caliotter3

I just had to join the conversation. In total agreement with all previous responses from Kitiger, amoLucia, Crystal Wings and the others. I highly suggest that you go way, way back in the private duty and home health subforums and research numerous threads on the same situations that occur over and over and over again. Same tune, different day, to paraphrase. This is home care, in particular, extended care home health. Your 45 - 60 minute intermittent visit type of home care is not going to expose you to so much negative interactions with patients or families. But there can also be possible friction there too (the patient who won't answer the door). Similar examples of toxicity in extended care home health: Reporting for duty to care for a blind, paralyzed, severely intellectually compromised patient who can not speak or clear his own thick secretions, twice within a three week period of time TO FIND THE APARTMENT EMPTY (except for the patient), mother GONE. On same case: dealing with night visit from police knocking on patient's bedroom window, dealing with minor sibling doing drugs, dealing with coworker nurse or nurses, diverting the controlled substances (more than one) prescribed for the patient. Getting a slap down from the mother to the agency when forced to transport her teenage child to the ER. Where was she? Why would she not answer her cell? And that is just one case. All reported to the agency. End result: Life goes on (the money goes around and around) and the reporting nurse becomes jobless. There is also dealing with the multitude of cases where other nurses and the client families commit insurance fraud and the parents or other nurses or both try to draw one in, using blackmail, to be an accomplice. Trust me, insurance fraud is rampant in extended care home health. One should become familiar with how to keep oneself safe from criminal charges. Etc. Etc. Etc. My advice? 1. Do not quit extended care home health just yet. Give it one last try with a new case/agency. 2. As advised previously, remove yourself from the case. 3. Quietly look for a new agency (with perhaps a survivable case). 4. Start thinking about a different area in nursing? Are you young and healthy? Are you an RN with greater employment opportunities or an LPN/LVN with limited opportunities? Can you withstand a med-surg position in acute care or a position in long term care? Can you break away from the "perk" of being paid to care for only one patient? Follow through on your career path as your circumstances dictate. Best wishes on your survival.

As I was told one time by a wise colleague, "You can be right, and you can be dead right".

Unless a drastic change, (have not looked on the CA BVNPT site lately), there is a form that must be filled out by the nursing school that basically summarizes the hours, etc., that is submitted (along with the supporting transcripts)------- This was the catch back when: Just because the state of CA BVNPT has this method for sitting for the LVN exam, does not mean the student can do it. The school chooses to, or chooses not to, give their blessing. You need to speak to the folks at Chamberlain. They do not have to support you in this endeavor. So be prepared for bad news or good news. It rides on Chamberlain's policy and how they want to treat your application for licensure.

Just a first impression: how can a person have a readiness for better nutrition when all they can concentrate on is getting that next breath? JMHO Sorry! Reread your OP -- mild. My comment above probably does not apply here.

I believe the list on the BRN website is only for programs originated in the state of CA.

Instead of just offering money, why don't they provide non-punitive rest leaves for recharging, paid, even if only at half pay, or 3/4 pay rates? Maybe if these people could rest, some of them might stick with the jobs.

Find it unfortunate to have to say that in my experience, there has never been a positive outcome for anyone in such a situation or a similar one. If my own life circumstances were different, I would leave nursing. As it stands, that is not a possible option. When I get a chance to talk about the field to someone contemplating nursing as a career, I am very careful to give a truthful rendition of the pitfalls. I only wish I would have been told the truth before I went down the path of possible venom around every corner. For those who have positive experiences, congratulations. But please don't be judgmental of those who don't find that right job, right supervisor, right environment. It just doesn't exist for everybody all the time. OP I am glad that this is working out for you. Hope the rest of your career is more pleasant than that horrible experience.

Well, there's the standard "I don' wanna!"

Unless they plan on terminating someone from day shift out of the blue, there won't be a day shift opening up any time soon. If I were the OP, I would continue my job search.

If that course is a requirement for any program you plan on applying to, you have to retake it. Required courses won't be accepted unless C or higher grade.

Well, since you admit you are not up to the job and are expressing a defeatist attitude in this post, you could always resign. Not saying this to be snarky either. Resigning is an option for these thought processes.

Since you may have lost the job anyway, I would contact them and tell them what happened when you approached the manager. They should be able to see where the problem lies, if not, then it might not be a good move for you.

Be very careful as the instructor could very well use this turn of events to keep you from successfully finishing. Some instructors manufacture situations to trip up students that don’t figure out how to cope with the mind games.

Add to the habit of always showing up late, the joy of passive-aggressive, non-veiled, hostility toward the coworker, and you can be certain that person will never come to work on time.

All the news that's fit to tumble dry.

The daughter told the lady from state that she had stopped giving the meds so the lady from state should have involved the doctor to get the meds discontinued, or not. So she wanted to pass the buck to you and still chide you about the matter? Too bad the daughter couldn't have waited until a better time to discuss this business.

It has been over eight years since the OP posted this thread and she only posted twice. I certainly hope she is doing better by now.

With you on that last statement. With my respiratory status, I can't breathe as it is without a mask. Wearing a mask makes things that much worse. Glad you are in a peaceful place. Sounds relaxing.

It seems the employer recognized poor practice and is taking steps to rectify the matter by getting rid of the LPNs. At this point if they are crossing the line, not worth the effort to pursue it. Center energies on getting out of there before they terminate you too.

If you are getting graded material returned throughout the term, you should be able to establish a passing grade if not a totally accurate letter grade. My granddaughter had this problem one time. There was a substantial discrepancy between her final grade and what she had been receiving as feedback. I told her she should have met with the instructor with her evidence, a written record and copies of assignments with the grade shown. She said she did not have that. I looked at her and said it is your own fault because you know I advised you to keep a written record of your grades. To this day she won't do that, I guess the urge to blow off good advice is too strong. My program dropped people throughout as is the usual procedure. Big secret at the end is not normal, however we did have an instructor with issues who enjoyed telling people at the end of the term that she had failed them so they could not graduate. According to her she was tasked with this honor by the program administration, so in some instances there is no honor amongst thieves. I am sure somehow this individual had some kind of paper trail, although everyone who failed, (anecdotally) to a student, maintained that she blindsided them.

Your wife is jealous. She is trying to put your professional activities down to make herself sound more important. Try to find another line of conversation, maybe something that focuses on 'her'.

Best wishes. Be assured your frame of mind is shared by many.

Historically the Medical Assistant job was created by the medical profession to provide cheap and available labor. Doctors train and take responsibility for Medical Assistants under their supervision.

It is my understanding that many nurses in my home care agency lost their employment when families/patients refused their services over the pandemic. The agency "ran out" of available hours to keep these people working. Not one mention of putting pressure on the clients to continue services. The clients and the involved nurses just went away. At least in a facility setting the nurse has the expectation of a replacement assignment. I believe that wife had just as much right to question the vaccination status of her husband's nurse as our home care clients doing the same or just flat out stating no nurses will enter their home. If it were me, I would not be advocating that the nurses right to refuse vaccination trumps the patient's need to minimize possible exposure while hospitalized.

Check out the link. They have added several courses.