Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. dear patients, please quit saying that to me

    Well I had the double sword then - being small my entire career and looking much younger then my actual age, I not only get the comments on that but also on my name (which I cant of course post) but...
  2. Our Nurses are required to turn in PW on Mon, Wed,Fri. We also check all our variances before Friday. If pw isnt in or incomplete they dont get paid. If pw doesnt have the proper documentation they...
  3. I have a full back and working on a 1/2 sleeve. Have been an RN for 30 years now in various settings from Floor to being a DON. I am still in management and also cover for my staff when needed. When...
  4. Pros and Cons

    I work as a CLM in the office and supervise the field staff. I love it for the fact I work 8:30 to 5pm M-F with my weekends off. I also get holidays off with pay. I have yet to stay overtime and get a...
  5. Chasing doen pt's

    We call the night before, then when on our way. If no response after multiple calls then we do a driveby and leave a door hanger. Recently a pt was in the home and found dead in the floor after a...
  6. INFO on outpatient dialysis

    Dialysis constant is turning over not only in patients but staff. My opinion is there should never be less then 2 nurses on the floor due to I have had more then 1 pt crashing at the same time. Trying...
  7. Question about patients receiving dialysis

    It's perfectly to check the site but never never remove the dressing! Dont utilize it for any type infusions even if you cant get an individual like else where never use that line. It's the pt's...
  8. PT INR

    We not only call the MD, but call the CLM who in turn also faxes the results on a standard sheet to the MD office. Not only will the RN get a verbal on the phone but we get faxed back the standard...
  9. C-Diff & infection control

    Full agreement here, call the NH staff to come do it. Most dialysis units dont have the proper supplies to thoroughly change the pt particularly in adding privacy. We used to put curtains up but the...
  10. Home Health...Can I do it? HELP

    Isnt it though? I was beating my brains and body out working chronics and now wonder why I even bothered lol. Now I'm making better pay, less hours, get to actually drink a glass of water and pee when...
  11. Home Health...Can I do it? HELP

    I went from chronic dialysis to working HHC and LOVE it. Fortunately I bounced into a good office with much support from my co-workers. I honestly wish I had done it long long time ago. It all depends...
  12. Returning to nursing after long break

    I had very similar situation with about 8 years off. Getting hired by a hospital in my area was impossible with the state of things in the last 3 years. I have extensive critical care experience but...
  13. Check listings for local clinics in your area, have resume in hand and go in person also. I applied on line and got tired of waiting so went into the local clinic. Was hired very quickly. Also with...
  14. intraventricular hemorrhage

    My husband passed away at age 34 with same diagnosis which occurred in his sleep. His only complaint was a mild headache when he went to bed. He was newly diagnosed with mild hypertension a month...
  15. So what's good about HH anyway?

    I recently went to HHC in Jan and never worked HHC before but have a strong clinical background in ICU/CCU/Burns/Dialysis. I took a CLM position and LOVE it!! It took me about 5-6 months to land the...
  16. Dialysis Staffing

    Very reason I left dialysis!! It was killing my own health as we couldnt get away even to get a drink of water or use the bathroom most of the time. I repeatedly got pyleonephritis and was diagnosed...
  17. Thanks Morte!! Yep I take CQ-10 also but no matter what cant tolerate the statins. It doesnt hit until I have been on them about 3-4 months then bang, I cant move. Tried several different Rx's for...
  18. My son was 3 years old when I graduated with my BSN. Whewww! By the skin of my nose so to speak too lol. I had an ill child with frequent hospitalizations but still managed to work and attend my...
  19. For those of us that are unable to take statins this may be beneficial also. I cant take statins as end up so debilitated with muscle pain as a result. They have me on Niacin SR 500mg daily which is...
  20. Needing additional staff.

    Anyone in the Palm Coast/Daytona Beach, Fl area seeking an intermittent visit position? Also looking for a PT for Edgewater area. Anyone in these areas. My company is looking for RN's with med/surg...
  21. Needing additional staff.

    Thanks for the response. See if there is an Apex in your area which is also found online as Almost Family. Formerly was Caretenders but were bought out. The position I took was due to someone retiring...
  22. Medicare Supplies

    We have an entire room filled with supplies, the field nurses stop in to stock with what they need on a weekly basis or as needed and keep extra in thier trunk supplies.We have a pharmacy deliver...
  23. Home Health Salary

    All depends on where you are located. I started out as clinical manager position at $60,000/yr salary to start but I am in central florida where pay in any field is
  24. Agency Getting Rid of Case Managers

    Our field nurses do thier own case management. It works for us as it's the field nurse that knows the patient the best. They make thier own calls etc, unless they run into an issue then call the...
  25. Dialysis career

    Check online for clinics in your area. The major companies are Davita and Freseinus. Both will train those without prior experience. I would advise to not only apply online but to stop in the various...