6. What dressing to use?

    KateRN1 replied to LPNfurever's topic in General Nursing

    Holy moly! No orders from the physician? Yikes! Yes, you need orders for wound care of any kind. That doesn't necesssarily mean that the physician will magically appear, know what to do, and write...

  7. What dressing to use?

    KateRN1 replied to LPNfurever's topic in General Nursing

    How often is the dressing changed? Best practice is generally not to disturb the wound bed more often than every 3-5 days if at all possible. If there is too much drainage to allow this, I would...

  8. Discounts for nurses

    KateRN1 replied to NeuroNP's topic in General Nursing

    Wow, good things to know! I generally love the clothes at NY&C and already have T-Mobile service. Can't wait to go clothes shopping now! After spending nearly an hour on the phone with T-Mobile,...

  9. Looking for some support

    KateRN1 replied to Gurhlygirl's topic in General Nursing

    Is your hospice a for-profit or a not-for-profit? IME, the NFPs are a little better to work for, but with Medicare funding cuts, we're all going to have issues

  10. IV Bumex in home?

    KateRN1 replied to KateRN1's topic in Home Health

    After speaking with several IRL colleagues, including 2 pharmacists, I refused to give the medication. Too many factors that I felt were unsafe to play with my license, IMHO. Although I've already...

  11. Too good to be true?

    KateRN1 replied to KateRN1's topic in Home Health

    Well, after the events of this week, I turned in my notice and say "Good riddance to bad rubbish." I was given less than 24 hours notice that I'm on call this weekend. I'm sitting here in my...

  12. Not sure how I'm going to survive

    KateRN1 replied to BabyLady's topic in General Nursing

    So sorry to hear that you are having such troubles. I've been there and done that and I truly feel for you. I remember months of hiding my car every night from the repo man and so many meals of mac...

  13. IV Bumex in Home?

    KateRN1 replied to KateRN1's topic in General Nursing

    I can ask for the K+, but my concern is that the patient will be essentially unmonitored. This is home health care--I go in, do visit, give med, and leave. If we pass her refractory threshhold for...

  14. IV Bumex in Home?

    KateRN1 replied to KateRN1's topic in General Nursing

    Ack, you're right, 7mg. Math was never my best subject. Still, a higher dose than I have ever seen in hospital, let alone home care. Doc knows her well and is basically tired of dealing with her....

  15. Pay per visit rates....what is the usual

    KateRN1 replied to IndianaHH's topic in Home Health

    Actual rate depends on where you are. Here in NE FL, $33/visit would be pretty good. Lowest I've seen here is about $27-$28, highest at $40 and that was a place that didn't pay mileage and didn't...

  16. Pay per visit rates....what is the usual

    KateRN1 replied to IndianaHH's topic in Home Health

    Short answer: you're getting shafted. Not all visits take the same amount of effort, anything involving OASIS should count as more than 1 visit point. In my ideal world, here's how it would fall out:...

  17. Literally cried in front of the person interviewing me

    KateRN1 replied to AB normalRN's topic in General Nursing

    And what's she going to do when those applicants get better offers from the other places *they* are interviewing? Just because she has 4 applicants doesn't mean that they her top pick will also pick...

  18. Switching from O.B-relatively new nurse

    KateRN1 replied to amyla27's topic in Home Health

    I second the Marelli suggestion. Also consider getting a subscription to Home Healthcare Nurse journal. It's been a great resource for me. Every issue has at least something that pertains to my...

  19. Director of Nursing Home Health Agency! HELP!

    KateRN1 replied to kwagner_51's topic in Home Health

    I'm also interested in hearing how this worked out. I think it's rather odd to hire someone into a position without any experience whatsoever in the field. My current DON has *very* minimal...

  20. interested in home health or visiting nurse

    KateRN1 replied to piscean75's topic in Home Health

    Good heavens, I'd love an admission that only takes "at least 2 hours." I spend at least 2 hours in the home and then another 2-3 (sometimes longer) finishing up

  21. Just wondering......

    KateRN1 replied to nursemomof3boys's topic in Home Health

    I have charted this sort of thing when it was pertinent to the case: Pt states in raised voice, "The other nurse did it, I don't see why you can't. She's just trying to cover her @$$." Be...

  22. Pre and post transplant home infusions

    KateRN1 replied to Tampa121's topic in Home Health

    Ummm . . . . then no. You should be PICC certified to care for them in the home since you won't have a hospital IV/PICC team to back you up. ACLS doesn't mean crap if you don't have the equipment...

  23. Pre and post transplant home infusions

    KateRN1 replied to Tampa121's topic in Home Health

    I am PICC certified and depending on the situation, I probably would do it. I have previous experience with Dobutamine infusion in the hospital as well as home infusion experience. Some of what I...

  24. HELP!!!! All the nursing nurses...

    KateRN1 replied to AnalegnaRN's topic in General Nursing

    Beer is an old wives tale and is more likely to lead to dehydration than increase supply. Be very careful with alcohol and breastfeeding--not for drunkeness but for fluid balance

  25. HELP!!!! All the nursing nurses...

    KateRN1 replied to AnalegnaRN's topic in General Nursing

    Best thing I've ever found for a dwindling supply: Oatmeal! Cookies, granola, cereal, it's all