SuzanneRNLA

The Agency where I last worked Home Health started out as pay per visit. They got sued (not by me) because they didn't take in account driving time between patients, or documenting time. They lost, and they went to hourly pay, which was way more beneficial to clinicians. I'd probably never take a pay per visit job again! I don't know where you live, but this was in California. Good luck!

This is serious. But, is there a pattern to this? Does it occur at certain times of the day, certain classes, etc? If you truly believe it's anxiety, does your school have a counselor she could talk with? I know these are stop-gap measures, and she definitely needs to be seen by her physician, but it can't hurt to try.

Has your patient had PT, OT, Nutrition Evals? These disciplines can have a positive impact on Huntington's. Also, have they considered genetic testing/counseling? All the best to you and your patient.

I'm an RN, retired in March, 2021. I'm licensed in 3 states, Michigan, California and Louisiana. I knew I'd never return to live in Michigan (left in 1984) and I was leaving California for good (except for visits.) I just didn't renew those two. No problem. I did keep my Louisiana license active because I live here now, don't plan to return to work, but you never know. Just have to do the CEUs every two years. Good luck on your retirement.

As a Pediatric RN for 26+ years, I've learned that the old fashioned lemon drops work very well for stopping nausea/upset stomach. We gave it to our chemo kids of all ages. (Works for me, too.)

You are correct. But every RN I've worked with in CA who received license by endorsement never had a problem with getting the endorsement. Including me. I worked in a military town, and we had nurses from all over the USA. Florida, because of their approving non-accredited schools created another whole problem. Always call or message the BON to ensure requirements.

NRSKarenRN, Please read previous comments regarding CA requirements by endorsements. There is a link to the CA BON, and you can always message or call them directly with questions.

This is from the https://RN.ca.gov/applicants/lic-end.shtml Coursework Exemption for Out of State Applicants Effective October 1, 2023, section 1410.5 was added in Article 2 of Division 14 of Title 16 of the California Code of Regulations (CCR). This section, Coursework Exemptions for Out of State Applicants, will streamline the endorsement process by removing the requirement of a lab component, an educational barrier frequently encountered by out of state nurses who want to become licensed in California. If a nurse has successfully completed all other California educational requirements, including the theory component of anatomy, physiology, and Microbiology, and has been practicing in good standing for at least two years in another US state or territory, then they will not be required to retake an anatomy, physiology, or Microbiology course that includes a laboratory component. Criteria has been established that must be met to receive the education exemption and is set to ensure that the applicant has the necessary education and training to practice safely: Proof of successful completion of anatomy, physiology, and Microbiology coursework, with or without a laboratory component must be provided to the BRN via a complete transcript, submitted by the school, of the courses prescribed by the Board for licensure as outlined in CCR section 1410. At least two years practicing in another US state or territory, in which the applicant is licensed. Verification of licensure in the other jurisdiction, to ensure that the applicant is safe to practice in California.

I'm from California, lived in Michigan and graduated Nursing School there. After working 7 years in Michigan, I returned to California and received license by endorsement. Here's their website explaining what you have to do. https://RN.ca.gov/applicants/lic-end.shtml Good luck.

Every place I've ever worked with paper MARS, if a med wasn't given, the time would be circled and initialed. Then documented in the narrative patient's record why med wasn't given.

I faced the same decision when deciding to further my education when my kids were all in school. Tough decision. But, I decided to just go for the ADN rather than the LPN because I knew that time would go by, regardless of which I had. Also, at that time, there were way more job opportunities for RNs than LPNs. What helped was that for my ADN, I could get most of my pre-requisites completed on a M-W-F schedule, which helped my family. And the Nursing classes usually were 3-4 days/wk. Took me three years, instead of two, but I was able to work summers at what they called a Nurse Aide Student (RN students only.) Got my Bachelor's degree five years later (college had an evening class schedule for working adults.) Then my Master's ten years after that. Good luck with your decision.

We did that a long time ago. I also remember using sugar on pressure ulcers, when I worked in a Nursing Home as an Aide before Nursing school. They don't do that any more.

I worked Home Health for 11 years. Never needed to change my car insurance because it was 'driving between jobs (visits.)' If you want to claim car expenses for tax deductions, you have to do a lot of math, with work mileage, your own use mileage, and reimbursement mileage. So I didn't do that. Good luck, I really liked working HH. Could basically set my own hours. Also, if you're in California, a lot of companies pay by the hour now, instead of per visit. Some got sued because driving time between patients was not paid. Someone else sued the company I worked for, and we all got a nice little check for back unpaid hours. Plus interest. Good luck.

Also consider Home Health. I started HH in my 60s, made as much $$ as I did in the hospital, got to choose my hours. Most patients aren't critical, but I did have to call 911 and they got admitted, on a few patients. Your assessment skills are excellent with all that CC experience. One drawback: even on days off, I got asked to take an additional admit or cover for someone, but the company I worked for usually let my 'no' mean 'no.' No coercion. Good luck.