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Emm_RN's Latest Activity

  1. Emm_RN

    Pay Question...

    Hi all, I recently interviewed for a rapidly-growing home health agency within my immediate area. I currently do work for a home health agency and I am paid salary. I am interested in the HHA I interviewed for, as they need a hospice nurse for my area and I have been itching to get working with another company for a change of pace (getting burnt out for multiple reasons which I won't go in to). My question is this, which pay is better in home health nursing? Hourly or salary? This job would be hourly around the same "hourly rate" I'm getting at my current job, and I do not want to be short on money. It is not pay per visit, which is good, but I'm not sure I completely understand how hourly pay works in home health. Does that account for charting, driving, etc..? I am shadowing this weekend so I will ask all of these questions then as well, just anxious/excited and looking for some answers. Thank you in advance!
  2. Hemoglobin of 3.6 when I worked in the ICU. Could not understand how this kid was just slightly pale with no other symptoms. Cannot even tell you how many times we rechecked because everyone was baffled. Still to this day I wonder if we were in the twilight zone that shift.
  3. What a fantastic article. Thank you for sharing, you are an incredibly strong person!!
  4. Emm_RN

    Gender Bias in Health Care

    Very informative article! I recently had a patient in homecare who had her knee replaced after YEARS of practically begging for it. It took them several years to even X-ray it. She said she always felt ignored. Meanwhile, a male patient I know who is obese is basically being handed a knee replacement and has not been asked to lose weight first.
  5. Emm_RN

    Nursing Smells You Love?

    Unisolve adhesive remover pads, and on a more strange note.. I LOVE the smell of a clean assisted living facility. Like you know what goes down there but the way they cover it up gives me such nostalgia about my CNA days! Relaxes me!
  6. Emm_RN

    Promotion advice?

    Thank you! I want to do the best job possible if I am given the opportunity.
  7. Emm_RN

    Promotion advice?

    I should have added that I have stepped in as interim manager a handful of times in the exact position that I applied for and the interviewing managers have been impressed and asked me to apply. I recognize the lack of experience however most of our issues arise with home health specific problems and I have often precepted in our agency so they are happy with my knowledge base. I’m aware I do not have a ton of nursing experience but I am always taking any opportunity I can to strengthen my knowledge. Thank you for the helpful input, it has certainly given me a lot to think about!
  8. Emm_RN

    Promotion advice?

    Thank you all for your input. I certainly would be willing to do anything to help the staff out, as those are always the managers that stick out most in my mind. I have been told that no other internal employees have applied so I don’t think that it will necessarily be an issue with seniority or anything like that. I had a stint in the office while I was on light duty and I got a lot of positive feedback from the staff I was managing. It’s looking like I’ll get it because they all but said the interview was a formality since they already know and trust me!
  9. Emm_RN

    Promotion advice?

    Hi fellow nurses, Just looking for some tips. I am working in home health and have just interviewed for a Clinical Coordinator position overseeing a team of nurses in a few different zip codes. I am going to be starting my MSN in Leadership in January. I have never been in a supervisor position before, and while I have no trouble with communication, I am concerned that because of my age, I may have to fight for respect. I have been a nurse for four years and I will be 25 next month. I'm perfectly qualified for the position, but I'm just not sure how some of the nurses will take it if they have someone so young overseeing them. Does anyone have any tips on how to be a good supervisor and gain respect from nurses who have double the experience and age advantage? Thanks!
  10. Emm_RN

    Just be professional, period.

    I’ll start by saying I hate social media for these exact reasons.. also, it hurts my heart and terrifies me that nurses put so much time and effort into things that are not work related at work! My parents always raised me with the principle that while you are at work, you work your little butt off no matter what! I would never DREAM of pulling my phone out unless I’m on break and out of view of patients. I’m in my early 20’s and I can’t stand most of my generation. I can’t even think of a time when my phone or anything else was a priority at work. I feel terrible for the patients now and patients of the future.
  11. Emm_RN

    Should I recertify this patient?

    I would probably recert this patient and put in a spaced out visit pattern, perhaps 2week1, 1week3 and encourage her to get a cuff to check on non-visit days and to call into the agency/doctor with abnormal readings. Once she is comfortable with that, BP is stable, and she is taking appropriate actions to maintain BP, discharge would be appropriate.
  12. Emm_RN

    Medigrip tips please??

    Thank you both for your input! I can actually completely picture the pantyhose trick and it makes perfect sense so I’ll give it a try! Thank you!
  13. Emm_RN

    Medigrip tips please??

    Hi all, I work in home health and have been a nurse for just around four years. The other day I had a few patients who had diabetic ulcers needing treated and they both had medigrips ordered to place over their dressings. This is more of a, 'is there an easier way to do this' question. They had both been getting calcium alginate to their wounds, wrap the leg with kerlix, then apply the medigrips. I struggled to get those darn grips on without bunching up the kerlix and messing up the entire dressing! Not to mention being panicked about having everything straightened out so they don't have more ulcers form. Does anyone know of an easy way to apply medigrips over a bulky dressing that doesn't involve the nurse sweating and the patient at risk for more skin breakdown? Thanks!
  14. I'm looking for some honesty here, because I have a lot of self doubt. I had a phone interview for a telephonic care manager position which I'd love to have and be able to work from home. I was very caught off-guard, as I did not receive any notice of the phone interview. The supervisor simply called and began asking me interview questions. I'm a visiting nurse, and I was on my way to go see a patient who needed me as soon as possible for wound care, so I was driving too when she called. She was very nice, and asked me first why I was looking for a change. I told her that my hours have become unpredictable and that I'm looking for more non-clinical work aimed at helping patients with insurance needs, because I feel bad for how confusing and overwhelming it must be for these patients. Face-palm for telling her my hours had gotten unpredictable, although I did not trash talk my organization or boss. She then asked me about my strengths/weaknesses which I answered, telling her I was a very organized person and had good communication skills, and that my weakness is a touch of OCD which causes me to initially take longer sometimes due to double checking, but that I am working on it. She asked me about my daily duties on my job, I told her about seeing my patients and case managing, touching base with doctors/family, supply companies, etc. She then took the last half of the interview to tell me about the position, the hours, what a typical day looked like, and what orientation would be like. The do prefer someone with home health experience which I have over a year of. She said to look out for an email or phone call if they would choose to bring me in for a face-to-face interview, but I haven't heard anything one way or another. In our health system, we can go online to view our application status, and it says "Not in Consideration," but the last job that said that called me shortly thereafter to offer the job and said that the website wasn't always right. I guess I'm just worried since it's been a week and I haven't heard anything, good or bad, and why did I have to even mention my unpredictable hours at my current job?! I'm normally a very good interviewer, but I think I was so caught off guard and I had patients calling me on the other phone and I didn't have time to pull off because I had to go see this patient. I hope I didn't screw this one up, I've never wanted a job so bad before. Any thoughts- honest thoughts please- would be appreciated so that I can hopefully put my mind at ease until I hear, or don't hear, something. Thanks!
  15. Emm_RN

    A Day in the Life of a Home Health Nurse

    This couldn't be more spot on!
  16. Thank you all for your replies. My manager and I have a fantastic relationship but the reason I am looking for a new position is due to health concerns. I don't think I told her because just in case I decided to stay, I didn't want to be known as that person who was looking to leave. I may just mention to her that I am looking because I do not want to have a bad relationship with her going forward. Thank you all for your input.

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