josie9toes BSN

josie9toes has 9 years experience as a BSN and specializes in Pediatric Home Health.

Latest Activity

1. 

   How do you...? 2 questions.

   josie9toes replied to josie9toes's topic in General Nursing

   @abbycdps, he can't do anything. Severe anoxic brain injury, classified as brainstem only functioning, although there is clearly brainstem injury too (pupils fixed) and some small things that point to minimal functioning above that level (crying from...
2. 

   There's A Bright Side To Night Shift

   josie9toes replied to JBMmom's topic in General Nursing

   I used to hate nights, but I have young children, and it allows me to stagger shifts with my husband and spend more time with them. I hate to be away at all, but they miss me less at night.
3. 

   How do you...? 2 questions.

   josie9toes posted a topic in General Nursing

   1. How do you stimulate a patient to void when they are retaining urine? I can find lots directed at patients or the caregivers of patients who are alert enough to participate, but what about a minimally conscious patient? My patient survived a sever...
4. 

   Incontinence in Home Health Care

   josie9toes replied to meaganh22's topic in LPN/LVN

   Good questions for an interview. My first peds agency had a 35lb lifting limit. Anything over that, the parents had to transfer, or we used a hoyer. In home health, you can end up using a hoyer solo. If a client is very large, personal care can consi...
5. 

   Need advice

   josie9toes replied to MTRNlove's topic in Home Health

   I would do it. You already know the client, which is a huge plus for the other agency. Contact them, and let them know that you're ready to sign on with them as soon as your preferred soft opens up. Give proper notice, and who cares. If a future inte...
6. 

   Cough assist with uncuffed trach?

   josie9toes posted a topic in PICU

   Background...peds home health, 7yo with uncuffed trach, on vent as needed (sleeping or low RR), anoxic brain injury documented as "brainstem only" but retains the tiniest bit more than that. Mouth open with large protruding tongue, unable to close ma...
7. 

   Pediatric home nurses

   josie9toes replied to montinurse's topic in PICU

   I live in Portland, OR. I am a peds home health RN with my BSN and 5 years of experience. My current base rate is $34/hr. Maxim pays the least ($20/hr last I checked), and KidsCare pays the most (currently $41/hr). I'm willing to take the hit to have...
8. 

   Starting in Hospice/Home Care?

   josie9toes replied to CJisRNBSN's topic in General Nursing

   I went straight into home health in a city FLOODED with nurses. It looks to me like there are always med-surg positions available to those without prior hospital experience. That's how you get a foot in the door of a hospital.
9. 

   How the heck do you get a foot in the door in Portland, OR?

   josie9toes posted a topic in Job Hunt

   I'm an ADRN in Portland, Oregon. I graduated in June 2015 and found a job in pediatric home health almost right away. I've been stuck there since. I applied to the Legacy residency twice while I still met the new grads requirement but was never sele...