love2beanurse

I worked in dialysis 3 years before getting into home health. I really enjoyed dialysis at the time because it was mostly routine once you learned it. It did become redundant and the income was just mediocre. When a home health job became available I decided to jump on thr opportunity. I'm very glad I did. I love the flexibility of the job. I also love the one on one time with my patients and being independent in my job. The charting is the only con with home health. It is a lot to learn but not too bad once you get it down. Things change a lot in home health too. Overall I wouldn't go back to dialysis or hospital after being in home health for 4 years. They say you will love home health or hate it.

Thanks for the great info!

Glad to hear about the kci prevena, this particular pt did not receive that particular brand of vac. Dr did not specify which brand pt needed or type of dressing in particular. I will mention this to surgeon. Thanks so much for the info.

I have been a home health nurse for 4 years now, and today I had a pt come home from hospital with a closed surgical incision that was cellulitis and abscess, closed with sutures, very minimal space open, no drainage. I have only seen this ordered one other time, and I will tell you it was a disaster, pt ended up back in the hospital for wound infection d/t wound had enlarged. Called the surgeon, he states do as ordered place device over si because this is for lymphatic drainage. The dme company stated they were under the impression that the wound was open, not closed, and that this is not a normal practice for negative pressure devices due to the fact that it does indeed cause a new/worse wound in most cases. Just curious if any of you all have heard of md's ordering this treatment for closed si's related to cellulitis and abscess. Very frustrating for me and the pt.

Thanks for the tips. The oasis can be so tricky! I love home health though! Started in March 2011. Any updated oasis tips sites? Thanks!

Hi, I am a new grad as well, in May 08. I started my first job in Dialysis on May 23rd. I love it! I trained as a tech first, then my nurses training began. I have been off of orientation for a week now and I love it, but it is still very scary because orientation is never long enough to learn everything you need to learn in Dialysis. But I work with some really great people who are helping me out everyday. I absolutely love my job, and most of the nurses I work with started in Dialysis as well, so I dont think its a problem at all! Good luck!

This is probably one of the best advice posts I have ever read! Thanks! It didnt post all of it quote=ZASHAGALKA;1745143]I posted this in another, similar thread: One more: when I first started out, on a medical unit with 10 pts, I organized myself into 3 first rounds. The first time through, I just introduced myself and stated I would be back soon. That way, I could make sure that everyone was where they're supposed to be (not on the floor) and nobody was in acute distress (my first priority on everyone). Then, 2nd rounds: I'd go back through and do my assessments. 3rd rounds, med pass and taking care of 'creature comforts'. I found that those 3 'first' rounds organized my shift better, highlighted the priorities more soundly, and gave me time to 'impress' my pts. Nursing is at least part an acting gig. You can't 'take the time' with x pt when you don't know anything yet about 'y patient'. I never stopped until my 'first rounds' were complete. But, at that point, my shift was well organized. ~faith, Timothy.

I am a nursing student, soon to be new grad in May. I have already had two job offers. One I already accepted with a hospital, it would be on an observation unit. 3 days a week, 12 hour shifts, days for orientation, nights when I come off of orientation. The pay when I come off orientation will be 19.25 and then 3.00 on the weekends extra. I would have to work every other weekend. I would have 6 pts (its a 12 pt ward, with two rn's and one lpn). Now the other job, which I had the offer today after my interview is at a dialysis center. It would be 4 days a week, then 3 days the next week. I would have quite a few patients to take care of during my shift. I would be getting paid 18.50 to start and then 19.00 after ninety days. I would not have to work sundays, christmas, thanksgiving, or new years. I just cannot decide which one to go with right now, I am weighing out the pros and cons. Someone please give me some advice! I am really stressed out!!! The dialysis place is holding my job for me until monday. I need to call her monday and let her know something.

I am a nursing student, soon to be new grad in May. I have already had two job offers. One I already accepted with a hospital, it would be on an observation unit. 3 days a week, 12 hour shifts, days for orientation, nights when I come off of orientation. The pay when I come off orientation will be 19.25 and then 3.00 on the weekends extra. I would have to work every other weekend. I would have 6 pts (its a 12 pt ward, with two rn's and one lpn). Now the other job, which I had the offer today after my interview is at a dialysis center. It would be 4 days a week, then 3 days the next week. I would have quite a few patients to take care of during my shift. I would be getting paid 18.50 to start and then 19.00 after ninety days. I would not have to work sundays, christmas, thanksgiving, or new years. I just cannot decide which one to go with right now, I am weighing out the pros and cons. Someone please give me some advice! I am really stressed out!!! The dialysis place is holding my job for me until monday. I need to call her monday and let her know something.

I am a nursing student, soon to be new grad in May. I have already had two job offers. One I already accepted with a hospital, it would be on an observation unit. 3 days a week, 12 hour shifts, days for orientation, nights when I come off of orientation. The pay when I come off orientation will be 19.25 and then 3.00 on the weekends extra. I would have to work every other weekend. I would have 6 pts (its a 12 pt ward, with two rn's and one lpn). Now the other job, which I had the offer today after my interview is at a dialysis center. It would be 4 days a week, then 3 days the next week. I would have quite a few patients to take care of during my shift. I would be getting paid 18.50 to start and then 19.00 after ninety days. I would not have to work sundays, christmas, thanksgiving, or new years. I just cannot decide which one to go with right now, I am weighing out the pros and cons. Someone please give me some advice! I am really stressed out!!! The dialysis place is holding my job for me until monday. I need to call her monday and let her know something.

I am a nursing student, soon to be new grad in May. I have already had two job offers. One I already accepted with a hospital, it would be on an observation unit. 3 days a week, 12 hour shifts, days for orientation, nights when I come off of orientation. The pay when I come off orientation will be 19.25 and then 3.00 on the weekends extra. I would have to work every other weekend. I would have 6 pts (its a 12 pt ward, with two rn's and one lpn). Now the other job, which I had the offer today after my interview is at a dialysis center. It would be 4 days a week, then 3 days the next week. I would have quite a few patients to take care of during my shift. I would be getting paid 18.50 to start and then 19.00 after ninety days. I would not have to work sundays, christmas, thanksgiving, or new years. I just cannot decide which one to go with right now, I am weighing out the pros and cons. Someone please give me some advice! I am really stressed out!!! The dialysis place is holding my job for me until monday. I need to call her monday and let her know something.

I am a nursing student, soon to be new grad in May. I have already had two job offers. One I already accepted with a hospital, it would be on an observation unit. 3 days a week, 12 hour shifts, days for orientation, nights when I come off of orientation. The pay when I come off orientation will be 19.25 and then 3.00 on the weekends extra. I would have to work every other weekend. I would have 6 pts (its a 12 pt ward, with two rn's and one lpn). Now the other job, which I had the offer today after my interview is at a dialysis center. It would be 4 days a week, then 3 days the next week. I would have quite a few patients to take care of during my shift. I would be getting paid 18.50 to start and then 19.00 after ninety days. I would not have to work sundays, christmas, thanksgiving, or new years. I just cannot decide which one to go with right now, I am weighing out the pros and cons. Someone please give me some advice! I am really stressed out!!! The dialysis place is holding my job for me until monday. I need to call her monday and let her know something.

Thanks for your help!

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I am doing my drug cards for Newborn rotation. We have to do one on Triple Dye, and I can only find bits and peices of all the information I need for it. If anyone knows anything about it, or a website where I can find it I would greatly appreciate it. Thanks so much in advance!