RNMom2010, ADN 9,763 Views
Joined: Jan 7, '06;
Posts: 462 (28% Liked)
; Likes: 238
Registered Nurse; from
7 year(s) of experience
Home Health, Case Management, OR
People suck. People suck bad.
There are a handful of good people, but the ugliness of the world is hard to ignore.
Yeah, the hangover thing aside, the idea of getting a liter of fluid brought to me if I were sick enough to be nauseous and unwilling to leave the house is pretty tempting.
Consider also that nursing is a profession with a good income compared with others. I would say the divorce rate could be higher because the nurse in the couple can afford to leave. I had a nurse coworker, Who had to pay her husband alimony because her income was so much higher than his.
Find another way to satisfy the need for "excitement"
Keep that wonderfully cushy job. The first time you are on the unit and get the smell of poop.. that YOU have to clean up, you will kick yourself in the tuchas.
Been there, done that.
I kinda understand requests of only certain gender/race nurses assigned to particular patient. Not always, but if you deal with person already deeply demented and living 3/4 of very long life entertaining certain "ideas", it just doesn't worth the battle. But once there was a serious one for nurses and everyone else conracting with the patient being registered member of Republican party, so that The Dear (deeply comatose) One would not be troubled with possibility of wrong influence. To complete the pucture, the TV was to be permanently fixed on Fox news or something named "Redneck family reunion".
These folks were d*** serious. When I entered the room to start a new IV, they first thing asked what party candidate was my favorite. Too bad the Powers desided to play "good customer service" game with them to the very end.
I also saw a family of home care who only allowed people with GPA above 3.75 and Bachelor's to get near Mother Dear. They even devised some sort of shortened SAT to make sure the candidate is able to meet their Requiremenrs of Absolute Excellence. They spent weeks trying to find just such an aide while Mother was rotting alive getting one of the worst bedsores I'd ever seen. It was kind of very guilty pleasure to call State and report them to authorities for elderly abuse.
I LOVE home health... ok, 90% of the time I LOVE home health, lol. I love the fact that I get to spend as much or as little time as is needed on each client. Some can be quick, in and out, while some I have stayed over an hour with just because they wanted to talk. I work in an office agency that is very rural, so sometimes, it is just us nurses who see these people, so if I can make their day a bit brighter, or make them feel better, or even just give them an ear, then I have done my job. Often times we are THE ONLY people to find the problems and alert their PCP. We are not only a rural office, but our territory is often those who can barely afford to eat, let alone afford their medications, so they do not drive much or go to the MD office unless we send them, or tell them basically to go to urgent care now. I love the fact that I get that one on one time with them.
I also love the fact that I get to make my schedule, or rather, I try, lol. sometimes things just fall apart, but if you learn to "go with the flow", keep a positive outlook and not take it personal, its really not that bad. The schedulers do not normally screw you over for the heck of it, unless there is a personal vendetta and then I think its them who should be fired.
I also enjoy the challenge of it all, as often I am out of cell reach with my clients and often times you must think on your feet and quickly. I have went into calls at times carrying a CPR mask and vent bag just in case. Did I mention we are rural, but sometimes we can get a client on a rural outreach program so we can check on them daily, but we are usually all they see, and the hospital will not keep them. again.. did I mention we were rural?
I also work with a close group of people, both nursing staff, physical therapists, occupational therapists, speech and social work. and its a VERY small crew of like 20 people.. so think about how many clients we see weekly so short staffed. In general, we all get along, but of course there are tifts and we do have some that come on board and just cannot handle the pressure of it all, drop the ball all the time and in the end, leave the rest of us hanging.. in the later case, we vent, someone will pick up the slack and carry on. harboring resentments is unprofessional and it does not benefit the client at all.
I am also very good at multi tasking and it is nothing for me to be able to carry on a full conversation with education, etc, while I am charting something totally different at the same time, lol. Yes, I DO have OCD and Hyperactive disorder, lol. So its a good job for me to be in.
In general, it takes a certain person to be a home health nurse, juggle, not give up, give the patients your best and not crack under the pressure. I also think that sometimes you have to admit to yourself that you cannot do it all and ask for help and communication is the key. I also do not think it is for everyone, nor does it make you a bad nurse if you cannot handle it. some of us were just made to be in certain specialties, and those that can admit it is not for them when they are miserable, makes you a better nurse. If we were all made to work all specialties and fields, there probably wouldnt be anyone working clinics. LOL. yes that was a joke on the clinical nurses... and yes, we all have to be able to laugh at ourselves and not take things personally.
