Calling all HH Nurses, roll call - page 36

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   karmil
    I am a Home Health/Hospice Nurse in Rural Missouri. I may drive up to 130 miles a day deep into farmland. How beautiful the time is in between pts that I can spend praying for wisdom and knowledge to meet the next challenge as I walk through the door. I have fell in love a hundred times with people so old, that few take the time to know them under the wrinkles. I have been blessed with a close knit staff of nurses who welcomed me back to nursing after being home for 17 years raising children. They had patience and nurtured my skills back to life. I look forward to every day as a new challenge is met. I never have been so rewarded in any field as Home Health/Hospice Nursing. I am constantly learning and thriving to learn more! I am so grateful for this site!
  2. by   SandBetweenMyToes
    Welcome! You have a wonderful spirit...please keep posting!:typing
  3. by   karmil
    Street Nursing...my 18 year old daughter does Christian Mission work in South Africa. When she got there last year, she called me and asked me to go to Walmart and buy her a year supply of sanitary pads due to the lack of them in SA. Then I saw the Stayfree ad that for every bag you buy they will sent a bag to SA for gals that have to miss school when menstrating because they have no pads. Well, that is just the tip of the lack of supplies. My daughter goes to the Townships (fancy name for deplorable slums) with a first year nursing student. They went to wash hair of children with diseased scalps. There is no running water in the homes, dirt floors and heaps of trash all over. There are community hydrants for water. The gals must go with men to be protected and can only go in a couple of blocks to be safe. They must get the children to trust them and have 1 translator. They wash the heads over 3 buckets. 1 to wet, 1 to wash, 1 to rinse, after hauling the cold water from the community hydrant. The children are crusted, filthy in dirt. Sores on the body are barely visible under the dirt. They wash the sores as best they can, use alcohol preps that were somehow scavanged out of the hospital and the young inexperienced nurse uses aloe gel on the sores. My daughter knows the neosporin I sent with her to SA will work far better on the sores than aloe. But her heart is heavy as she knows these people have no education of basic cleanliness and hand washing and as soon as the wound is cleansed, it will be recontaminated in the dump. So... remember Maria when you think YOU are having a BAD day. Forget the supplies back at the office? Praise God you HAVE them to go back and get! Knowing your work WILL make a difference today with your pt.
    Anbody want to go to SA next year with me????? Now THAT is a CHALLENGE!!!
  4. by   graycloud
    Hi guys! I'm an LVN in California and would like to do home health nursing. I just don't know where and how to start. I don't have much experience in acute care and just basically worked in different clinics for the past 2 years. Do I need to get certified in wound care or vent, trach care and does anyone know a school that provides this certification? Please, I need help. Thank you.
  5. by   lamazeteacher
    Call a School of Nursing in your area, preferably a State University to ask. Usually RNs are assigned to vents.
  6. by   NissaNurse
    Hello I am a LVN with a home health agency and I love it. I have been a home health nurse for almost a year. I graduate and passed my boards. I applied @ nursing homes and hospitals and was told I needed more experience. This agency said they would hire me and train me so I am still with them. I am trying to get a part time job with a home health agency that works with peds. I want to do something a little different I been in geriatrics since I graduate high school before becoming a nurse I was a cna and loved it.
  7. by   mom2-3
    Hello, I have been working as a case manager in home health for about 5 years. The thing I love the most about it is the freedom and flexibility, the thing I hate about it is the volumes of charting you have to do. The job is also very interesting and I really find that there is NEVER a dull day! My background prior to home health was mainly in labor and delivery. My long term career goal is to become a nurse midwife and hopefully do home delivery, hence my desire to work in home health for the time being!
  8. by   heartlover07
    My name is Jamie, I have been working in home health since Aug 08. It has taken awhile but I have to say that I LOVE my job! I love my patients (the vast majority of them that is) and have never felt quite so "necessary" in any other job that I have performed. I of course don't love the paper work but have developed a "system" with my paperwork so that it is not so painstaking. It is a small price to pay for the freedom and enjoyment of the work that I do.
  9. by   newbienursing
    hi! new to home health started about 4mos ago (nov 2008)...still learning something new daily. the patients are great one on one is wonderful and you get to teach! i love sponging of the years of experience of the nurses in my agency...i'm grateful that they are willing to let me join and train me... i'm in my second year of nursing and have sooo much to still learn (there always will be). i'm so grateful for the experienced nurses who are willing to teach and have the patience to share their shortcuts...this field is so differ from the hospital...they aren't trying to eat their young...praise god!
  10. by   lamazeteacher
    Quote from mom2-3
    Hello, I have been working as a case manager in home health for about 5 years. The thing I love the most about it is the freedom and flexibility, the thing I hate about it is the volumes of charting you have to do. The job is also very interesting and I really find that there is NEVER a dull day! My background prior to home health was mainly in labor and delivery. My long term career goal is to become a nurse midwife and hopefully do home delivery, hence my desire to work in home health for the time being!
    It's a pity that OB patients seldom have HH. As a childbirth educator, I started making visits to "early discharge" moms and babies, and loved it, but insurance companies evidently don't feel it's necessary. So I started seeing med-surg patients, and almost fell over the first time I had to change a smelly, enormous, deep wound for a diabetic patient. I got over that, and enjoy managing all patients' care at home. You get to see the total patient, their relationships (positive and negative), and compliance issues.

    I really want to say here, that home deliveries scare the life out of me. You know how quickly bleeding can compromise a mom and her baby's life! It's impossible to get a c/s in time when patients abrupt at home......

    I've worked as the Pediatric Nurse Consultant, at a regional center that sent me on home visits to see if nursing home care was needed, and if the staff sent by HH agencies was apropriate. Seeing many CP kids convinced me that encouraging anyone to deliver at home may provoke a disaster.

    Midwives can get as much job satisfaction working in hospitals, near emergency resources. Please rethink your desire to do home deliveries. Many a midwife has lost her license when things became bad, fast!
    Last edit by lamazeteacher on Feb 28, '09 : Reason: addition
  11. by   flahomenurse
    hi everyone. i am the branch director/director of nursing for 2 home health branches in florida. i've been in home care for 6 years and was a field nurse/case manager until june of 2008. i miss patient contact and live vicariously through my staff at this point. i deal on a daily basis with the struggles that we in home care deal with and am looking forward to reading the posts here.
  12. by   Salesman217
    Hey y'all,

    New to HH. I've been a nurse for about 18 months. Just left the ICU to go into HH. Hopefully the daytime hours and perpetual busy-ness of HH will work better for me than 7P to 7A in God's waiting room.
  13. by   karmil
    Hope you aren't too bored with HH. But remember...It's YOU making the on the spot judgement calls and that takes a great nurse! God Bless...KD

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