Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Home Health Nursing /

Need Advice....



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,471 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 2 1 2 >

Apr 25, 2009 03:26 PM

Need Advice....

by muffin7

This Monday I will be starting a per diem HH job. Most of my experience is in the OR and I am wanting any advice that all of you can give to help me be successful as a HH nurse. What should I be studying (reviewing), etc.

I am really excited...Thanks in advance!!!


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 2 1 2 >
Reply
11 Comments
No. 1
from jnette
Old Apr 25, 2009, 04:13 PM

Default Re: Need Advice....
Hi Muffin... and WELCOME to HH nursing !

You will need to brush up on your assessment skills... VERY important in HH, so you don't miss anything. Look at the patient thoroughly.. check for bed/pressure sores, even if you don't think they have any.

You will be using your basic medsurge skills in HH, lots of wound care, occasional IVs, etc.

Read through the HH forum and glean any info there you might need. Wish you the best !!!
Top
 
No. 2
from muffin7
Old Apr 25, 2009, 04:58 PM

Default Re: Need Advice....
Thank you jnette. I appreciate your advice.
Top

1 Reader Gave Kudos
 
No. 3
from jnette
Old Apr 25, 2009, 05:06 PM
Updated Apr 25, 2009 at 05:40 PM by jnette

Default Re: Need Advice....
Originally Posted by muffin7 View Post
Thank you jnette. I appreciate your advice.
Sure thing... there are plenty of threads here on the HH forum which wil give you some insight as to what to expect and what you will need to know. HH is truly the best, I hope you enjoy it as much as I do !

Don't hesitate to ask all the questions you want here, and be sure to ask for a decent orientation.. about 4-6 weeks. Watch what the other nurses do, and pitch in. Before you know it, they'll be giving you 2-3 patients a week, then 3-4, then 4-6. Six is usually about average.. although I have had 6-8 on occasion when things were really busy or some nurses were out sick or on vacation.

Give it a whirl, and let us know how things are going for you !
Top

1 Reader Gave Kudos
 
No. 4
Old Jun 05, 2009, 03:17 PM

Default Re: Need Advice....
I, too, have been working in the OR for 28 years and just started HH. I have been over whelmed! I just don't think that it is for me, as I feel that I have lost many of the skills that you need for HH. I have only been doing HH for 1 1/2 weeks, and all ready have had 5 patients per day. today (as well as 2 days ago) I just broke down and cried. I feel so inadaquate.
Top
 
No. 5
from caliotter3
Old Jun 05, 2009, 05:08 PM

Default Re: Need Advice....
Originally Posted by scrappygirl123 View Post
I, too, have been working in the OR for 28 years and just started HH. I have been over whelmed! I just don't think that it is for me, as I feel that I have lost many of the skills that you need for HH. I have only been doing HH for 1 1/2 weeks, and all ready have had 5 patients per day. today (as well as 2 days ago) I just broke down and cried. I feel so inadaquate.
You should ask your employer if you can do shift work rather than intermittent visits. One client, one shift, one nurses note, each day and you are done. Routine nursing care for stable patients. Very easy to adapt. Talk to your employer. Good luck.
Top
 
No. 6
from muffin7
Old Jun 05, 2009, 09:40 PM

Default Re: Need Advice....
I agree, you should do routine nursing care for stable patients. My Director understood my knowledge base and has given me client that fit what I can handle. I feel that my assessment skills have improved in the month or so of doing HH. Hand in there, you will be surprised. Also, don't be afraid to ask questions!!!!!!!!!!


Are you paid by the visit? Why so many patients in such a short time. I don't feel that's right to do to someone new to HH. You need to speak up for yourself.

Just like anything else there is a growth factor. Hang in there and don't give up. I promise you it will get easier once you get used to all of the different paperwork.

My emphasis for you is stable patients!!!!!!!!!

P.S. I am going to be working in an Ambulatory surg center after I get clearance. I'm excited because there weren't that many patients for me to see. I was seeing three patients once a week. It was not enough for me financially. I will continue to see one patient that I have and hope to acquire more that I can see on my days off (Mon/Tues/Sat). I'll be working at the surg center Wed Thurs and Fri. I really do miss the OR.
Top
 
No. 7
from cxg174
Old Jun 18, 2009, 10:15 AM

Default Re: Need Advice....
Originally Posted by scrappygirl123 View Post
I, too, have been working in the OR for 28 years and just started HH. I have been over whelmed! I just don't think that it is for me, as I feel that I have lost many of the skills that you need for HH. I have only been doing HH for 1 1/2 weeks, and all ready have had 5 patients per day. today (as well as 2 days ago) I just broke down and cried. I feel so inadaquate.
In my experience, 1 day in the office, 1 day with another nurse while you watch, then 1 day with another nurse watching you is typical orientation. Then you start with a couple of patients, then 3, then 4, then 5, finally 6. That is normal orientation and they are probably giving you easy cases. Employers can't afford to give an extensive orientation. You are slower because you don't know the paperwork, etc. yet. It is a big transition for you, but all you have to do is pick up the phone and call the supervisor, or ask someone if you need help. Hang in there, it takes about a year to really feel you know what you are doing. Home health is complex because there are so many regs and so many different types of patients. Make a friend- find someone you can trust to go to with questions. It does get better.
Top
 
No. 8
Old Jun 20, 2009, 03:56 PM

Default Re: Need Advice....
As a HH Administrator, it seems that OR nurses really struggle with not being able to fully complete all patient related tasks by the end of the day. That is the nature of case management. Surgery is a controlled environment. Home Health is not. Plus, you are in a constant mode of prioritization and planning for tomorrow. But you must always be ready for last minute changes and surprises. The nurses who truly want to be finished with everything at the end of the day really have a hard time with that concept. I've learned that home health isn't for everyone. You need to give yourself 6 months to get oriented before you say it's not for you though.
Top
 
No. 9
from muffin7
Old Jun 21, 2009, 10:01 PM

Default Re: Need Advice....
Originally Posted by CooperNurseRN View Post
As a HH Administrator, it seems that OR nurses really struggle with not being able to fully complete all patient related tasks by the end of the day. That is the nature of case management. Surgery is a controlled environment. Home Health is not. Plus, you are in a constant mode of prioritization and planning for tomorrow. But you must always be ready for last minute changes and surprises. The nurses who truly want to be finished with everything at the end of the day really have a hard time with that concept. I've learned that home health isn't for everyone. You need to give yourself 6 months to get oriented before you say it's not for you though.

Have you ever been in the OR? Surgery is anything but a controlled environment. A patient can be rushed to the OR with Multiple Gunshot Wounds to the chest and oracotomy and things can change one second to the next. In the OR you prioritize from one minute to the next, you must be ready for anything even in a scheduled case. You have to be a really quick thinker.
I'm back in the OR and didn't realize how much I missed it until my first day
Top
 
Page 1 of 2 1 2 >
Reply




Thread Tools


Who's Online
374 members
3,987 guests
4,361

2

Interesting article on ThedaCare's Collaborative Care Model

7

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

6

High-Tech Pump Does What Her Heart Can't

6

Air Force RN Found Not Guilty

7

California Imposes Stricter Rules Regarding Drug Abuse In...

49

Are older nurses being forced out of the profession?

3

An outlook in California?

8

Australian surgeons successfully separate conjoined twins



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: