annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Q for nurses who get paid per visit/admission

    I am salaried FT but on weekends or oncall we get $70 per admission visit and mileage to and from the visit ( at 50.5 cents a mile - the IRS rate). Do you get any reimbursement for mileage? That does...
  2. Raystown Lake anyone?

    What is a ballpark starting wage do you mind me asking...for HH, hospice, or hospital? We are thinking about it more so in quite a few years...closer to retirement - so if it is just part time or...
  3. Raystown Lake anyone?

    How about home health in Huntingdon? Any info or feedback on that? I do know that the local VNA there is based out of Altoona and has an office in Huntingdon. I love my local VNA that I am with now....
  4. Redness around colostomy site

    Try microguard powder and non-sting barrier on irritated peristomal area then cover the whole area with extra thin Duoderm. Usually you can still get a good "seal" on the ostomy appliance over the...
  5. white skin around wound

    I've used Mesalt on some really nasty draining nonhealing wounds. It really cleaned them up...but it is daily as
  6. Am I entitled to OT pay after 40 hrs?

    I did a private duty case awhile back and was hired for 10 hr shifts. I did not get OT after the 8 hr mark daily, but I did get shift differential before 7A and after 3P. And, yes, I got OT after 40...
  7. Raystown Lake anyone?

    AHHH...those days seem SO far off...especially with the forecast of impending freezing rain for tomorrow morning:o. I looked online at PA state jobs - there was a job for community health nurse.That...
  8. Raystown Lake anyone?

    Are you a traveler? ( Judging by your name) Did you grow up around Raystown? If so...did you ever work around here and if so, what was your experience? I cannot wait until it warms up! Friday night...
  9. Associate vs. BA Nursing salary

    Usually the salary is the same at a entry-level position whether you have a ADN or BSN. Where it may come into play is in a supervisory position which pays more...sometimes the 4 yr degree wins out....
  10. Typical Day For A Home Health Nurse | Life of a Nurse

    Cat - I am sorry that HH is not working for you. I understand/agree with many of the things you say. But, I feel if you truly love HH you look at the same things in a different light. For example, my...
  11. Need help with Ostomy patient

    Hmm..good in theory. That could help some if...her stool/BMs are regular and not loose at all. Because if stool lays on her skin that could be just as irritating. If patient is able to keep it clean...
  12. Do your feet hurt?

    There are some places you HAVE to stand..but I often help myself to a seat - chair, stool, or floor. I often joke to my patients that it is a requirement of the VNA to be able to get down and back up...
  13. share something amusing

    Overall yes - we have numerous no-fee patients b/c we have to d/c from MC but still need wound care, ostomy care, etc. We do try to set them up with a supply co. so we do not have that expense too. We...
  14. share something amusing

    I have this absolutely sweetheart of a patient that I am seeing for a coccyx decub. He recently finished up radiation tx for prostate CA, and he has such a good outlook and sense of humor about...
  15. recerting too many times

    I think that it depends on the reason for the numerous recerts. The patient you are describing I would think needs discharged and referred to office of aging or another appropriate community agency...
  16. Raystown Lake anyone?

    We have a pontoon boat and love going out on the water! It has gotten SO busy on the water during the weekends that it becomes it's own "rat race"...I like to take long weekends and go out on a Mon or...
  17. Need help with Ostomy patient

    I have seen good results with microguard powder then set with non-sting barrier then use a extra thin Duoderm over the irritated areas before using the stoma paste, stomahesive, skin prep, eakins, etc...
  18. incont supplies

    " Thanks for the clarification - I think that was where I was trying to go....I do realize if it was 100% covered by Medicare that we would have to supply them during out active cert periods - just...
  19. For me it's home health all the way! Every day is different - always going different places to see different people with different problems. You still get to use most of your skills ( IVs, catheters,...
  20. incont supplies

    If I am not mistaken ( and I very well could be:bugeyes: ) if some one is incontinent as a result of a disease/injury - SCI, ALS..and thus is not able to have a bladder trained then Medicare could pay...
  21. inside the mind of a nurse.....

    It's all I can do to keep my 2 cents to myself when I am out and I hear people talking about a med, test, doctor, etc...but if I did butt in, I KNOW that I could help.I do the leg/edema thing too - is...
  22. ready or not?

    The best place to get wound care experience is HH in my opinion! If you have your assessment and critical thinking skills "down" then you may be ready to try it out. It might be worth while to do a...
  23. 2008 IRS Mileage rate

    As far as I know, the IRS rate is for nation wide. But it is not mandated that agencies reimburse that amount. Maybe check into if you keep track of your mileage that you could claim the difference in...
  24. Burnout!!! What To Do?

    There is a decent amount of paperwork, but if you stay organized it doesn't seem to get too bad. I found if you do a good bit in the patient's home(we use computers) or pull off somewhere safe as soon...
  25. "The Diving Bell and the Butterfly"

    A wonderfully insightful book that we were required to read before our ICU rotation for school was called "Book Number Ten". It is about a woman who developed Guillain Barre and became completely...