I have been a nurse for 10 years, I’ve done hospital (med/surg and DOU), LTC, subacute, home health, and hospice. I started out as a new grad employee and has to go through the whole orientation...
Just did a registry shift where two CNAs didn’t show up and they couldn’t find replacements, and several of the nurses were already pulling doubles. An additional LVN stayed on a double just to...
Zippy83 replied to Leonardo Del Toro's topic in General Nursing
This conversation came up on a night shift where a fellow registry nurse shared an experience from last year during our regional Covid surge. They only had two nurses, one RN and one LVN, show up at a...
First off, I agree that CNAs are both overworked and under appreciated. I have always tried to show appreciation and respect to EVERYONE on staff, CNAs, kitchen staff, secretaries, maintenance....
That's the thing though, the agency pay is still significantly higher than what places are offering to staff employees. It's just that agency pay is stagnating at pre-covid levels and the job offers I...
I’m an agency nurse, and while some places did offer pay boosts during covid (while others had no pay incentives and you were lucky if they had any PPE), I have noticed in the last month, the...
I’ve been a hospice nurse for about a decade now, and had good coping skills related to death and dying, but there was definitely context involved. Now that we are having this insane surge in my...
I said something casually about a hobby I’d pursue if time and money were no object, and my boyfriend of 8 years went off on a topic that has come up many times: if you really wanted to do it, you...
Zippy83 replied to mzsuccess's topic in Home Health
Isn’t this private duty, rather than home health? I don’t mean that you should have to do housekeeping, etc. But it sounds like you are there for a whole shift everyday, rather than intermittent...
I’m a hospice and home health nurse in a city with many celebrities and I’ve had patients ranging from fairly well known to notable in their field, as well as family members of celebrities. I...
I’m in home health, and admittedly already a bit burnt out with patients starting to treat us like Uber. I have one patient who I visit 4 times a week. She’s already a bit difficult to schedule....
Since I started in home health and hospice it’s gone from patients being OK with just knowing the day and whether it would be an a.m. or p.m. visit, to giving a two hour window, to now at best...
Zippy83 replied to aksti1018's topic in Home Health
I have done up to 9 visits a day if all were follow ups and relatively simple, and not too far apart. However that would be one long day in a week with other days being 4-6 visits. There’s no way I...
Zippy83 replied to Nursevibes's topic in Home Health
I can see why HH would seem like a better option while finishing school, but just FYI there are scarier things in HH than dogs and cats. The flexibility can definitely be there in terms of your...
To clarify, if I did see her first thing in the morning it would be Monday/Thursday, or on Tuesday/Friday I can see her with that other cluster of patients in the area. Those were the options I gave...
Also because it’s traumatic for patients and families. When I came in as a hospice nurse to see a patient at a SNF, the charge nurse there had some kind of beef with our hospice agency and was...
Zippy83 replied to sunnysideRN's topic in Home Health
Axxess, Devero, and HospiceMD (I work with two HH and one Hospice) Axxess is the best software I’ve ever used! Super user friendly, once you input certain info you can override each new note and...
Zippy83 replied to sunnysideRN's topic in Home Health
You’re full time but PPV? Do you mean that you prefer to have a full schedule and usually do, but are per diem? You can’t be classified as a full time employee but also paid per visit, at least...
Zippy83 replied to NurseYaYa30's topic in Home Health
It can be hard to compare markets, so I’ll put it this way: My total per visit rate with mileage is about 1.6 times what I would make per hour at an hourly job based on my current level of...
I have always, my whole life, had a kind of stage fright when being tested or supervised, even if I am 100% confident in the task and confident in teaching or training others. Our home health is...
So my favorite home health agency that I currently work for is being sold, and yesterday without any warning, the outgoing DON informed me that the incoming DON will be joining me on a visit so that I...
This kit actually didn’t have a stat lock or a bio patch included, whoever made it at the infusion pharmacy was probably not clinical. Luckily I noticed that the bio patch was not there and I did...
Zippy83 replied to bluenurse10's topic in Home Health
I do both hospice and home health and love both. I would gently caution the use of the term ‘traditional’ for home health and referring to hospice as if it is some form of nontraditional or...
That has always been my dream to squeeze all of my visits into three days a week. No matter how hard I tried, it has just never been possible. I work for multiple agencies, but they all assign...