Latest Comments by GYPSY1349

GYPSY1349 1,671 Views

Joined Jul 18, '03. Posts: 52 (29% Liked) Likes: 30

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  • 1
    ohmeowzer RN likes this.

    [font="comic sans ms"]amen to that!!!up:

  • 0

    Quote from patty_cakes
    i am new to the home health nursing, i am with a company just starting, i need to put together a travel chart, can anyone help me?
    [font="comic sans ms"]you might want to go under nursing specialty (see the specialty tab above) and post this under the home health folder.

    i work in home health...but i don't know what you mean by a "travel chart." could you be a little more specific?

  • 1
    medsurgrnco likes this.

    Quote from medsurgrnco
    no responses. i'll try again. decided to take the local psych rn position if i can get a reasonable schedule and if the pt ratio looks ok. looks like there are lots of psych travel rn positions. but if that doesn't work out...will i be making travel med/surg rn positions hard to get if i switch to home health for a couple of years? how recent does your med/surg experience need to be for travel positions? while i am very interested in traveling someday, i am concerned about potentially being given too many patients or being given a rotten schedule.
    [font="comic sans ms"]for "travel nursing" your experience needs to be within that year (in any specialty in a hospital setting):heartbeat..however, there are traveling home health jobs in quite a few areas, and it is huge in california.

  • 0

    Quote from silverblitzen
    hi all you road nurses:d

    i am probably one of the worst possible navigators on the planet - i get lost in shopping malls and have no sense of direction whatsoever! anyway, i got a neat little garmin nuvi 250, an entry level gps in the hopes that i'll find my way home after bopping around the province.

    do many of you have these delightful little devices? what are your experiences? what kind do you have and recommend/warn against?

    just wondering:typing :whe!:

    sue
    [font="comic sans ms"][color="sienna"]i have a garmin street pilot that i got two years ago...it's wonderful, and has never gotten me lost...which is more than i can say for my sense of direction!

  • 0

    Quote from kstec
    i've been a lpn for appx 18 months, i'm 36 years old, with an 8 and a 10 year old boys,and married. when i did the lpn program full time, it about killed me. the reason that i'm forcing myself to go back is because after five years post lpn, i have to take all my sciences again, and that doesn't sound appealing. i'm going to take micro in august, in january i'm going to take medical terminology and phlebotomy due to the fact that i can only take patho in january of 2009 because you have to apply for it and have micro done. then in august 2009 i'll do the bridge semester with pharm ii. then in jan 2010 i can start my two full time semester of the second year of the rn program. it looks like a lot of work ahead of me, especially seeing it in black and white. i'm petrified. any positive words of encouragement would be greatly appreciated. i thoroughly enjoy working as a lpn, but since in reality i don't have alot to do quickly but over time, i feel that if the five year time limit comes up and i don't do this, i'll kick myself in the butt later. and on thing to my advantage is my boys will be older and more self sufficient by the fime i go fulltime again. any advice or words of wisdom would help greatly. hey on a lighter note, i could possibly have my rn by the time i'm 40. better late then never, i guess.
    thanks in advance
    [font="comic sans ms"]ok now...take a deep breath!!! congrats on making a great decision...you'll be amazed at how much you already know having worked as an lpn. many of us also had families and obligations that appeared overwhelming while going through school. and there are a lot of us who also were lpn's when we decided to take the plunge and become rn's.

    if nursing is the profession you love, whatever it takes to get where you want to be will lbe worth it! when things get tough, repeat after me...."this too shall pass!!" blessings to you, you can do it!

  • 3

    Quote from casi
    I think the nurses that burn out quickly are the ones who care too much. They'll put their patients needs before their own and take home all of their patient's burdens.

    A good nurse is able to say "before this, I have to pee" or "before this I have to eat" or they can ask for help too.
    [FONT="Comic Sans MS"]That only works if you are not the one in PAIN.
    Remember...Pain is subjective. It is not our job to decide who or who is not a "drug seeker." Our job is to DO our job, with compassion and professionalism.

  • 1
    BlueRidgeHomeRN likes this.

