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rotteluvr31 3,816 Views

Joined Jan 20, '07. Posts: 210 (32% Liked) Likes: 111

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  • Mar 12 '15

    Try the private duty nursing forum as well. I'm sure there are members who read both but Home Health is intermittent services versus assigned to one patient for a shift.

  • Mar 11 '15

    For a preview of Oasis, the basis of home Health documentation, you can search the Medicare site, forums, CE. The more you are familiarized going in the quicker you will grasp it and move onto other aspects of orientation. And the less corrections that will come back to you.

  • Mar 11 '15

    I recently got certified!

    I bought the book "Core Curriculum for Specializing in Intellectual and Developmental Disability" by Wendy Nehring. It's really great for studying. I don't know what all I am allowed to say, but if I did it all over again, I would focus a lot more on specific cause and effect type of things... like if a person has Y syndrome and takes X med, what labs should you watch? Not sure if that makes sense... Another thing that was really helpful (but I can't find them now that the DDNA website has changed) were the powerpoints from past conferences.

  • Feb 12 '15

    You can't be hourly and paid by visit rate, (well you can but it's either one or the other).

    It looks like they quoted you a visit rate, meaning you'll get $32 for approx 1-1 1/2 hrs of work and $60 for approx 3 hrs of work, including time in the office, driving to the patient's residence, patient care, charting, and follow up phone calls.

  • Feb 12 '15

    Looking for a study buddy for certification! I live in Rockland County, NY and want to get certified. Anyone certified already that can recommend where and what materials you used for cerification.
    Thanks for your feedback

  • May 31 '14

    I always used awake and reactive to their environment. IMO for the non verbal or lower functional clients this is a more accurate reflection of how they do interact and how the direct care staff tends to judge the clients functionality and mood on any given day or shift.

  • Mar 24 '14

    Good Enquiry, Dreamchaser81! Excellent responses!

    Having worked at a State Facility, at that time serving both MI and DD clients, I can tell you that working with a CNA and/or Med Tech was an added plus. Co-workers trained to monitor VS and Clients' responses to medication is a true asset.

    In fact, the very first night I worked as the lone RN on a Unit, a CNA told me something like, "The Patient is exhibiting (this). I'd ask the Doctor for an order for (that)". I followed the CNA's advice and the CNA was right!

    You all are with the Patients or Clients much more than the Nurses are and are more ware of any changes or anomalies. Possessing the knowledge of what to look for at what time and communicating the information to the Nurse results in better Client/Patient care.

    Keep up the good work!

  • Mar 23 '14

    Hi I live in California and my sister takes part in the hiring process at the NICU she works in and she told me a while ago they hired this AMAZING nurse from rural Alaska because of her ability to creatively problem solve and her stories of how she worked with such minimal resources. They were just so impressed with her rural experiences that they knew she could make good judgements and come up with good solutions. Anyone can learn "skills" with a little training. Judgement and problem solving is not so easily taught. Anyways hope that helps if you get an interview!

  • Mar 10 '14

    Are you licensed as a registered nurse in Alaska? That would be the first step. The process is outlined on the Alaska board of nursing website, you would be searching for licensing as an RN by examination as an internationally educated nurse.

  • Oct 28 '13

    Its is in our job duties per medicare/medicaid to clean the things the pt uses. But not to clean the other areas.

    I find it funny that nurses get so worked up over this, but they have no problem doing RT tasks like suctioning, neb txs, and vent related talks. They don't mind doing CNA tasks...except for cleaning up after a pt.

    I will fight the battle when it comes to a parent wanting me to clean their home or do their laundry. But as long as priorities are taken care of, putting away laundry and cleaning the dishes you use for the pt are part of caring for that pts needs. Its part of caring for a pt in the home. You are the aide, the nurse, transport, lab/phlebotomy, RT, babysitter, teacher, code team etc.

  • Oct 28 '13

    I take care of some very DD students in my public high school. They are often the highlight of my day!

  • Oct 28 '13

    I live in Ohio and I'm a Support Spec for individuals w/ developmental disabilities. I'm not a CNA. I have been certified to administer meds under delegated nursing. This training was provided through my employer.

  • Jan 11 '13

    I wanted to introduce myself. My name is Michelle. I'm a nurse at several autism/emotional support schools in my area. I love my job! The hours are great (Mon-Fri 8:30 to 4:00, no weekends no holidays) but better than that, the work is awesome. I do the typical school nurse stuff but in addition, I run an education program that teaches the students about nutrition, hygiene, sex ed, and als ways to keep from being victimized. Our students range from 5-21 years of age. They're all on the spectum but some have other issues as well like ADHD, ODD, RAD, etc. We also have medically fragile students with colostomies, seizure disorders, diabetes, and other medical issues.
    I just found this forum and I'm so glad I did! I'll be posting here frequently so I look foreward to getting to know all of you!

  • Nov 16 '11

    Try St. Elias Specialty Hospital in Anchorage. They were hiring new grads a few months ago. It's an LTAC (Long Term Acute Care), meaning, it is an Acute Care hospital, not a long term nursing home situation. Good place to start building your skills.

  • Oct 23 '10

    Quote from ramcda3
    i have been been clawed at, swung at, choked, spit at, pinched, chased down the hallway, had various body parts touched or commented on, cussed at, told to "smile" in a condescending manner, etc. i do work in psych, but i think that many have a lack of social skills on top of their actual illness, and that a little lesson in social graces can't hurt. i usually make it a point to say "no, that's completely inappropriate" and explain why whatever they did was counterproductive to anyone liking them or getting their privileges back anytime soon. a few of the times i've seen a patient get really angry at me was when i did something obviously to protect myself, like make smoke break 10 minutes late for a trouble-making patient in order to wait for a male to go with me. when they yell at me for things like that i tell them that their behavior has given me no reason to trust them and it's their job to change that, not mine. some think i'm a witch, but then again i've never been seriously injured (many of my coworkers have) and i plan on keeping it that way. some of the patients even like me better for holding them accountable instead of treating them like a child.
    i would never try to press charges on a someone who truly was delusional or hallucinating, but i would on most others if it were serious enough. and, no matter what the diagnosis, i have no issues with running the heck out of that room and getting some help.
    thank god there are people like you who choose to work in psych, because i could never do it. that said, i think sometimes we get more "crazies" in the icu than you do on the psych unit. mental illness exists in all strata of society, but at least in the psych ward you're forewarned and forearmed. we're often shocked to realize that the visitor who seemed so concerned about his mother is really a raging lunatic, and most of us don't have the skills to deal with crazy if we can't tie 'em down and drug 'em. i'm sure that correctional nurses have to deal with a large population of mentally ill inmates, but there again, i'm thinking (or hoping, i guess) that they have better skills with that than your average icu nurse who can recognize heart failure in an instant, see sepsis coming a mile away and talk about opening someone's chest while we calmly eat our pizza but wouldn't see schizophrenia or bipolar disorder coming until we'd already been assaulted and battered and heard about it after the fact.


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