jlynn2303 4,796 Views
Joined: May 15, '09;
Posts: 106 (18% Liked)
; Likes: 54
Hi, I am working in HH and I love the actual work, it is the charting that drives me crazy. My supervisors keep changing my OASIS/ assesment answers to ones that just aren't true, especially in functional scores. I am guessing that the aagency gets paid more if the patient is graded as being in worse shape?
For example, a pt with chf, copd, dementia. Still walks talks, continent, bathes self. No walker, cane needed at all. My answers were downgraded to umust use bedside commode, unable to transfer self. Then OT came in and rated her independent all adls, which I would agree with. I am baffled.
I am currently in the FNP program at IWU and the one thing that has me considering not finishing us the freaking portfolio. I am not stupid by any means. I carried honors in my other masters, on nursing school and currently in the FMP program. I have written theses for two different programs and did well on both, bu the instructions for this portfolio seem insanely arcane and can mplucated to the point that I find that - and only that utterly immobilizing. It is to the point that I am willing to PAY SOMEONE to put it together for me . I am absolutely serious. I have paid for a professional resume service, how is this different? The work itself will be mine. If anyone here is familiar with a setbice that does this, or who has done it and done it well themselves, please let me know! No idea why I find this particular task sp overwhelming, but I am old enough to accept it, pick my battles and move on. If you can help, hit me up!
Hi has anyone heard of using santyl as part of a wet to dry dressing? As in applying the santyl then putting wet gauze over it then covering it with a foam dressing?!
Geeze, scanning too fast and misread it as How many NP's does it take to diagnose a patient? I thought it was a joke, like how many politicians does it take to screw in a light bulb! Actually, I think I like mine better. So- what do you think? How many NPs does it take to dx a pt? 3? One to see the patient, one to comb through ICD-10 and one to argue with the insurance company? Make that two to argue!
Hi, I am about 9 months into the 2.5 year FNP program at Indiana Wesleyan and I feel like I am repeating high school and undergrad. In the last nine months we have covered the three branches of government and their duties (high school civics), how to use APA citations (undergrad) and I am now in a six week class on how to write a literature review (undergrad). I should not have to repeat high school and bachelor level work in grad school. I have learned nothing new, and nothing I will use in actual nursing practice. We only get 8 weeks for advanced pharmacology! Six weeks on how to write a lit review and 8 for pharmacology?! Give me something that I will actually use! Advanced wound care, 16 weeks of pharm, extra path but stop wasting my time on junk like how to write an op-ed. Seriously?! Are these things actually going to be on boards? You know, if I am ever in the ICU, the first thing I want to know about the nurse is can she use APA citation correctly? We only get 4 weeks on physical assessment.
I ended up here because my NP recommended the program and I like her. Are all FNP programs like this?
I am in it. How is it going? I started Nov 2015.
Hi! Good to hear from another admitted student! I am just starting what looks to be a challenging stretch- biostats to pharm to advanced path...but honestly at least it is pertinent, unlike writing about the three branches of the federal government. Man. I wish we could spend more time in school on stuff we actually need- like stuff we will actually USE in the job! I am worried about biostats which I am starting TODAY. I set it up to work part time, as the older I get the more I value my sanity!! Any way you can work 12s? Pay some stuff off before then?
I don't know but it is one of the things I like least about nursing. I have not found it everywhere I have worked as a nurse, but I gave run into it a lot more here than in other professions in which I have worked. It reminds me of Junior High sometimes. Maddening.
I thought so too! Makes sense to me, but, no. When I worked for hospice and had a lot of local patients, I could not get paid at all for mileage a lot of days. In this job, (HH) I can easily drive 85 miles to my first patient, 85 home, and maybe 10-15 miles from pt to pt in that area. So, from this they will subtract 42 miles off the top, then pay me .25 cents per mile for the rest. I checked the IRS site and in order to claim mileage from home to my first patient, I have to have a dedicated home office - my desk is now my dedicated home office space! I would be eating a huge chunk of my mileage expense otherwise. I lived close to the office for hospice - 2.5 miles, but I am an hour and a half from my current office.
They subtract 21 miles commute to work and 21 miles from work. The last place I worked it was 18 miles each way. My commute was 2.5 miles, so I had to wat the rest of the mileage.
Hi, just starting in HH and looking for apps that would allow me to track number of visits per day, oncall days/pay, total mileage, business expenses, etc. This agency pays .25 per mile and subtracts 42 miles per day that they consider to/from work. I want to track to see if there is a better way to do my taxes.
I have been hunting, so far haven't seen anything specific that would allow me to track number of visits, on call pay etc. It sure eould make my life easier though!
Any thoughts appreciated! Thanks in advance!
Hi, I am slated to start in Nov 2015, but have concerns that they are so vague about the financial aid. What has your experience been? I have never heard of a school that does not reveal financial aid umtil AFTER classes start. I don't want to be blindsided after I am alreay in and owe money.
Hi, I have been a nurse about 5 years, and have done mostly hospice with some LTC (about a year) and chronic dialysis (about 6 months), with hospice being the most recent. I am worried that I have forgotten a lot of things I will need.
Any suggestions as to what to review?
Do you think it is better to start on 3rd shift or first? Or a mix?
While the hours in hospice were veeeerrry long, with a lot of on call, they were not 12hrs on my feet. Any suggestions to help the transition for my back and legs?! Lol.
Do you know anyone who has graduated and passed the licensing exam? How hard was it to set up your clinicals? What is the eval process re: clinicals? Did you have to pay your clinical instructors?
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