Typical day for a HH nurse... - page 7

by hoolahan 186,778 Views | 254 Comments

Hi guys, I thought it would be nice to start an ongoing thread to just post/vent about your usual day. With a lot of entries, it can sort of serve to show nurses who are thinking about getting into HH what it is really like on... Read More


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    that was a really cute story. someone should make a book with all thes cute stories
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    Hi everyone, I was hoping to hear and share some suggestions to avoid weight gain like I did when I first started in homehealth. When I first started in HH, it was soooooooo easy to pull through Macky D's or KFC, and get a delicious, quick lunch while on the way to a pts. house. All those wonderful large coca-cola's to get a quick, refreshing caffine fix. I went from running around like a mad woman at the hosp. and LTC centers to riding around in the car and not sweating too much(physically anyway). My metabolism went into shock. I have hypothyroidism, so that didn't help. I have since lost all the extra weight by packing tuna fish sandwiches, carrot or celery sticks and a large thermos cup of ice H2o. My problem with drinking all that h2o is that I get sooooooo tired of stopping at convient stores that look new and/or very clean and having to go to those nasty restrooms. I once had to use the restroom at a pts. home out of sheer, desperation(THIS OFCOURSE IS A MAJOR NO-NO AT OUR AGENGY ). So it would be great to hear what some other nurses do for lunch, snack, and bathroom breaks and anything else you do between visits. I rarely see pts. close to my home( I stop at home when I'm in the neighborhood.) Also it would be awesome to hear from some more HH nurses about thier typical day. I LOVE reading some of the challenges that we go through and learn alot from the posts. Thanx and have a great day
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    Your agency actually has a policy about not using the patient's bathrooms???

    I don't know about anyone else, but we don't have any policy like that, it's just that I would choose to not use anyone's bathroom most of the time. Sometimes the old timers don't make it and have a bit of a mess, and I certaily don't want to sit on their raised seats! lol

    Anyway, I have used many a bathroom in nice homes. I don't see what the problem is, you're a nurse, and a human being, not a servant too lowly to use the gentry loo!

    About the food. It is tough on the road. I am lucky in that I am in one county, so I used to come home for lunch, do a few charts, then same 2 or 3 visits for the afternoon.

    I am on the road now, driving really long distances, and I am sick of McD's. I picked up a nice thermos from walmart, and I keep decaf iced tea, it stays cold all day. I also just make up a sandwich, chicken salad from leftover chicken, or eggsald, ot turkey meat, of course it can't be hot, and use an insulated lunch box and one of those frozen block things. I may also put in a small cup of fresh fruit cut up inside of a rubbermaid container and put it on top of the ice.

    However, on cold days, I may stop into a supermarket and get a cup of soup and eat it in the car, or find a restaurant or pizza place that also has soups and eat insode, I always take in a chart or two to do while I break, making sure I don't let anyone see names or anything, I pick a table far away and keep only what I am working on face up.

    In summer, I may go to a nice air conditioned library, and do a few charts, use the bathroom, whatever. Can't eat in there, though I confess to sneaking in a sandwich and sitting in the back, sneaking bites as I worked. And a water bottle. Also in summer, I freeze water bottles. I have an insulated bottle carrier, which doesn't allow it to melt too fast, so I may leave it on the seat in the sun for a visit, so I can get a bit more to drink, then slip it back into the carrier.

    So, what does your agency expect you to do? They should perhaps compile a list of restaurants in every county, gas stations, and places you can use the bathroom and give it to you on orientation. But frankly, that is the stupidest rule I have ever heard. I have never in all these years had anyone act like it was a burden to them for me to use their bathroom! In fact many people offer me food, coffee, I always refuse that, but I am not even shy about asking to use the bathroom. Everybody pees!
  4. 0
    Quote from hoolahan
    Your agency actually has a policy about not using the patient's bathrooms???

    I don't know about anyone else, but we don't have any policy like that, it's just that I would choose to not use anyone's bathroom most of the time. Sometimes the old timers don't make it and have a bit of a mess, and I certaily don't want to sit on their raised seats! lol

    Anyway, I have used many a bathroom in nice homes. I don't see what the problem is, you're a nurse, and a human being, not a servant too lowly to use the gentry loo!

    About the food. It is tough on the road. I am lucky in that I am in one county, so I used to come home for lunch, do a few charts, then same 2 or 3 visits for the afternoon.

    I am on the road now, driving really long distances, and I am sick of McD's. I picked up a nice thermos from walmart, and I keep decaf iced tea, it stays cold all day. I also just make up a sandwich, chicken salad from leftover chicken, or eggsald, ot turkey meat, of course it can't be hot, and use an insulated lunch box and one of those frozen block things. I may also put in a small cup of fresh fruit cut up inside of a rubbermaid container and put it on top of the ice.

    However, on cold days, I may stop into a supermarket and get a cup of soup and eat it in the car, or find a restaurant or pizza place that also has soups and eat insode, I always take in a chart or two to do while I break, making sure I don't let anyone see names or anything, I pick a table far away and keep only what I am working on face up.

    In summer, I may go to a nice air conditioned library, and do a few charts, use the bathroom, whatever. Can't eat in there, though I confess to sneaking in a sandwich and sitting in the back, sneaking bites as I worked. And a water bottle. Also in summer, I freeze water bottles. I have an insulated bottle carrier, which doesn't allow it to melt too fast, so I may leave it on the seat in the sun for a visit, so I can get a bit more to drink, then slip it back into the carrier.

