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Foothills VNA uses a simple device that allows our patients to monitor their blood pressure, pulse, temperature, weight, blood sugar and blood oxygen levels from their own homes. The frequency of the testing is determined by the patient’s status and they and their caregivers are taught how to use the equipment. The information is then transmitted back to our office where our nursing staff is able to monitor these readings to assess for abnormal readings. Based on the transmitted data, the nurse will either call the patient or make a home visit where she can do a physical assessment and report back to the patient’s physician. By assessing the patient frequently via the telemonitors, changes in the patient’s status are identified quickly and may prevent an emergency room visit or hospitalization.

Bladder Ultrasound

The Bladder Scan is a small portable ultrasound machine used to determine bladder function and urinary retention in certain cases.  It is a painless, non-invasive procedure which prevents the patient from enduring a bladder catheterization which may be uncomfortable.  The results of the scan are reported to the patient’s physician and further orders for treatment are obtained if needed.

Doppler Ultrasound

The Doppler is a painless, non-invasive testing device used to assess for pulses in patients who may have circulation problems.  It can be used to assess a blood pressure when a nurse cannot hear a blood pressure using a stethoscope.  It can also be used to assess pulses in lower extremities for patients who have circulatory problems causing pain or preventing a lower extremity wound from healing (wounds require circulating oxygen to heal well).  Abnormal results are reported to the physician where orders for treatment changes may be given or may warrant a visit to the physician.

Pulse Oximetry

Pulse oximetry is a non-invasive method used to determine the patient’s blood oxygen level.  By placing a probe on the patient’s fingertip the nurse or therapist is able to assess the patients cardio-pulmonary status and report back to the patient’s physician to determine if any changes are needed in treatment regime. Often times a change in treatment can be facilitated at the patient’s home and may prevent a trip to the emergency room or hospitalization.
Blood Glucose Monitoring

This hand held device monitors an individual’s blood sugar with a drop of blood obtained from a fingerstick.  Abnormal results are reported to the patient’s physician. Diabetic treatment (oral medications or insulin) will be ordered by the physician.  Patients and caregivers are also taught how to use these devices, interpret results and when to call their physician based on the results. 

Wound Vac (Vacuum Assisted Closure)

The Wound Vac is a type of wound healing procedure done in the patient’s home.  A specialized wound dressing is applied and then attached to a vacuum tube which remains in place for several days.  This removes excess fluids, increases blood flow necessary for wound healing, decreases bacterial growth preventing infection, and promotes new tissue growth.  A nurse will change the dressing on an average of three times per week.  Upon each dressing change, the nurse assesses the healing status of the wound and reports back to the physician.  This process also improves the healing rate as compared to traditional types of wound care.

Anticoagulation Therapy Monitoring
Oral anticoagulation treatments require close monitoring of blood clotting times by fingerstick. If the Coumadin dose is too high, there is a risk of internal and external bleeding. The instant reading allows the nurse to relate the results to the physician and make medication adjustments during the same skilled visit. Patients who have diagnoses requiring Prothrombin Time Test and IN Ratio monitoring may have the test performed in the home by a nurse.




Foothills Visiting Nurse & Home Care, Inc.
32 Union Street Winsted, CT 06098
Phone: (860) 379-8561
Fax: (860) 738-7479


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