Typical day for a Home Health nurse... - page 14

Not a bad day today... started back per diem today. 6 cases, all in the same township. Not my usual zip codes though, so I did waste some time and scheduled visits akimbo, instead of in a line like... Read More

  1. Visit  Catfish RN profile page
    0
    Wow, sounds familiar. With the going "Live", Kaiser any chance? I work at Kaiser San Diego. PACU cirrently.
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  3. Visit  Catfish RN profile page
    0
    I think that if you told your client and her lazy husband that you were going to ask to be taken off of this case, ie: quit.. they would straighten up. You are being taken advantage of people because you are allowing them to do it. Since you have already paid for the cleaning supplies... buy a litter box and bring it with you. ( don't forget the scooper) Tell them that you will no longer clean the cat crap, you will not clean the litter box and you will no longer be doing chores that are not in your job description. If they do not like it... you will quit this assignment. Honey, there is always another job out there for CNA's.
  4. Visit  momof4ndocswife profile page
    0
    Hoolahan,

    I just researched "home health" and came upon this thread you started. THANKS! I'm an "Old" new grad at 52 who longs to spend time with patients and came into nursing b/c I enjoy patient education, etc. I'm discouraged working on a hectic surgical floor for 12 hour shifts (runs in to 13 hours) where I race from room to room and rarely even have time to go to the bathroom. Working nights is tough on my body, but the only shift available for newbies, and I know I couldn't handle dayshift on this floor after seeing how demanding the care is for these patients.

    I keep thinking "home health" might truly be where I'd like to head. My college roommate from my 1st degree (30 years ago) is a HH physical therapist and tells me she thinks I should go into HH. I know I need hospital experience first. Most jobs I've seen in the classifies desire 2 years of experience. I hope I can last that long on my present job! I'm learning a lot as I manage chest tubes, NGTs, wound vacs, drips/drains, PCAs, and do TONS of dressing changes... some quite complicated. We get a lot of "frequent flyers" with infected wounds, apparently.

    I'm enjoying reading through this thread. I'd been thinking about asking for a transfer to an easier floor, but it sounds like I might be on the right floor to learn the skills I need for HH. I guess I need to tough it out! My daughter suggested I view this as my "boot camp" experience.
  5. Visit  catjmoses RN profile page
    2
    well here is my 10cents worth.... last year i was looking at this site and thinking the same thing (i'm a med-surg-tele nurse of 10 yrs and was atraveler as well). i was getting tired of the rat race as the rats were winning! i wanted to stay home from traveling but knew i didn't want to go back to the local hospital. after a summer of thinking and talking i took a job at a local vna. a very nice small place. everyone knows everyone and i even knew a few from when i graduated, so that was a good start. they have a pretty good training/orientation time so i felt good about that--being a traveler you have to learn quick ( and you need to know the computer)! i have been there now 4 months and it is a different ballgame!! half of what you learn at the hospital will not apply or will be retaught a different way. wound care--forget it! it is completely different! the hours well, i'm a true night owl and now i work 5 days a week from 8am to 4:30 with rarely a lunch and then sometimes i take my computer home to finish charting. and i (will) have 1-2 weekend rotations and a few night calls during the month (starting next month) i soooooo miss working 3-12 hr shifts!! you come home and that is it! and i took a $10 an hour cut in pay! our charting is on a computer--thank god!--and is nothing like what you've ever done. don't let the whole "oasis" thing scare you--it's just the regular charting that kills me. you can't just chart--you have to make every note stand on it's own. so you are charting much more. on the good side---it is nice to spend time with each patient in the home, but you have to be looking at your clock as you know you have more to do (along with the charting that goes with it). and keep in mind in the hospital you are in a controled environment, out in the field you never know where you are going or who you are going to see. or if the home has animals or is clean or what. it has it's good points. me i'm glad for the experience and i will give it one year but then i'm leaving. and....i live in the northeast and i'm out in the freezing cold many times in the day!! through the snow, rain, what have you---not for me! i hope i can make it intil a year. think it over well and go with someone for a few days before you accept a job---better yet transfer to another dept in the hospital! good luck cat
  6. Visit  annaedRN profile page
    2
    Cat - I am sorry that HH is not working for you. I understand/agree with many of the things you say. But, I feel if you truly love HH you look at the same things in a different light. For example, my schedule is M-F 8-430 but my day often ends much earlier..and where else during those hours can you keep dr appts., swing by the bank or pharmacy, let the dog out to pee, etc and not need to use any PTO?I only have on-call every 5-6 weekends...much less than in a hospital. Or yes, I do finish up my charting at home sometimes...but I get to do so on my couch in my sweats..not stay over an extra hour after a crazy 12 hr shift. I feel that I do get to practice quite a few of the skills and yes they are often adapted for the home. IMO, hospital nursing is not always "real world nursing" b/c these patients (except for the very acute stuff) are going to be managing their needs at home and not in the fashion that it was done in the hospital. To me that is what makes HH so rewarding...along with the challenges posed in the home. I love that each new patient is a totally new challenge in a totally new environment. I love that I get to help this patient stay in their home!But, thank goodness everyone has their own "fit" for where they want to be in nursing - we need all the parts to make the whole! Good luck in wherever you go!
    catjmoses RN and jnette like this.
  7. Visit  jnette profile page
    1
    Quote from dhyser96
    Cat - I am sorry that HH is not working for you. I understand/agree with many of the things you say. But, I feel if you truly love HH you look at the same things in a different light. For example, my schedule is M-F 8-430 but my day often ends much earlier..and where else during those hours can you keep dr appts., swing by the bank or pharmacy, let the dog out to pee, etc and not need to use any PTO?I only have on-call every 5-6 weekends...much less than in a hospital. Or yes, I do finish up my charting at home sometimes...but I get to do so on my couch in my sweats..not stay over an extra hour after a crazy 12 hr shift. I feel that I do get to practice quite a few of the skills and yes they are often adapted for the home. IMO, hospital nursing is not always "real world nursing" b/c these patients (except for the very acute stuff) are going to be managing their needs at home and not in the fashion that it was done in the hospital. To me that is what makes HH so rewarding...along with the challenges posed in the home. I love that each new patient is a totally new challenge in a totally new environment. I love that I get to help this patient stay in their home!But, thank goodness everyone has their own "fit" for where they want to be in nursing - we need all the parts to make the whole! Good luck in wherever you go!
    Couldn't have said it any better.. thank you !
    NoSocks4You likes this.
  8. Visit  catjmoses RN profile page
    0
    i do agree there are a few good perks to the job. i only live a few minutes away from the office and being intown i can run home quick if i forgot something or what have you. i guess i am just crabbing because i hate the cold. and i listen to too much estrogen in the office. i know i need to give it time. i need to reduce to only 4 days and i think it will be better. it just seems that all i do is work and by the time i get home it's still dark and cold and it seems like the day is over (at 5pm)--ugh. (did i say i am not a morning person--big time) oh well, we'll see. cath
  9. Visit  steelcityrn profile page
    1
    It of course is not for everyone. I too don't miss the 12 hour shifts, but then again the days off were nice. Many HH offices are looking for per diem. Thats a very good way to get your feet wet. The paper work is what it is. Its negative charting. You can control the amount if you only focus on the negative and your skill. The new oasis is taking away credit for some negatives, but giving more visits for others now. I swear they change their formats just to trip up the home care company and keep them on their toes. Oh and of course save money.
    Last edit by steelcityrn on Jan 29, '08
    catjmoses RN likes this.
  10. Visit  Silverblitzen profile page
    0
    I'd really like to thank you all for letting us see what your days consist of. I've been an RN for 20 years or so, doing everything from OR, ICU, rehab, psych, tele, and LTC. I just interviewed for a home care position and I'm hoping it's what I need. I'm finding my underpinnings aren't too happy lately from standing on concrete floors for 8 hour shifts. I also think that being in LTC has contributed to the feeling I'm losing my skills. I look forward to putting in IV's or catheters!
    Anyway, thanks again. I'll be reading with interest!