If this is your first rodeo I would say to give yourself some time, like at least another six months and your improvement will be like night and day. That is the best thing you can do because you need to alter your expectations and adjust for the learning curve that comes with going into home health. That may take a little of the frustration out of the picture if you have a talk with yourself and say, "you'll get it, you're getting better every day". Talk with your family and explain that you are in a learning stage and things may be a little different until you get your rhythm. How long are you spending at your visits? When at all possible take the extra time and chart as much as you can in the home, it makes a huge difference especially for the routine visits. Try to develop a systematic approach to your visits so that you can accomplish everything you need to and concentrate on improving efficiency. The less "unnecessary" time you waste in a patient's home the more time you have to chart "on the clock". Go right in and get vitals and do assessment, whatever skill or teaching you need to do, this should be the bulk of your visit. Then chart and make small talk. I used to do the opposite and try to glean information while we talked or I did some teaching and chart. I would leave my vitals, assessment and skill for last. Yeah...I was in the home an hour or more. If it's not an Oasis visit or an emergency I have no business in any patient's home for an hour is how I look at it. I average thirty five minutes including charting for a routine visit. This will take time because not every day or visit is the same but if you like home health at all you will have to give yourself a chance. I think we all share your frustrations with the doctor's offices. I don't understand the 14 days in a row, can't help you there. I hope things get better for you.
I like the autonomy, the one on one time with patients and the opportunity to be use critical thinking and come up with creative solutions to problems.
Hello all, just wanted to post a thread about Western Governor's RN-BSN in case anyone was considering going. I absolutely loved, loved, loved the program. I seriously have nothing bad to say about it. I had a wonderful experience with them and I would recommend their program to anyone who is looking to go back for their BSN. I finished the program in 10 months. I should have finished it in less time than that, but I started procrastinating at the end. If your considering attending WGU, go for it. You won't regret it.
This thread reads like an infomercial. Did the OP receive compensation for this piece?
Western Governors University (WGU) is an immensely popular online virtual university because it offers an array of aspects that attract adult learners, such as reasonably priced tuition, nonprofit status, a respectable assortment of majors and concentrations, regional and national accreditations, and an innovational competency-based format that promotes expedient degree completion.
I am an ASN degree holder and my first six-month term at WGU officially started on May 1, 2014. Even though my first term technically does not conclude until October 31, I have decided to take a two-week break until my last term begins on November 1. In a nutshell, WGU's transcript evaluator allowed me to transfer 86 previously-earned credits, which left me needing to earn 34 credits in order to receive the BSN degree.
Since May, I have earned 27 of those 34 much-needed credits. Therefore, I need to earn 7 more credits before I will be able to sign my name TheCommuter, BSN, RN. I quite possibly could have earned all 34 credit hours in the span of one six-month term but I work full-time 12-hour night shifts, and to be completely candid, my motivation waxes and wanes like the four seasons. Without further delay, here is a breakdown of my first term in WGU's online RN-to-BSN completion program.
Care of the Older Adult
This course was fairly straightforward. I worked in long term care for six years, so I already had some real world experience with the course material. This class covered topics such as the different types of aging, theories on aging, Medicare, Medicaid, gerontological nursing assessments, determining level of function, and the Healthy People campaigns. A third party genetics course was required.
Biochemistry consisted of five different PowerPoint presentations that were graded by TaskStream, which is a third party grading company. Two of my presentations passed on the first attempt, two passed on the second attempt, and one finally passed on the third attempt. Essentially, I crafted models of hemoglobin using yarn and created two models of fatty acids using toothpicks connected to peach ring candy. Topics covered included lipids, hemoglobin, myoglobin, metabolism, enzymes, fatty acid synthesis, cell death, and other interesting themes.
The organizational systems course consisted of two papers and a third party course offered through the Institute for Healthcare Improvement. One of the required paper assignments required the student to formulate a root cause analysis and other required that I furnish a detailed resolution to a multifaceted ethical situation involving an elderly patient.
The health assessment course was comprised of an objective final exam and an applied assignment that required me to record myself as I performed a full head-to-toe assessment on someone. I assessed my best friend from head to toe as my laptop's webcam recorded the 36-minute affair. I became spooked and dragged out my studies for the final exam, but the testing was straightforward.
Nutrition for Contemporary Society
Since my knowledge base in nutritional issues is relatively strong, I easily passed the final exam for this course. Topics included lipids, carbohydrates, proteins, vitamins, minerals, water balance, nutritional diseases, deficiency symptoms, obesity issues, and exercise physiology.
