Just so you know, you are not alone in this! Foleys are not my favorite either and even though Ive been doing them a few years I still run into issues a lot. My first mistake was not inserting far enough as well. Try to get fairly close to the y when inserting. Also for pts with tons of bladder spasm-y issues use 100% silicone. For pts with frequent UTIs try the silver tipped. When all else fails find someone to help you (Im a RN but my LPN has been doing this for 20 years!) and ask for tips! Someone will likely always have something to teach you.
Our company has non-nursing staff pt coordinators who look at the zip and assign to the appropriate nurse. Its a flawed system, and we frequently go outside our territories to help do admits. But, the idea is that we all work for the company, and our company serves the entire county so sometimes a t the idea that we have a "territory" is false: )
Thank you for your comment. Do you have any suggestions on what youve witnessed as "good" on call procedures? My company is at least open to suggestions but I have no prior HH experience so it makes it difficult to help with suggestions.
Curious how other Home Health companies run their Emergency On Call. In our company 1 nurse is oncall an entire week in six weeks. During that week we still see our own patients. Pts call in to a oncall service, which calls that nurse on call. Last night I had a demented pt call over and over again. Clearly not an emergency but each time I was woken up to call the pt back. A lot of times we get the overflow pts and the weekend pts that our weekend nurse cant see, not to mention all the telehealth calls. Its overwhelming and everyone is getting disgruntled including myself. Does anyone have a system they are happy with?