sjsap

sjsap specializes in ambulatory, home care, telem, med/surg.

Latest Activity

1. Do you have overtime?

   sjsap replied to wenron's topic in Home Health

   bravo, nursieme! hear hear! it is too bad there aren't more like you around, brave enough to tell it like it is!

2. Do you have overtime?

   sjsap replied to wenron's topic in Home Health

   I hear you! I work per diem for a home care agency and get a per visit rate- so no matter how long it takes me, I only get a set amount. I travel between 50-130 miles per day and get paid $.32/mile. The agency is currently short-staffed, so I am f...

3. Christmas Carols For The Psychiatrically Challenged:

   sjsap replied to kmchugh's topic in Humor

   Oh what fun! They were so funny I just had to print them out and share them with my friends! Thank you!

4. Malpractice Insurance, Yea or Nay?

   sjsap replied to mspringer's topic in General Nursing

   I also have carried my own malpractice insurance policy for over 20 years and agree with those above. I think that it is not any more likely that you will be sued if you have it- as we should all practice nursing so that you won't ever be sued! But...

5. Survey: Have you ever consulted with your facility's ethics committee about a patient

   sjsap replied to Brian's topic in General Nursing

   When I worked at a large Boston area hospital, I served on the first patient ethics committee at the institution which was started back in the 80s. Back then it was mainly nurses on the committee, but it was started by the CEO- an MD who took interes...

6. new to home health

   sjsap replied to kcrnsue's topic in Home Health

   Welcome to home health, KCRNSue! I also made the switch recently (from an ambulatory PACU) and have been an RN for 20 years. I found a wonderful resource/preceptor in a nurse at the agency who has taken me under her wing and been the person I can c...

7. pay for missed lunches and overtime

   sjsap replied to scrubs12's topic in Home Health

   I am so glad to hear it is not just me having a problem with no lunch, breaks, and having to spend afterhours doing the paperwork necessary to document the care given in the home. i recently switched to homecare from the hospital setting, and I tho...

8. Calling all HH Nurses, roll call

   sjsap replied to hoolahan's topic in Home Health

   Ruth, Thank you for the info about Healthwyse- my boss is so cheap I have a name tag done by a label maker, so I don't forsee her investing in a palm system! I love computer gadgets and I would have a great time using my PDA more for work- it is a H...

9. Calling all HH Nurses, roll call

   sjsap replied to hoolahan's topic in Home Health

   I hate that word "productivity"!!!!!! I think your case load should be acuity-based instead of quota based. Some patients take more time and expertise than others- something I have noticed in the few months I have been out in the field. I wish the...

10. Clumsiest moment?

    sjsap replied to sharann's topic in General Nursing

    Oh I am soooooo glad to hear tht there are other folks out there who are not as gracefull! I have been thinking I was an only! Once, when in the PACU, getting a patient out of bed to a recliner to move them to the phase 2 pacu- I had my stethescope...

11. Calling all HH Nurses, roll call

    sjsap replied to hoolahan's topic in Home Health

    Hello Ruth- I too, started in home care just this past July, and love it. I work in the metrowest area, but have been sent into the Boston area towns for a few patients. I am finding it a wonderful job for the most part- the downside is the manag...

12. Nursing Hx:Share Oldtime Ineffective tx's?

    sjsap replied to Sleepyeyes's topic in General Nursing

    :roll I do hope you are kidding b/c I am laughing so hard I need to leave a sample.........

13. Your most amazing wounds and gore!!!! Anyone care to share?

    sjsap replied to NICU_Nurse's topic in Wound

    I am so glad I am not the only one with a morbid facination for the gross and disgusting! I once had a woman's toes fall off her foot into the bed- the foot dressing fell off during the night and the toes waited until I lifted the sheets off her foo...

14. Calling all HH Nurses, roll call

    sjsap replied to hoolahan's topic in Home Health

    Hello woundnurse- I am hoping to hear some good tips for would care- can you let me know what is usually done for diabetic foot (heel) ulcers? Thank you! The md on one of my home care clients is kind of vague about what to use.

15. Nursing Hx:Share Oldtime Ineffective tx's?

    sjsap replied to Sleepyeyes's topic in General Nursing

    Breaking needles is something the VNA taught my dad to do with his B12 syringes after use- back in the 70s! Then he go a "fancy" needle cutter- the kind of contraption you insert the needle up to the hub and squeeze a lever to cut the sharp off. He ...