    Quote from dhyser96
    Work in home health and LOVE it!!! Love the one-on-one, love the teaching I get to do, love not being pulled 20 different places at once, love still being able to practice my skills but not being a "machine", love really having time to get to know my patients, love the respect that most of the docs give me, love the autonomy, love the flexibility in my schedule, love not working weekends. Of course, there is the paperwork....but what I don't finish in the patient's home....I can finish at home on my couch in my sweats and get to see my kid get off the bus!
    Absolutely! I LOVE nursing, and always have since my first day in nursing school, some decades ago...But once I got out of the "hospital rat race" and went into Home Health, I finally felt as if I'd found home.

    For all the reasons you mention, and many more, I'll never leave Home Health.

  • 0

    [FONT="Comic Sans MS"]The only Palm software I use is the Davis Drug Guide...use it all the time. And, yes, I do use a GPS..as I'm "directionally challenged!" LOL...

    I have a Garmin Street Pilot, which I love. It does not have to be permanently mounted, so I can take it off, pop it into my glove compartment when I'm in a less than upscale neighborhood. I sure wasted a lot of time trying to read maps before I got it...and will never be without one again!

  • 1
    DutchgirlRN likes this.

    Quote from moondancer
    I am wondering if anyone can tell me what the difference in roles between the Home Health RN and the 'RN Case Manager' in Home Health?

    I have an opportunity to get into HH and can't really see any difference in the job description....?

    Any help is appreciated....
    TIA!

    Actually, there are HH nurses that just do visits...to different patients most of the time, without doing Case Management. Some agencies have specific Case Managers for a certain group of patients, some by zip codes, some by specialties (i.e. Cardiac, IV..etc)

    So, for most, there is a difference, not only in the work required, but in the pay.:heartbeat

  • 1
    bsrn0523 likes this.

    Quote from bsrn0523
    hi everyone! i have been in home health on and off for 10 years now, nine of those as a lpn. previously, i worked in both a hospital and ltc, but i have always had a soft spot for home health. now as a rn, i do two private duty peds high tech shifts a week, plus several wound care visits. i expect to begin iv therapy within the next month. hh has been wonderful in that it has given me the flexibility to be with my family while at the same time getting to spend quality time with my patients. i truly feel blessed :d
    [font="comic sans ms"]thanks for your positive post! i also feel blessed to be able to work in home health, and cannot imagine doing anything else. it truly is a blessing to be able to care for our patients on our own time table, taking the time we need to make an impact in their lives. keep up the good work!

  • 0

    Quote from candida
    " then we must end these overpaid and alienating positions."

    oh gosh karen bsn!!!! you really mean getting rid of the ceo's and the underlying facia of it's support??? that would be great! as a current "staff" nurse (although, sadly no i am not "married to my employer, i like to consider myself a "free" agent) and as a former but could -be- any -day- now travel nurse i am never overpaid!!! in fact i am not paid enough!!!. shouldn't i be paid what i am worth? as for travel nurses being unsafe - care to share an article to that effect??? back up what you say??? being a staff nurse in general can be unsafe due to high patient ratios, poor staffing, poor working conditions and mandatory overtime.

    ciao! candida
    [font="comic sans ms"][color="sienna"]hey candida...come on back to the travel work any time...the water is great! hugs, jesse

  • 6

    Quote from karengeorgebsrn
    good morning!

    as an administrative nurse dealing with budgets, and what we all know is cost-effective care for the recipients of nursing care, there is a monetary crisis in the "health care industry" today. although the nursing shortage remains "critical" there are other variables in play.

    due to an industry shortage getting professors and clinical instructors for interested "adults" who want to become nursing professionals is almost impossible. therefore, educating would be nurses is becoming more difficult to do.

    there is not one nurse; new or experienced that does not see "why one of us" would choose travel nursing, or per diem. it is clearly a financial advantage over nursing staff who are dedicated to one facility, and who make far less per hour. in fact many of us who have worked the floor in large university hospitals have seen "travel" come in and get special handling.

    i recall back in 1997 a male travel nurse come into our step/down telemetry ccu unit at my alma mater. he could not start iv's which all of us had to do up there for we practiced primary nursing. one of our nurse educators worked with him so that he could "start up" and also take simple blood draws. he told her and many of us "i just do not do that and do not want to learn."

    is anyone here smiling at this picture? after many years of hospitals getting hit due to the demand for nursing with "over budget travel expenses" they are getting sick and tired of paying these high fees out; it makes perfect sense.