Professional Roles and Values
Essentially, this course covered topics such as the role of boards of nursing, professional organizations, nursing theories and theorists, the history of nursing, historical nursing figures, interdisciplinary and multidisciplinary teams, leadership, management, and differing levels of educational attainment in the nursing profession.
Information Management and the Application of Technology
In essence, this course was a survey of introductory nursing informatics. It discussed the history of nursing informatics, information systems, networks, interfaces, operating systems, hardware, software, electronic health records (EHRs), clinical decision supports, and the various levels of informatics nursing professionals.
Community Health and Population-Focused Nursing
Students must pass an ATI final exam with a satisfactory score in order to pass this course. Topics included the differences between community-based nursing and community health nursing. Moreover, the different types of community-based nursing were extensively discussed, including public health nursing, parish nursing, hospice nursing, home health nursing, school nursing, disaster response nursing, and ambulatory care/clinic nursing. Principles of epidemiology were also introduced.
Introduction to Probability and Statistics
This very straightforward course consisted of seven modules that were formulated by a third party company called Acrobatiq, which is a subsidiary of Carnegie Mellon University. StatCrunch, a software program for data analysis and calculations, was an optional component of the course. Topics included exploratory data analysis, descriptive statistics, analytical statistics, theoretical probability and empirical probability.
In summary, my time spent in the Western Governors University RN-to-BSN completion program has been enjoyable. My self-efficacy has blossomed with each competency test that I have passed. In addition, I am pleased that this degree will cost me less than $7,000. Feel free to ask any questions.
From what I researched, WGU's MSN program didn't seem like a good pathway to an advanced degree with a clinical focus. That, and I didn't feel comfortable committing to the full MSN program before I saw how I handled the BSN coursework. At the time I started, switching to the MSN track later was not a problem, and I was told that the BSN would not awarded until after the full MSN program was completed (this seems to have changed since then), so just starting with BSN seemed prudent.
Financial aid availability was another consideration as well.
I selected the RN-to-BSN track because, as much as I'm enjoying WGU, I prefer to complete my MSN degree through a school that offers specialty tracks other than the garden variety nursing leadership and nursing education specializations.
I plan to enroll in schools that offer the MSN with specialty tracks in either case management, clinical nurse leader, or utilization review.
I have 34 units to complete. I plan to complete 3/4 of them all in 6 months.
I have a baby on the way and this baby will have a BSN mama before they're 1 if I can help it.
"Products of conception" makes me so mad. It takes exactly one more syllable to say "embryo and placenta," and the same number of syllables to say "fetus and placenta" or "baby and placenta," and is a hell of a lot more sensitive.
Honestly, has the mom forgotten that there was a living being in there? Does anyone honestly think that calling it an "embryo" or a "baby" will make her crack, but calling it "products" will be okay because then she won't think of it as the loss of a child?
I believe I've had one early loss...period two weeks late, faint positive test followed by heavy bleeding and then a negative test, and temperatures initially indicative of pregnancy which I only know because I do NFP. I didn't seek medical care, because there was nothing to do about it. I'm sure millions of women had the same thing happen without knowing it in the many years before early result pregnancy tests. You can be sure I grieved, though! In my mind and heart, it was a baby. In my spare moments I thought of names, thought maybe I'll wait until the birth to find out if it's a boy or a girl, since I found out the last two with the ultrasound.
Early (5-8 weeks) into the pregnancies with my 12 yr old and my 1 yr old, though, I had bright red bleeding. With my first I went straight to the ED...I was 22 and inconsolable, and couldn't just sit home and wonder what was happening. In my mind, bleeding = loss. With my youngest the bleeding was heavy like a period. I waited until the next day to go get hcg levels drawn, but I was sure I was losing him. I said my goodbyes and everything. Thankfully they both ended up being fine; youngest had a subchorionic bleed, and oldest they were never able to explain the bleeding.
What made things harder than they already were with the first one though, was the advice that "Right now there is a healthy heartbeat, but I'm still going to call it a threatened abortion. Go home and rest. If you pass any products of conception, bring them to your clinic for testing." Threatened abortion didn't bother me because I knew by that time that "abortion" was a medical term, with elective ones being one use of the word. But pass...like flatus?? Products of conception...like we conceived inanimate material? By that time I had gathered my composure and told the dr., "I'll go home. You go to sensitivity training." I was so angry.
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