jm_emt

jm_emt

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All Content by jm_emt

  1. Is Medicare reimbursement for DME becoming much more difficult?

    jm_emt posted a topic in Home Health

    I spoke to a director of a skilled home heathcare agency who said it can take months to get Medicare to pay for needed DME (homecare beds, commodes) for her patients. She said there are at least two...

  2. Are your incontinent patients truely incontinent?

    jm_emt posted a topic in Geriatric, LTC

    I am asking this question because there seems to be so much concern in LTC settings about under-staffing of CNAs. Say you have a dependent pt (who requires help in transfer) in bed or in a...

  3. Sundowning and the risk of a patient fall

    jm_emt posted a topic in Patient Safety Issues

    Patient care plans usually designate how to transfer patients who need assistance sometimes describing them as one-person or two-person "transfer assist" patients. However a patient who is fresh,...

  4. Hoyer lift use in homecare - how much training is required?

    jm_emt posted a topic in Home Health

    Hoyer lifts are sometimes used in home care nursing but lack of space, heavy pile rugs, difficult storage, and untrained or too few caregivers are often challenges to home use. So many total care...

  5. Hoyer lift use in homecare - how much training is required?

    jm_emt replied to jm_emt's topic in Home Health

    Libby1987 - I have never heard of reimbursement for Hoyer lift training in the home for primary caregivers. I thought the DME delivery company that rented/sold the lift did what little training there...

  6. Are your bedbound (or total care) homecare patients usually forced into LTC?

    jm_emt posted a topic in Home Health

    As a home care nursing aide, I found it nearly impossible to transfer many total care patients out of bed. This is especially true when they had painful conditions such as metastatic cancer or...

  7. Are your bedbound (or total care) homecare patients usually forced into LTC?

    jm_emt replied to jm_emt's topic in Home Health

    It seems that unless there is lots of family caregiver support, many patients would be forced into

  8. Hoyer lift use in homecare - how much training is required?

    jm_emt replied to jm_emt's topic in Home Health

    Thanks to all for their comments. It seems like there is no standard for training in the use of lifts. However when it is done, PTs are the best sources of training. But not all people that leave a...

  9. Are your incontinent patients truely incontinent?

    jm_emt replied to jm_emt's topic in Geriatric, LTC

    Thanks for your comment CoffeeRTC. What concerns me is the negative psychological effect on these patients who are treated like infants (whose dirty briefs must be changed) when they are normal older...

  10. Can a single nurse do adequate peri-care on a patient unable to stand?

    jm_emt posted a topic in Geriatric, LTC

    Many times a pt is put on the commode with the assistance of two nurses/CNAs or using a hoyer lift with a toileting sling (with two nurses present during the transfer). Then the second nurse goes...

  11. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    If you look at the settings page, it says highest education and it has different degree options (mostly nursing). It also has an "other" option. It then has "years of experience". I chose "other"...

  12. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    4 years as an aide. 15 years as a hospice volunteer. 20+ as an engineer. Hope this

  13. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    I have no connection with either company or product I mentioned. But I do think transfer chairs are the answer to some of the problems nurses confront, especially when mobilizing patients who cannot...

  14. nursing care plan for multiple fractures.. help!

    jm_emt replied to ksurette's topic in General Students

    I agree that prolonged bed rest is dangerous. Pressure ulcers, hypostatic pneumonia, blood clots, and UTIs can all result from staying in bed for days at a time. There are mobility devices that allow...

  15. Lifting Equiptment? Dos/Donts and Patient Safety

    jm_emt replied to SexyFloridaGirl's topic in Patient Safety Issues

    Common things that can happen with a hoisted patient (using a ceiling lift or floor lift): 1) Panic attacks (due to being disoriented during hoisting) - often happens with dementia or confused...

  16. A Day in the Life of a Hospice Nurse

    jm_emt replied to jeastridge's topic in Hospice, Palliative

    There is a some evidence that says that doctors prefer to die at home in Hospice because they are much more informed about what is coming however: "Research shows that most Americans do not die well,...

  17. Is anyone else annoyed by the expectations of male nurses in transferring patients?

    jm_emt replied to WillRegNurse's topic in Men in Nursing

    It is sad that this "state-of-the-art" piece of equipment (floor patient sling lifts) was invented 60 years ago and there have been no major improvements. Yes, the slings are better and more varied,...

  18. Help for bedbound pts - Geri chair?

    jm_emt replied to kaliRN's topic in Home Health

    The Barton chair costs about $6000 for the least expensive model. It has a HCPCS code (E1035) for Medicare reimbursement and is described as a "Multi-positional Patient Transfer System with...

  19. Safe patient handling/transfers in homecare

    jm_emt replied to Iphonenurse13's topic in Home Health

    I am wondering if most home care agencies who are often paid by private insurance or Medicare (whether in Hospice or not) would pay for two CNAs to take care of a patient at home. Does anyone have...

  20. Patient transfers and Nurse ergonomics

    jm_emt replied to Joe V's topic in General Nursing

    Has anyone had experience with patients acting out (i.e., kicking, flailing around) because of pain, fear, or disorientation during Hoyer lift transfer with a sling? Dementia patients in particular...