Tuesday, May 20, 2014

The ups and downs of home care May 7 2014

My agency has been very slow! I haven't worked a full day in a couple of months, but that doesn't mean the excitement is gone. A few weeks ago while on call I did an admission on a fragile lil older person. I arrive to the home and find the patient lethargic with a very wet sounding cough. The family assures me the patient was discharged from the skilled nursing facility in this condition.i proceed with the admission, but when I went to assess her, I thought her lungs would sound ok, I thought the wet cough was just secretions she wasn't quite bringing up. What I heard was nothing but crackles, rales, wheezes, etc. her pulse of was pretty low too around 88-90% I decided to call 911 and send her to the emergency room. Two days later when I return to work I find out the patient passed away that same day!!! Fast forward to today, I go out for a home health admission only to find out that the patient and family rather have hospice. It's a much better fit for them. I was in the home for an hr. Since I didn't "admit" the patient I only get paid my hourly rate... Kinda sucks for me but I'm thankful I'm still employed full time and have the opportunity to experience home health per diem :)

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