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Home Health Soldier

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  1. hawkfdc

    Why do you like home care? What are the advantages?

    It wasn't the small batteries I was talking about, it was the dead car battery . Oh well issue resolved $140 later-ouch!
  2. hawkfdc

    What apps do you have on your Android phone?

  3. hawkfdc

    Why do you like home care? What are the advantages?

    And another thing....you have to be prepared for those unexpected things like dead batteries....kinda like what just happened to me.
  4. hawkfdc

    Why do you like home care? What are the advantages?

    I made the transition to home health nearly a year ago and am so glad I did. Enchantment basically summed it all up. If you are organized, like to drive and can not let things bother you too much then you can do home health. Some have said salary is the way to go, others have said per visit. I do pay per visit, righ now my census is low and I just looked this morning and my paycheck was pathetic ($900 for 2 weeks worth of work) but I was home by noon every day. Last summer when I was doing 40 visits per week those two week paychecks were nice ($2500 once, most all over $2100). Its up and its down and as long as you can adjust your spending accordingly, it will work. Now I've not seen this said yet, maybe it was said but not very emphatically, so if you tae nothing else from this home health thread, understand this. IF YOU CANNOT TOLERATE ANY OF THE HOUSES FROM THE SHOW HOARDERS THEN YOU WILL HAVE A HARD TIME IN HOME HEALTH. Yes, there are some nasty a$$ people out there and there will be instances where you will have to make the clinical/social decision to contact DCF. I have had my share of cockroaches, piles of trash, and unsafe living conditions but as my supervisor said one day there are people who choose to live like this and there's nothing you can do about it. They're rare, but they do exist outside of TV. Have to go now, have to see my 5 and get home by 2:00.....:)
  5. hawkfdc

    Night Shift For Newbies

    The bright side of night shift-the marathon of a 12 hour shift is a pleasant jog most of the time, instead of the 6 hour morning sprint then the 5 hour afternoon sprint broekn up only by the 30 minute break to scarf down lunch. I worked my night shifts at a hospital that served the full dining room menu from 1 am to 3 am.
  6. hawkfdc

    Christmas Eve in Home Care

    So I have a VA patient that I've been seeing since July 30, non healing sacral and hip wound. Admission weight was 94 lbs. After months of antibiotic theray which would make the patient sicker and nauseated, I have managed to get his weight to 107.8 lbs. Some might think that I'm a pitiful home health nurse, but I view it as an accomplishment. Its a Christmas miracle, and I believe I saw a little twinkle in his eye today. Merry Christmas to all.
  7. hawkfdc

    Why HH nurses quit

    I have been doing home health now for 6 months and I love it. YEs, when I had 18 patients the case management felt overwhelming but I have a good support system, and my learning curve has been long as far as Medicare regulations go but the one thing I know is that the harder I work, the more I get paid. Unlike in the hospital when the harder I work-hey thats just great, I kept them alive 'til 645. Its a matter of figuring out how to work smarter, not just harder. And yes I am one of those with a problem with authority and constant oversight. Thats what drew me to Home Health.
  8. hawkfdc

    "God Help You. You're on Dialysis."

    I can't help but think of one of my renal patients, let's call him Rufus. My tax dollars pay for this piece of crap to have dialysis available to him 3x per week AND HE IS A CRACK ADDICT!!! And people with legitimate illness who take pretty good care of themselves over the years gets run through the ringer....I simply don't understand. On a nursing humor note, Rufus asked another nurse and me one day where he could find a good woman, my coworker looked him straight in the eye and said stay out of the crack house, away from the crack ho's and you might just find you a good woman.
  9. hawkfdc

    Full Moon Friday

    I finally got on the road about 11 am, done by 6 pm. Depending on what I have to do, I'm usually done by 3 each day.
  10. hawkfdc

    Full Moon Friday

    Wow, what a day yesterday. I typically try to pull most of my visits to M, T, W, Th and have an easy day on Friday with just a few visits. But my husband and daughter both ended up with the flu on Thursday so I stayed closer to home and moved my visits to Friday. I had already scheduled an appointment for Friday morning so after that I had 9 visits and then a Start. ANd in amongst all that was a staff meeting that I conference called into about staffing for the holidays. So I finished my my 9 visits and went to my Start of Care and found the patients rigid, arms drawn up, mouth clenched. He was already severely handicapped so I wasn't real sure if this was his baseline. Deep breath in and here we go-could not get a blood pressure, tachycardic, tachypnec, diaphoretic. Dad says he gave him PO Haldol, check the drug book and there in red what do I find-Neuroleptic Malignant Syndrome. Surely you jest, check the symptoms, um yeah, spot on match. Called EMS, shipped off the the ED. If that was the right undiagnosised call, chalk one up for the field nurses! I'm going to swing by the ED shortly to see what happened to him.
  11. hawkfdc

    This is like going to war...

    Ok, gotta jump in here..... Don't take it personally. You have to look at it from the side of the nurse on the floor. The job is a "hit the floor at 7 am and run like mad for at least the first 6 hours" and you really don't see a breather until about 2:00 in the afternoon. WIth 6 patients, all needing meds, all needing assessments, the occassional dressing change and new orders to tend too, sometimes having a student tagging along is just that "one more thing" that adds to the whole stress. I've always tried to treat my students well and teach along the way, but the life on the floor is pretty damn stressful in the morning. Hence why I left floor nursing....
  12. hawkfdc

    FSCJ Fall 2010 ACCEPTED

    Tasteful clothing, as long as the shorts are not too short and the tank top isn't 4 sizes too small, its ok. But its also cold in the classroom.
  13. hawkfdc

    FSCJ Fall 2010 ACCEPTED

    For starters, take a deep breath and relax....you're not going to spend the next 16 months reading everything. There's just not enough hours in the day. FOr success on the tests (besides dosage calc) use the CD's out of the text books and study the NCLEX questions. MOst questions for most test are drawn out of a question bank for the NCLEX. Good luck, be on time, don't **** off an instructor, wear appropriate clothes-both in school and out of school, don't text in class and you'll be fine.
  14. hawkfdc


    I discussed with my company owner the other day about going full time, but I think I'm going to stay PRN. I pull a full schedule but as PRN I can say no at any time.
  15. Ok, I'm not a real nurse. Since I'm not a real nurse I won't be able to go out today and draw labs and change the dressings on the stage IV sacral wound, insert a Foley catheter and change another stage IV sacral wound, change the dressing on my diabetic patient with foot wounds, change out the IV bag for my q12 hour vanco drip, draw PT/INR labs, or teach my patient the correct foods to eat so your food will digest instead of dump with your s/p esophogectomy. SInce I'm not a real nurse, maybe the student can come take care of that for me since she knows it all....