Traveler

Latest Activity

1. RSD Opinion????

   Traveler replied to tsmith1's topic in Case Management

   Also be very careful before you assign these patients as having "psych components" to their conditions. If you had pain so severe that even a gentle breeze blowing could send you into screams of agony yet many people dismissed your pain and no medica...

2. Is a DON position realisitic?

   Traveler replied to mattseviernd's topic in Geriatric

   I don't think that every RN who has excellent clinical and assessment skills makes a good DON but I do think that every DON should have some experience out on the floor and needs to have good clinical and assessment skills. In LTC there are usually n...

3. Pay per visit or Salary? Which is better?

   Traveler replied to NurseLinzLoo's topic in Home Health

   Patient acuity seems to be increasing. I have done per visit and salary and would prefer hourly then per visit and then salary. I have had WoundVac visits take several hours, complicated IV visits take 3 or 4 hours, completely overwhelmed family memb...

4. Anyone else thinking of leaving home health?

   Traveler replied to camrave's topic in Home Health

   After doing home health for six years for two different agencies I just turned in my 30 day notice last Friday with mixed feelings. I am burned out and I don't want my patient care to suffer, ever, because of it. I have always taken excellent care of...

5. Pay per case

   Traveler posted a topic in Case Management

   I hope someone here can give me a little guidance. I have been offered a job to do some part time cm. This is for patients in a relatively large geographic area who would be receiving services in the home instead of a nursing home. I would help to co...

6. It felt like a slap in the face and oh yes I told them all !!

   Traveler replied to DutchgirlRN's topic in Home Health

   It sounds like the norm in hh to have messed up paychecks. When I started with the company I'm with now 2 years ago I was paid per visit. Should be pretty simple to figure out right? Not, the checks never matched but I knew about what the amount shou...

7. Average # of visits

   Traveler replied to fourwacres's topic in Home Health

   I have been with my present agency for 2 years and have almost 6 years in hh. The field nurses are salary and we also are the case managers for our load of about 25 patients. The cm takes additional time, but we are still expected to get 25 points/we...

8. What's Vanderbilt like?

   Traveler replied to mauigal's topic in Tennessee

   I live in East Tennessee, but spent about a month at Vanderbilt with my 11 year old daughter this spring. Obviously we were not in the NICU and I can't speak as a staff member, but as a parent. The facility is beautiful- one of the nicest hospitals I...

9. I feel like I'm always working...anyone else?

   Traveler replied to jenrninmi's topic in Home Health

   I have been doing home health for almost 6 years now and still love it although I too experience some of the drawbacks that you were talking about. It is hard to separate work from home, especially if you take call. We take call one full week out of ...

10. Case management certification

    Traveler posted a topic in Case Management

    I am interested in hearing from those in the field which case management certification I should look into obtaining. I did a quick search on the Internet and see that there are several out there. Which one is considered the industry standard? I have ...

11. University of Phoenix MSN Program

    Traveler replied to bsweilrn's topic in School Programs

    It is hard to double up on classes, but I did do it with some of my BSN classes with UoP. I always participated in the teamwork and was usually one of the two on the team that did most of the work- very frustrating. It was difficult to double and I d...

12. University of Phoenix MSN Program

    Traveler replied to bsweilrn's topic in School Programs

    I finished my BSN in March of this year and it is a hard program. I overlapped classes for about the last 6 months of the program and actually finished while staying in the hospital while my daughter was very sick. It was tough, but I wouldn't have b...

13. RSD Opinion????

    Traveler replied to tsmith1's topic in Case Management

    This is one that means a great deal to me. My daughter had several sore throats on and off until Feb.11 of this year when her voice was gone and the pain was severe. The doctor noticed a goiter to she had u/s that showed the r lobe was larger. All ot...

14. Genex Services - does anyone work for them?

    Traveler replied to MamaTheNurse's topic in Case Management

    How much of your time is one the road and how much work do the cm's for Genex usually do at home? Are there regional meetings, etc? Does Genex compensate for home office expenses?

15. Upset!!! write up and patients marijuana

    Traveler replied to RNGINA's topic in Home Health

    I truly understand what both sides are saying. I have been into more than one pt's home who were using marijuana for medicinal reasons- both had end stage cancer. They always put it away when I came and, even though I knew what they were doing and th...