Typical day for a HH nurse... - page 8

by hoolahan 189,548 Views | 256 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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    wow, it is interesting to hear about hh days. I live in a place where it does not snow much, but I was raised in snow country and I miss it. (some parts of it anyway) I guess I shoudn't complain about the rainy hh days, huh?
    I work prn for hh and most days I love it. One negative would be seeing the same patients over and over again. It can get a little boring sometimes, but it is a nice change from the hectic pace of hospital work and I just keep reminding myself of that.
    A typical day? : "ring, ring" Hey, can you come in? two nurses called in sick and another just quit. Sure, I'll be right there! Get there, transfer my stuff to whatever company car they assign me that day. Get my list of patients. Usually 6 or 7. Then fill up the gas tank, record my miles, and try to figure out a reasonable route. It is fun really, figuring out where to go and who to see in what order. And it is wonderful to not have someone breathing down your back all day. I pop in a cd, swing by dunkin doughnuts (for coffee only, of course ). Then it is usually a 20 or so mile drive to my first visit. I read the directions and follow them as good as I can, but why don't they realize that signs get blown down, trees get cut down, houses get painted different colors?? It makes it quite difficult at times for us prners. But I just pull out my cell and call the office and usually get where I'm going o.k. The last line of my first visit says "chickens won't bother you" and I see why. There are about a hundred chickens every where and all the little gifts they love to leave are everywhere, too. As I pull up to the front of the mobile home, there sits a huge huge pitbull. In the yard a man is working on an old truck. I roll down my window a bit and ask "excuse me sir, does your dog bite"? He slowly (and I mean slowly spits a wad of tabacco on the ground and says "wallll, sometimes he does and sometimes he don't, with no sign of a smile, but plenty of signs of tabacco juice dripping down his chin. I kind of sit there and say well, sir is today a day he will or won't? He says I guess you'll just haveta see mam. So I search for my dog biscuits, throw a couple out the window as far as I can and grab my bag and run for the trailer. I make it...this time! Inside the trailer is a middle aged lady laying on the couch under a worn dirty blanket. Although she is very ill looking, I can see that she is a beauiful lady who has lived a hard life. Even in the mdst of squallor and filth, her smile is lovely. Her couch is very low and there is no chair that is not filled with newspaper, food, cig. butts, ect, so I kneel on the floor to get her vs. My knees become soaked and I say something like oh my! (not what I really want to say) She looks at me and says Honey, I don't know if that pee is from me or my dogs. My cath is leakin again. All of a sudden I hear little whimpering sounds coming from under the blanket and I gently reach to lower the blanket as 4 little doggies start growling, barking yelping and of course peeing! She has an open sx wound from an abdominal hernia repair, as well as a supra pubic cath leaking like crazy. Her wounds are all gross and infected. ( I wonder why). She is on vanc iv, rocephin Im, wonder why they are not getting better???? As I change her abd drsg, the dogs stay right where they are. I ask if they can be moved till we finish, but she becomes very hostile at the suggestion and I don't push it. I wish I could've had a report before I started this day, if you know what I mean! Well this visit takes quite a while , but there is a definite sense of satisfaction as I finish putting the nice clean drsg on, finish the meds and clean up a bit. As I start to leave I ask her if the pit bull will bite. She says he does bite but gives me a certain name to call him and says if I will call him this name in a certain tone of voice, he won't bite, but I throw my biscuits anyway! As I get in the car my first thought is to get to a store to get some baby wipes so I can clean up my smelly pants, and I only have 6 more patients to go!! But I love it. HH is adventerous, fun, exciting most days and fufilling!
    AnnZan likes this.
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    :hatparty: :hatparty: :hatparty: :hatparty:
    Quote from nurseneesy
    :hatparty: :hatparty: 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:
    Hi Hunter, I love your name! It is so cool! :hatparty: Nursing is hard, but anything worth doing is hard, right? If things are not a little or a lot hard then they are usually boooooring! I do not like boring, do you? Home health nursing is sooo fun. I feel like a real adventurer most days riding around in my little red car and getting to meet and care for all kinds of fellow human beings. :hatparty: What is your favorite subject in school? Study hard and be kind.:hatparty: :hatparty:
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    Quote from mollie
    :hatparty: :hatparty: :hatparty: :hatparty: Hi Hunter, I love your name! It is so cool! :hatparty: Nursing is hard, but anything worth doing is hard, right? If things are not a little or a lot hard then they are usually boooooring! I do not like boring, do you? Home health nursing is sooo fun. I feel like a real adventurer most days riding around in my little red car and getting to meet and care for all kinds of fellow human beings. :hatparty: What is your favorite subject in school? Study hard and be kind.:hatparty: :hatparty:
    HI Nurseneesy and Mollie, thanks for replying. I like to help people out ,buuuut I dont think that I would like to help people that are dieing.All the Docters are aiways telling u this or that ,and there yelling,dont it get annoying ?Naaaaaaaaaaaa.I wouldnt be a Docter or Nures cause it sounds soooo hard but my little 5 year old sister does want to ba a doctor. Her name is Shanya.My favorit subject in school is wrighting. I have already written 2 novels that are scary. Mom call me the next steven spilburg and steven king i'm already writing shrek 3.Ihave the best scoor in wrighting ,Igot a B in that.I got 2 Bs and 1 C.Ok,talk to u later, hunter
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    HI!!

