tangobango

I have been working as a telephonic care manager for Humana for several years. It used to be an excellent job. Now they micromanage you to death. We are salary exempt but you would never know it. We actually have to let our boss know by way of aux codes on our phone if you leave your desk for 5 minutes. Bosses come at you to "coach" you about your metrics with incorrect information. The nurses are leaving in droves. Moral is at an all time low. I haven't gotten a raise in I don't know how long. Looking for a new job.

Hold on a minute. The only one who should feel bad is the Dr. I cannot fathom a Dr not communicating with the nurses. She is in the hospital where she belongs. Not for one minute should you think that you let your pt down. How on earth were you supposed to prevent pneumonia and failing kidneys. I would refuse to take any cases that had that Dr's name on it. I would also document thoroughly your attempts to communicate with her. Complaining with your states agency is also not out of the question.

I am sold on Medihoney for slough and necrosis.

I have had great results with Profore. If the client has mixed venous/arterial disease get the Profore Lite and carefully read the instructions as too much compression is dangerous. Under the Profore I have used Xtrasorb for heavy exudate. The stuff is amazing at absorbing fluid. Also, if there is slough in the bed the medihoney products are excellent for removing the slough (great for necrosis too). As the wounds heal and the edema resolves compression with Jobst stockings are necessary ALWAYS while the pt is oob. They must be applied as soon as the client gets oob to stop edema. If a shower is needed then elevation prior to putting the stockings back on for at least 30 minutes is required. If Jobst stockings are cost prohibited, then a product called tubigrip will usually be covered by insc. (Jobst are not and are expensive) Tubi Grip comes two ways, pre cut or in a roll, and both require a measurement of the calf. They can be put on fairly easily and can be doubled for additional compression. The only thing that heals and prevents venous ulcers is compression.

I think that as long as you assure the appearance of favoritism never exists than have at it. Do tell admin ASAP that your great grandma resides there. I would have loved to have had the opportunity to take my breaks sitting with my long gone relatives. At her age these are precious few moments left to cherish.

I work in the Tampa Bay area. My pay is good. I start seeing pt's around 0730-0800. I work until about 12 or 1 in the afternoon. I do have paperwork to do at home and it can be extensive depending on my day and the clients needs. I am full time but per diem. Accepting or rejecting cases as they come in with a certain amount I must do each week. This is at my discretion as to when I see them of course meeting their needs. Depending on their insc. supplies are ordered form supply companies or provided by your agency. Your tools of the trade that you use to complete your assessment are provided by you; ie. stethoscope, pulse ox, ect. I went from years in the ICU to home care and will never look back. It is truely the very best job I have ever had. :hpygrp:

Me Too!!! Add a bit of skin prep and leave it alone for up to a week. Can put a tegaderm over it for the ability to shower.

I don't know about that particular company; however, as long as there are other opportunities in your area in case this doesn't pan out why not give it a try. What is good for one might not be suited for another. There is only one way to find out. One thing I have noticed in nursing is that moving around in different companies and roles is not held against you. I was a critical care nurse for years. I have been staff, per diem, agency, charge, and traveler. I have worked in too many different units to mention in several different states. I have never been happier in any job I have ever had than I am in home care. Swallowed that critical care ego and took the plunge. I have never regreted it. I say go for it. :yeah:

I had a patient that I was treating for a great toe infection. The podiatrist also ordered skin prep to his heels BID. He was diabetic but well controlled. His heels had thick dry rugged callouses on them. Well, after a few weeks the callouses dried up, fell off, and reveiled a thick smooth normal heel. I was flabbergasted and won't question that practice again.

What a nightmare. That is not my experience at all!

I have been in HHC for 2 years and the infusion company has always provided all the supplies for the administration and maintenance of any IV access.

I have worked for Interim in Florida for 18 months. I absolutely love my job. I was a critical care nurse for many years and home care with Interim has been the best job I have ever had. Interim is a company of franchises so it is important to not judge office one against another.

It is high tech @ my agency.

Hi. I am a critical care nurse that is going to transition to home health care in Florida. Any information that would be helpful would be appreciated. Like other helpful web sites, tips, tricks, & things to avoid. Stuff to have on hand. I'll be per diem in the Tampa Bay area. Have not decided which company to work for yet. Also, the tests that need to be taken prior. What do they usually consist of besides OSHA, ect. Thanks in advance. Leslie.