    Sue
  11. Visit  CapeCodMermaid profile page
    1
    You must be working in the wrong LTC! Last week we started 5 IV's...we have 4 midlines, 2 PICC lines and now a wound vac. I have very few catheters in my building, but guess what, we are great at inserting those as well. I've done both and thought I was losing skills doing home care. Good thing there are so many types of places to practice our profession.
    Silverblitzen likes this.
  12. Visit  catjmoses RN profile page
    1
    Sue, Here's my 2 cents for what it's worth. I was a hospital nurse and traveler for 10 years and switched to home care this past fall. I'm not liking it too much. I give credit to all the gals in my office--they do this day after day. It truely has it's perks. However, I'm not a winter person and this winter I feel like the mailman! --through snow,slush, wind, rain and treacherous ice! --not for me. And the paperwork/computer work is a lot (as it is anywhere but more than I've seen in a long while (and I'm good with a computer). I'm also not fond of the 25-50% surprises in the home--(many)pets--which I love, just not the fleas, dirty places, obnoxious family..... and I think my decision maker to give my notice is that I make $10 less than the hospital girls (in the same company) and have to take work home at least 50% of the time--AFTER hours to work for free!--I don't think so (as well as be on call one night a week and one weekend a month). It's very rewarding at times, just think it over carefully--I wish I hadn't taken this job--only because now I have to give my notice and I know how much they strugle with keeping staff. cat
    Silverblitzen likes this.
  13. Visit  Silverblitzen profile page
    0
    Hi CCMermaid and Cat,

    I think the thing that made me want to look into HH is mostly my legs. The poor things just can't take standing on the concrete floors all the time. Our building has no carpeting and even though I wear "Anywears", plenty of rubber between my feet and the floor, I wake up at night in agony from the pain in my legs. Here, too, I'll be taking a cut in pay but I'm hoping the trade off will result in my legs being happier. Doing paper work at home after I've done the home visits is OK. I'll be home in the evenings - well, most of them.
    I'll keep you all informed on my progress. I know I"ll have more questions!

    Sue
  14. Visit  flrl0706 profile page
    0
    Great Thread. I was just hired as a HHN with a pediatric agency. I have never worked HH only long term care. any tips for me? I will have only one client, a one yr old little girl.


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