    What programs are us going to be using in the feild? I am trying to track down feild programs for Oasis
    madeline rn

    Quote from Scavenger'sWife
    Great thread, Hoolihan.

    I have worked Med-Surg for 4 years and 1-1/2 years with Hospice.

    I just took a Home Health job and will start March 6. I will do some case-manager and some home visits. Altho I did home visits w Hospice, and had done a little cross-training w HH, this will be a real change for me. I am really looking forward to it. I have an ortho prob w my left ankle and really needed to get a job where I didn't pound the floors for 12-14 hours.

    We are going all computer and have lap-tops for our paperwork in the field. Do you have experience w this? I am fairly computer-competent and have no fears of it.

    The thing I have NO experience w is the insurance stuff. With my Med-surg backgraound, the nursing skills and documentation skills are what got me the job. How hard is it to grasp the insurance, OASIS, etc.???

    Any input will be welcomed.
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    Hi!
    I live in NE Wisconsin and all of our documentation is computerized. The visiting nurses have laptops. We are using a program called PTCT. A new upgrade will be coming out next Fall. We use pathways for all the Oasis timepoints. It has the most common diagnoses, with the ICD codes. The OASIS questions have palm trees on the pathway. The visiting nurses are able to complete over 90% of their documentation in the field. If you have computer knowledge, you will find it easy to use! We recently went with a different model of Home Health. I was promoted to Casemanager. I no longer make visits. I develop the plan of care, visit frequencies and contacts with the Dr's. It has greatly reduced the stress and workload for the visits. Nearly all of the meds are in the program, and show interactions between the meds. We love having the computer for charting!

    Donna
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    Quote from LoriAnnRN
    I can't go into details about my daily routines, but I did home health for about 8 years and I really enjoyed it. It has it's negatives but remeber this: your worst day in home health is still 5 times better than your worst day in the hospital setting!
    AMEN!!!!!!!!!!
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    Hi, I am soon to be a nursing student and have a few questions...I was wondering if its possible to go right into HH from nursing school? I have a friend who did, she works in peds HH and really likes it. I have a BA in psych and bio. I'd be getting my assoc. RN from a community college, if this makes a difference or not, I don't know. I would work 'on the floor' if its recommended, however I have 2 kids(both of them will be school age by the time I'm finished) and the hrs seem to be brutal. Anyway, any adivce would be appreciated!! Thanks!


    Jennifer
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    Amen Lori]
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    Quote from Kaseyrn
    Hi, I am soon to be a nursing student and have a few questions...I was wondering if its possible to go right into HH from nursing school? I have a friend who did, she works in peds HH and really likes it. I have a BA in psych and bio. I'd be getting my assoc. RN from a community college, if this makes a difference or not, I don't know. I would work 'on the floor' if its recommended, however I have 2 kids(both of them will be school age by the time I'm finished) and the hrs seem to be brutal. Anyway, any adivce would be appreciated!! Thanks!


    Jennifer
    Jennifer. you should look up other threads pertaining to home health. It is best to have some hospital experience as you are very autonomous in home health and have to make many decisions sometimes in emergency situations. You need good critical thinking ability,the hospital experience is very valuable. Good luck!
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    Thanks for a terrific thread! This is great reading for those of us considering HH. You perform a great service... thank you!


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