Ruth E. Raleigh

Ruth E. Raleigh

Home Health

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All Content by Ruth E. Raleigh

  1. How soon can I quit a new job?

    Ruth E. Raleigh replied to floridaRNsb's topic in General Nursing

    Ask yourself whether your unhappiness at this new position is causing you to make errors in your patient care. If so, then you would want to leave. Other nurses have recommended sticking it out but...

  2. Travel Nursing - What do people think?

    Ruth E. Raleigh replied to Nursetom1963's topic in Travel

    Travel nursing pays wonderfully higher rates, much higher than you would be able to get just being a regular staff employee. You get paid for your housing costs provided you are a certain distance...

  3. Ethical dilemma

    Ruth E. Raleigh replied to Testing1.2.3.'s topic in General Nursing

    After more than 45 years in nursing, this is how it is done, just saying. Unfortunately, trying to take the time to show and correct another nurse's behavior may not always be taken the way for which...

  4. Ethical dilemma

    Ruth E. Raleigh replied to Testing1.2.3.'s topic in General Nursing

    In order for a note to be billable to insurances, copy and paste should NEVER be used, not in the hospital, and not in home care

  5. Ethical dilemma

    Ruth E. Raleigh replied to Testing1.2.3.'s topic in General Nursing

    Talk to your immediate supervisor about it as to what to do. Let them handle it from there. Knowing about it and not saying something is just as detrimental as being complicit. Get that monkey off...

  6. Got fired from a contract; should I take their reason seriously?

    Ruth E. Raleigh replied to allthesmallthings's topic in Travel

    What was interesting to note is that for each location, I was placed by a different nursing agency. In both instances when I called the agency to let them know that I was called in, both agencies who...

  7. Got fired from a contract; should I take their reason seriously?

    Ruth E. Raleigh replied to allthesmallthings's topic in Travel

    I have had approximately 30 years of experience in doing home health/hospice nursing care. In 2016 I had 2 contracts for the same large HMO company here in California. I was at 2 different...

  8. Sigh.....Suspension

    Ruth E. Raleigh replied to Miss Lin's topic in Nurses Recovery

    ALWAYS A GOOD IDEA TO HAVE LEGAL REPRESENTATION, NO MATTER WHAT. ALWAYS is a good idea to have malpractice insurance. Yes, they will cancel you if you have aclaim, despite years of...

  9. Sigh.....Suspension

    Ruth E. Raleigh replied to Miss Lin's topic in Nurses Recovery

    Not being fully aware of the situation, you DID hire a lawyer, didn't you? Please say yes. Do NOT engage with BON without a

  10. Flu Vaccine administration error?

    Ruth E. Raleigh replied to JLGtravel's topic in General Nursing

    Maybe a one-inch needle only for a thin person. Sounds like the medication was absorbed either subcutaneously or IM. Still should be

  11. Please Give me a Reason to Stay in Home Health

    Ruth E. Raleigh replied to AI_RN's topic in General Nursing

    As a nurse who has done home health for approximately 30 years, I concur with ALL of the nurse's above written statements regarding home health. Once upon a time, nurses working in home health really...

  12. Orientation Pay Less Than Negotiated Rate. Normal?

    Ruth E. Raleigh replied to ug33's topic in General Nursing

    While it is so difficult to say a definite "yes" or "no" answer, many states could have different labor laws and pay rules. Home Health as always had its own unique pay structure. If I am correct,...

  13. Long-term care or clinic for new LPN?

    Ruth E. Raleigh replied to Nurse Beth's topic in Career Advice Column

    Definitely long-term care setting! You will learn organizational skills, treatments, your clinical skills, especially wound and skin care will be gained by working in long-term care. Although very...

  14. Please Give me a Reason to Stay in Home Health

    Ruth E. Raleigh replied to AI_RN's topic in General Nursing

    Yosemite RN is absolutely right in his/her statements. Absolutely EVERY visit must be justified. Over-utilization will NOT be reimbursed by Medicare/Insurances. The much-maligned OASIS...

  15. Please Give me a Reason to Stay in Home Health

    Ruth E. Raleigh replied to AI_RN's topic in General Nursing

    As an RN I have done home health for nearly 30 years. At first, doing home health was not a job, it was a hobby. HOWEVER, in 1998 came the OASIS Documentation. That certainly changed the direction...

  16. New Graduate Nurse Looking for Advice

    Ruth E. Raleigh replied to newnursegirl's topic in General Nursing

    Take the Telemetry position. In order to do home health, a nurse needs to develop his/her assessment skills first in knowing how to assess patients cardiovascular/respiratory status, and general...

  17. New Grad seeking advice + reassurance: I will be taking 7 patients on med surg day shift

    Ruth E. Raleigh replied to emmaroseRN's topic in General Nursing

    As a practicing RN of 4 decades, I remember doing RN primary care in the hospital. There is NOTHING that can replace the old fashioned manual assessment of the heart, breathing and vitals by the RN....

  18. Soon To Be Off Probation - Looking To Change Nursing Fields

    Ruth E. Raleigh posted a topic in General Nursing

    In November, 2025 I will be off probation. I am extremely lucky to have been kept on at my current job in home health. I LOVE my job and have done home health for almost 30 years, but I admit that...

  19. California nursing pay

    Ruth E. Raleigh replied to kraft Wek's topic in General Nursing

    The cost of living is VERY high here in California, be it Northern California, or Southern California. Like the above post said it depends on where you live I.e., close to a major city such as Los...

  20. Hospice Nurses! Help!

    Ruth E. Raleigh replied to Nurseynurse2424's topic in General Nursing

    ALWAYS OBTAIN CONSENT FIRST. Depending on which state you are in, I am in California and it is considered assault and battery to touch a patient first, without those written consents being...

  21. Soon To Be Off Probation - Looking To Change Nursing Fields

    Ruth E. Raleigh replied to Ruth E. Raleigh's topic in General Nursing

    This was based on a complaint from a patient and her mother. I did specialty infusion with IVIG. Pt was put on IVIG infusion, but the insurance, Medi-Cal (Medicaid), only allowed 2 hours for the...

  22. Returning to Nursing after a year away

    Ruth E. Raleigh replied to VegGal's topic in General Nursing

    There are a lot of jobs that will not require you to handle IV's and foley/indwelling urinary catheters. Probably a remote work from home position, telephone triage, etc. where you are not directly...

  23. Have you ever been bullied by someone who had seniority over you?

    Ruth E. Raleigh replied to BeatsPerMinute's topic in General Nursing

    If this nurse with only 2 years of experience lies and manipulates, that nurse WILL eventually be caught. How long it takes is hard to determine. I remember when I had a tough situation come up I...

  24. Could I get into trouble for this?

    Ruth E. Raleigh replied to SentinelTruth's topic in General Nursing

    The Boards of Nursing are very stinky in deciding to discipline a licensed nurse. What seems to be a harmless thing could quite possibly turn into something. In the event you do hear from your state...

  25. Help!! Should I use NSO attorney to fight BON Charge

    Ruth E. Raleigh replied to Just.Blessed.RN's topic in Nursing Professionalism

    By ALL MEANS GET AN ATTORNEY STAT. Do NOT even speak to the BON investigator without consulting with NSO sponsored attorney