cargalrn

Here's an idea. Take the money you get for mileage and put it in the separate savings account for car expenses and a down payment for a new car when you need it.

Hi I'm new to hospice and and I work on call. I did do hospice years ago. My question is... After arriving at a death in pronouncing and wasting medications call the funeral home called the doctor and call the coroner. How many nurses wait until the funeral home gets there? When they're coping appropriately and the family needs private time at that time is it okay to ask their preference? Thanks for all your input

I just got a new seven day on seven day off on call Hospice position. What are typical reasons why and RN would go out other than intractable pain or a death. I understand admissions, death visits, and routine visits. For example would one go out to a facility for a skin tear on a Saturday? Can you give me a picture of what your typical calls and visits are? Thank you very much

Hi hospice on call nurses I have a question I just started that on call position and I am not clear on what I need to go out for. ITriage myself. Should I go out for a skin tear in a facility?

I'd like to update this thread. Any on-call hospice nurse is out there? What do you go out for? I understand there's some routine visits and admissions. You would go out for deaths, intractable pain, but what other issues would you go out for? Would you go out for a skin tear? If a patient is in a facility and you triaged and felt the situation was under control would you still go out for that situation?

They're telling me I have to go to the office to complete the charting and my anxiety is out of the ballpark about this. They're threatening to report me to the state. I really don't know what to do. If I could finish the charting from home I would but I can't. So are charting deficiencies reportable to the state? If you work in a facility and had not completed charting and had to leave and never came back what would they do about that?

So I almost had a nervous breakdown about this job. I put in my resignation via email on my iPad that they issued. I offered to meet somebody to pick up all the equipment in my computer my car stock Etc and the human resource manager is insisting I go 30 miles to the home office and have an exit interview and finish charting. Which he says it's not a lot but that's how they lie. I really can't even sit down to the computer and chart. I don't want to go to the office 30 miles away. We have a local office where I can drop off the equipment and I would not do an exit interview. I don't even want to look at these people. Do I have any legal right to ask them to meet me somewhere to surrender the equipment? Do I have any legal obligation to finish charting that I cannot finish due to extreme anxiety?

I resigned today.

Thank you. I'm new to home care. There also should be incentive for working the weekend program and 12-14 hour days isn't one of them

More... I asked at the interview if they were eight hour days and she said yes and some charting. But now I'm told that I may be doing up to four start to care a day. If every started care is 3 hours that's a 12-hour day and I know it's going to be more with charting and follow-up phone calls even flowing over to Monday. Not to mention the night before on Thursday I'll have to make anywhere from 4 to 8 phone calls to my patients to let them know I'm coming. I have no problem with working hard but I do have a problem with putting in long hours. I think a 10 hour day would be reasonable but it looks like it's going to be a lot more.

I'm looking into a weekend program in home health and I was wondering what the time commitments would look like. It would be a Friday Saturday and Sunday. Are these realistically 12-hour days?

We are both divorced and our children are already raised; between the two of us, my three dtrs and his one dtr, are grown women, employed in good careers, college grads and are all probably on birth control. Without it they probably would never be where they are today. Some are choosing not to have children, but may change their minds later. I support oral contraceptives as a necessary healthcare need.

My fiance is very angry to mandate that oral contraceptives should be paid for by health insurance. I feel it is a woman's right, and it is a medication, in additional to medical uses besides preventing pregnancy. But is it a health care issue to prevent pregnancy, like a medication that treats a disease, such as insulin? Or is that beside the point, because it is a choice? It is a useful medication for the personal choice of deciding when and if a woman will conceive. It will save millions of dollars in healthcare for the cost of unwanted deliveries, illnesses during pregnancy, not to mention the savings for raising children, their healthcare and education. Your respectful opinions are appreciated.

Things have a way of working out. Go for it. You have one chance at the love of your life but may have multilple nursing jobs before you retire.

Nurse, CNA, unit clerk. Cant abide by the stupid or the lazy. Usually play stupid to avoid work. The woman who could n't breath could use some reassurance or just plain repositioning, opiates or what ever. Get off your butt and do your job. All of you. Always do the right thing.

I would not care for this either. The charge RN could have put you on as an RN, therefore, the other nurses have smaller assignments, and use the team approach for lifting, vitals, etc. All work together.

You have all helped me understand this greatly. Thank you.

Thanks for all the responses. I remain unsure why this nurse said this to me. She is pursuing a doctorate and I question if she knows something about this topic that I don't. (I'm sure she knows much more, lol).

Premature post above, thanks again, ITG.

Thanks again, but can you tell me why probably? Probably unwise, lol. But, I'm new at psych, but at times love it.

OK, thanks. Is it even unethical?

Is it illegal to speak to a former patient on the phone if they call in, or if you see them, say at the mall? I try to be aware of boundaries, but if I really bonded with that patient, how would it harm to ask how they are doing or to give ongoing encouragement if I don't comment on their treatment at our facility or their current treatment. I do realize it may just be bad judgement, but I was told by a co-worker that it was illegal. What do you say?

Thanks and I suffered great animosity for doing the right thing. It was an insulin drama. Pt is fine, Md wrote order that day to adm insulin as order, I was exonerated, but left a bad taste in my mouth for my coworkers who jumped on me.

Hi, quick question. Man alert and oriented, attune to his blood sugars, novalog sliding scale and lantus HS and in the am. I work night shift. (Psych unit). Report vague and thru digging and antecdotal word of mouth, find out he got one amp of D5 yesterday for a CBG in the 50's, still a & 0 x 3. Order now to give for CBG below 60. This am right before 7a was 78. No novalog coverage needed. 70 units of lantus ordered and I gave it at 7:15 as ordered and charted it before I left. I got a call from the other night nurse that the oncoming staff "was livid" that I gave it, saying for this man it should be given with food. My argument is that the MD should be called if he gets low again, and have the dose reduced, not blame the nurse who gave it, and don't manipulate the timing of the med, get in touch with the MD, who is a resident on call, and get an Endo consult. Novalog should be given with first bite, but not so with Lantus. Breakfast is at 7:30 am on the dot. Man already had ice cream in front of him. Please advise, I am soooo tired. Thanks.

New to psych, with Med-surg, and telemetry experience. If a pt comes to you with c/o CP, VSS, no sob, etc, 1rst such complaint- I feel it is appropriate to ask for an order for an EKG and trops. My colleague disagreed with "you haven't worked on psych before- you don't know psych patients". I still feel these orders are appropriate to r/o MI initially vs anxiety. Especially if the pt is near middle age. Please tell me what you think.:redbeathe