I assess my patient; make sure airway is clear, oxygen saturation is within normal limits, temperature, pulse and respiration is within normal range, and the pupillary reflexes are normal.
I administer morning treatment: G-tube feeding and medication
I administer nebulizer treatments and chest physical therapy, and suction, and/or change the trach as needed
Assist patient with Activities of daily living: brush teeth, take a bath and groom. Transfer from bed to chair and vis-versa, and turning and positioning every two hours.
Medication is administered through out the day as prescribed
Changing and/or toileting the patient as needed
I have learnt to be patient. Working in home health involves working directly not only with the patient, but with the patient's family as well
In home health, I work as an indepent contractor so I have learnt how to manage my time to ensure that activities get done on time. Some of my ventilator dependant patients also attend school, so punctuality is a necessity.
In the nursing home environment, as a charge nurse, work on my unit was done as a team. I made sure all the Nursing assistants are carrying the duties efficiently and residents are attend to in proficient and timely manner, and I always helped with resident's Activities of Daily Living (ADLs).
Every job has its own challenges and my belief is that the way you handle the challenge and accomplish it, is what determines how hard the job was.
Yhe most enjoyable part of the job is when you see how happy the patients you take care off are; this is priceless