    So, what does your agency expect you to do? They should perhaps compile a list of restaurants in every county, gas stations, and places you can use the bathroom and give it to you on orientation. But frankly, that is the stupidest rule I have ever heard. I have never in all these years had anyone act like it was a burden to them for me to use their bathroom! In fact many people offer me food, coffee, I always refuse that, but I am not even shy about asking to use the bathroom. Everybody pees!
    Hi Hoolahan, I thought thier policy regarding bathrooms was standard. My agency wants us to make sure you use the bathroom on the way to and from the pts. house. We also shouldn't use the pts. phone unless it is an absolute emergency. Ofcourse they provide us with cell phones so that isn't usually a problem. We do call 911 from the pts. phone if necessary. Our goal is not to inconvience the pt. in any way, shape, or form in their home so I'm told. I'm really shocked that that is not the norm. I will defiantly bring this up at our next meeting. Sometimes, there just isn't a restroom available, and I hate to lose that extra 5 min. several times a day when I could (in the words of Nike)"just do it" while at the pts. house. Do you do this several times a day or once at best. But on the other hand some of the pts. homes look way worse than a nasty old gas station. We have some pts. that we won't even sit while we are in the house . But I'm sure that just goes with the field of nursing we are in(I absolutely love this field). I don't know if you've seen a new little gadget that you plug into your ciggarete lighter and it warms your lunch in about 30 minutes. It is pretty popular among truck drivers.
  5. 0
    How often?? Well, in all honesty, I don't drink much after I leave the office, or my house wherever I am starting from, so hardly ever really. I don't drink much specifically so I won't have to pee much! lol I am usually parched by the end of the day! I guzzle water once I am home.

    Plus, I am usually in one county, and can usually plan to get home for those kind of stops. There are 5 senior building within 5 miles of my home, so if many of my visits are there, I just drive home for a pitstop, and let the dog have one too!

    If I have to drive far, like I do now, dunkin donuts, little restaurants, or librabries.

    BUT, we have even had a few patients who are on and off service and they tell us to stop in if we ever need a bathroom break! Some of the nurses have regular stops like that.

    As far as the phone, of course we wouldn't use theirs, however, since our agencies cell phone bill was soooo high, we were told to make calls from the home whenever possible, if not a toll call, like to the pt's doctors, pharmacy, etc... Of course not personal use, but we also call the office from their phones sometimes, if it isn't long distance or a toll call. I prefer to use my cell phone in many cases, have you seen how gross some of those phone peices look sometimes? One phone had little roaches in it, after that,unless it is a very clean place, I use the cell, I don't care how high the bill is. At one point our agency was threatening to bill us if we used over 100 min a month. That's <4 min a day! And how many times have you been on hold at a doc's office? Sometimes the automated systems are 2 minutes long!!

    I hoonestly don'y see that you reliveing yourself, if there is no other option close by, or using the phone to call their doctor, is inconveniencing the pt!!
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    :uhoh21: Hello ladys and gentalmen.My name is Hunter and im 10 years old.Is it hard to be a nurse.It sure looks hard on all the medical shows that my mom watches.Have any of u had to help with any operations before?I know i haven't :chuckle :chuckle !Well Ill see u later'
    Hunter.
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    And No, I haven't seen that gadget to warm food. I would love that. I much prefer to have leftovers for lunch, saves a lot of money, but leftovers usually need to be heated. What is it called, do you know?
  8. 0
    Quote from hoolahan
    And No, I haven't seen that gadget to warm food. I would love that. I much prefer to have leftovers for lunch, saves a lot of money, but leftovers usually need to be heated. What is it called, do you know?
    Sorry, I don't know what it is called. I saw it on a show called "I lost it". It is a weight loss show on discovery channels in the daytime. Atruck driver had it. It looks similar to the old lunch boxes and it plugged into your ciggarette lighter. I'm looking for one, if I find one I'll let you know. If you find one please let me know.
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    :hatparty: :hatparty:
    Quote from Hairstylingnurse
    :uhoh21: Hello ladys and gentalmen.My name is Hunter and im 10 years old.Is it hard to be a nurse.It sure looks hard on all the medical shows that my mom watches.Have any of u had to help with any operations before?I know i haven't :chuckle :chuckle !Well Ill see u later'
    Hunter.
    Hi Hunter, glad to have u stop in to say hello. Yes it is hard and wonderful to be a nurse. I have never helped with operations, I saw an operation in nursing school and got totally sick. But there are alot of nurses there that love it. Are you going to be a nurse or doctor when you grow up? Well have a great day.:hatparty:
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    Quote from renerian
    Congrats on your new job. I loved home health. I would love to be up where Karen is and I would go work with her. Our agency was not very good to the nurses plus our service area was 7 counties. Way to big. Mostly rural and I spent a minimum of 20 to 25 hours per week just driving which I did not get paid anything for since I was per visit. I think if your employer pays you well you will love it!

    renerian
    I was having that problem with being sent all over. I solved that by going per diem. That was the best move I ever made. Now I let them know where I will go and I have found my niche. Home care can be great (as jobs go).

    Have a great day, all.


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