snmzelle

snmzelle

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About snmzelle

Latest Activity

  1. Homehealth Case Mgt

    lol, I agree with what you said, then I elaborated on the industry.
  2. Homehealth Case Mgt

    I agree. The larger agencies are lowering the bill rate b/c they're able to get relatively young, new nurses to jump on the opportunity to travel and get experience. At the same time, the housing for travel nurses is non existent unless you stay in ...
  3. Homehealth Case Mgt

    I've researched some of the above mentioned, hence my quest for a good company that someone may have actually had experience with. Any reason for your preference for large company?
  4. Homehealth Case Mgt

    does anyone know of good travel nurse companies for Home Health case management?
  5. Nursing Dx

    thank you Debi!
  6. Nursing Dx

    To all of you who offered advise and support, thank you so much. I was indeed terminated. Surprisingly, I was offered 3 other positions since then and am currently employed again for the County with a higher position and higher pay believe it or not....
  7. Nursing Dx

    I'm not considering NP as I don't have the resources to continue on with more schooling. Yes, they did teach Nsg dx in college and I should have refreshed on that b/f I documented. No, they didn't teach me how to chart. the nurse preceptor wasn't muc...
  8. Nursing Dx

    Yes, I realize that now, a little too late, but it is a lesson learned. thank you.
  9. Nursing Dx

    Hi Jadelpn, I am in my late 50's, this was a career change for me. I used to work in medical administration and was going to nursing school during that time. I got a late start so going on to NP or legal nurse is something I would love to do, I'm sor...
  10. Nursing Dx

    that was the attitude I adopted. I filed an incident report when he fell while I was charge and I was reprimanded for it by my nursing manager. She said that it really wasn't a fall, he just slid off his chair. According to CMS, when a pt. slips off ...
  11. Nursing Dx

    this is my first nursing job, I didn't realize that nursing dx is not really used until you just told me. No, msg dx is not the expectation. I should have followed the same pattern as the other nursing notes. I agree that I deserve discipline for the...
  12. Nursing Dx

    I was there when he fell, I say his shift b/c they had me doing cares. To clarify, was my shift as well, but even though I am a BSN,RN, I was doing cares while he was charge nurse. I was walking out of the break room and saw the fall. I should have m...
  13. Nursing Dx

    I documented the behaviors, he needed constant supervision b/c he's a huge fall risk. He fell and I documented it. My nurse manage got mad at me for that as well and the coworkers said that I can't handle him and he is just fine with them. So the nex...
  14. Nursing Dx

    thank you, those are wise words. I will keep trying.
  15. Nursing Dx

    the other thing I charted was: pt is at risk for discomfort d/t catheter leaking. Recommend further diagnostics to rule out possible other causes. Doo foo hit the fan when I wrote that one, big time. I was upset b/c her cath has been bleeding and lea...