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Back to the question, I don’t think mom was being manipulative. I think she was really just concerned about having a permanent nurse. Maybe she is just tired of the agency saying they have a permanent nurse for her, but then they never send one.

Remember that other thread you asked about the BSN? This is an example of why it is good to have just in case.

Night shift is 11pm-7am Im not sure what would happen if the previous shifts missed them

While I have my BSN( obtained Aug 2021) been an RN for 14 years, and an Lpn four years prior to become an RN, I struggle to get hired into a med surg position. I’m not sure what’s going on with the hospitals in my area. But the only companies I do receive calls backs from are homecare companies and some LTC facilities. Most of my experience is in peds Pdn working with trachs and vents. I worked per diem at a nursing home in 2009 for a year. I also still work PRN making skilled visits for two companies. I’ve done skilled visits for 1.6 years now. I starting working in an subacute rehab facility for six months now, but it’s boring. They don’t have enough high acuity patients. No vents, barely any feeding tubes and IV. I tried to find hospitals that were willing to train non acute care but experienced nurses that want to work in acute care settings.

A good idea. Whose to say that homecare won’t move to an all Lpn model?

60ml x 24 hours is the hourly rate. That part was clear to me,but I guess orders are written differently depending on the setting

I don’t see how anyone could think 60ml is the volume, because 1000ml is listed as the volume. The order I wrote is the exact same one I saw in the chart.

It’s so interesting how we all interpret the order differently,although I had to squint at the posters saying the rate isn’t specified.

I think nursing employment is moving toward outside of the acute care hospital model again. I read somewhere that hospitals are not the main employer of nurses anymore. The hospital based nursing employment is actually newer than you think. Most people prior to 1900 were actually taken care of in their homes. So home care is where most nurses were employed before hospitals became a thing. It’s the original nursing specialty. The first private duty agency I worked for gave a really fascinating history of Pdn. It mentioned nurse registries and that families could call and hire nurses. It is really interesting.

60ml is the hourly rate

So, does NJ Governor Murphy’s mandate for healthcare workers apply to nurses in non congregate settings?

I wondered this myself but eventually got the BSN. I have about 27 years more to work before retirement. I started out in private duty but did work occasionally in a LTC facility until 2009, so it was all I knew. I now work in a rehab facility, and I don’t like it. I do not like the paperwork required, my time management sucks, but most importantly I hate supervising CNA’s . I’m totally not cut out for that. I like being responsible for my work ONLY. Not to mention there are not enough CNA in the facility, so I end up changing residents and still have to pass medication. I don’t mind changing a resident, but I can’t do both. Having the BSN allowed me to try the other side of homecare- skilled visits. The VNA in my area only hires nurses with a BSN. I say get it just in case. What happens if private duty agencies require a BSN in a few years? What happens when you get tired of the low pay and want to earn more? At year 15 of working in PDN,that’s what exactly happened to me. I got tired of getting no raises, astronomically high health insurance, and not to mention my skills outside of Pdn were going “dry”. I felt like a new nurse all over again when I started working in the rehab center. WOW! was a Lifevest? Cardio net? How do I draw labs from a PICC? What is a bladder scan? I didn’t even know how to do a 12 lead EKG because we don’t really use any of those skills in Pdn.

I wasn’t the nurse who started the order. The IV fluid had already been running 9 hours prior to me arriving on shift. I didn’t write the order nor start the fluid. By the time I started my shift 9 hours had past already.

Thanks so much. Since Governor Murphy announced last week that healthcare workers must be boosted I assume this still applies to homecare nurses. He only mentioned congregate settings though.

Because the doctors do not like us to call them at night unless an emergency. I got written up for calling a doctor about a fall that didn’t result in injury. I asked supervisor and she stated the 1000 meant the volume in the bag. That didn’t make sense to me either.