HH Week #2 and all is well.

[wonderbee, BSN, RN]

I'm keeping my fingers crossed that this is finally my niche where I can be comfortable for at least a while.

Week No. 1. Day 1 was shadowing my preceptor who, poor thing, has been case managing over 40 cases as she has been by herself. Day #2, I began hands on assessments and getting familiar charting visit sheets. By end of week #1, I was doing all hands on assessments, teaching and some communications to drs.

Week No. 2 Day 1, more of the same of Week #1 but with an open. I did the admission assessment and interview but my preceptor is doing the oasis. Day 2, my preceptor called in sick and the DOCS was also out of the office. The ED went on visits with me. It was great getting her perspective. After the first 3, she let me loose. Tomorrow I will be doing my first open from eval to completing oasis paperwork.

I feel like my orientation is moving along well. I'm enjoying the patient contact with walky talkies and especially the education. What other nursing job would allow for sipping espresso at the local italian restaurant while charting? I love my territory because I love this community. The Steel City is diverse but its people are friendly.

Thanks for reading.

[TazziRN, RN]

I'm liking the flexibility! This morning my daughter had to pay for her classes at the local JC, and the Bank of Mom had to make an appearance. I was able to attend the weekly team conference, get some paperwork done, zip off and not only get DD paid for but have lunch with her, then still put in a full day.

I found the hardest part of the OASIS was getting the diagnoses in the right order. I listed all the Dx's on a separate sheet of paper and then went over it with someone to check the order.

We have weekly OASIS ed sessions where each portion is picked apart and the OASIS guidelines are studied. There's one part that no one, not even the oldies, knew about: when you are "grading" the pt in ADL abilities prior and current, the prior abilities are what the pt was able to do 14 days prior to the assessment, not 14 days prior to the illness.