    for anyone here who is licensed you have the ability to commit to one facility, dedicate to yourself and your profession by doing so, and become a viable part of a family you work with and grow with. i encourage all to see the benefit of "less is more" in this solution.

    thanks!

    karen g.
    [font="comic sans ms"]you have an interesting, though skewed perception of travel nursing...and maybe it comes from being in management, although i'm sure you haven't always been a manager.

    were it not for travel nurses, many hospitals in this country would be forced to shut down. one of the reasons so many thousands have chosen to travel, is precisely, because they were tired of the exact attitude you express in your post.

    i have been a travel nurse for over a decade, and have traveled from one end of this country to this other. prior to becoming a traveler, i worked in a hospital setting as a loyal, tried and true employee...i worked my way up to a position as director of clinical services, in charge of all licensed personnel in the facility. not only did my hospital use travelers, we treated them so well, that the same ones are still returning year after year after all this time.

    it takes a very special type of individual to make it in this field, and it goes beyond what is taught in nursing school. the saddest thing for me, after a lifetime of commitment to my profession, is that we are still in the dark ages, when it comes to supporting each other.

    your post proves this unequivocally.


  • 5

    Quote from lalaem4
    i think when any hopeful rn to be hears about travel nursing, it's like, ''oh my god! how perfect! i can travel and make loads of money!!'' which is the point that i'm at right now.

    can a seasoned traveler bring me down from that (and tell me the good things too) so that i can have an idea about the realities of this seemingly ideal situation?

    will i really be able to save a lot of money working 36 hrs/wk?
    will i be able to jump from one assignment to the next- or are there periods of not enough work?
    is housing as nice as it seems?

    anything else that i left out that might be important please feel free to bring it to my attention. because i'd love to travel, i just want to know how it really is.

    thanks!
    [font="comic sans ms"][color="darkslategray"]traveling as a nurse can be an awesome experience, or a failure...it really depends on your attitude. yes, there are high paying positions, particularly in california, and if your housing and insurance are free, your mileage reimbursement fair, and your hours are guaranteed, then you can make a very nice living.

    however, that being said, you have to approach each job with the right attitude. you must be willing to really be of help to the facility and flexible in what you are willing to do. you must also be firm in declining to float to areas where you are not trained or feel comfortable with the level of care required.

    ...and then there's the attitude of knowing how to negotiate your contracts, so that both you and the agency make a decent return for your efforts.

    yes, there are less than "happy" assignments, but then there are also a zillion opportunities for learning and seeing this beautiful country of ours with fresh eyes, and finding out just what we're made of.

    i've traveled for many years now, from one end of the country to the other. successful travelers never stop learning from each other, and sharing our expertise. each assignment can be an adventure or a failure. i truly believe it is all up to you, and how much time and effort you are willing to invest in searching for that "good fit" in an assignment and location, then going in with eyes wide open, and an attitude of "bring it on!"

    happy travels!:heartbeat

  • 0

    Quote from mjlrn97
    i hope you've got a strong stomach!! the stories we can tell would curl your intestines.........
    [font="comic sans ms"][color="sienna"]lol! you took the words right off of my finger tips!

  • 0

    Quote from caliotter3
    i've been on cases where i questioned the validity of the client receiving services. it does not surprise me to hear that there is such emphasis on getting a good census and keeping it high. i've also thought when i got on these cases where i thought hh was not appropriate, what would i do for a job if the patient were d/c? since i'm not a salaried employee this thought crosses my mind. however, it doesn't keep me from discussing the matter with those responsible for recerts. my managers have only d/c for very obvious reasons and don't do that very often. good example: the case where i was harassed (sexual). i would have d/c that patient in a heartbeat. there was much more going on there, including rampant medicaid fraud, which was known to the agency. now why do you think an agency would not d/c a ticking time bomb case? why would they refuse to correct the unlawful behavior? really makes one think.
    [font="comic sans ms"]unfortunately, for some agencies, even some considered "reputable," the $$$ is the bottom line, and stuff like this happens, way too often, in my humble opinion. however, fortunately, there are reputable companies that allow their case managers to decide if a patient is appropriate, either for an admission, or for discharge.

    we all make our choices, to speak up or stay quiet, and for very different reasons. it's a matter of what you can live with, i suppose. but i'd rather take the high road, whatever the cost. :redpinkhe


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