Nursing Talk from Around the World
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#11
08-26-2007, 02:07 PM
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I think most nurses have that "gut feeling". You may not be able to put your finger on whats wrong, but you know somethings brewing. In the home, if the patient has a caregiver, I instruct them in what to watch for, and depending on the severity, to call the HH agency's on-call nurse, or call for an ambulance. If I have a patient with out a caregiver, or they are definitely decompensating, I call 911 and send them to the hospital. The nurses that I work with have all done our time "on the hill", as we call it. Hospital nursing. We have worked with the docs in our community for a long time, and they pretty much trust our judgement. If we think they are too sick to be at home, the docs trust we will do the right thing. It is scary being out there all on your own. But you use your knowledge base, instincts, critical thinking. Plus, as long as the patient has a phone, support is just a phone call away. (Note I don't say cell phone- I'm in a mountainous area of northern New England where we don't have good service! LOL)
B. 
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#12
09-04-2007, 12:23 AM
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I thought about Home Health when I decided to leave the Hospital. The only thing that stopped me was the idea that most around here have to be "on call" a couple shifts a month. Being a single mom with a six year old, that would be impossible for me. I'm open to it when the kiddo reaches the teen years though!
__________________
~Jo RN    Endocrinology/Infertility formally Internal Med Hospital nurse. http://jodaya.blogspot.com/ 
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#13
09-04-2007, 03:43 PM
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Quote:
Boy, did you say a mouthful, and I agree, it would be a real eye opener.
__________________
www.MyOwnWoman.blogspot.com
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