Yosemite, RN

Yosemite, RN ASN, EMT-I

Med./Surg., Diabetes, Med. ICU, home hea

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All Content by Yosemite, RN

  1. Typical Day For A Home Health Nurse | Life of a Nurse

    0300 hours: alarm went off, got up an turned on computer, brewed coffee. 0320 hours: plotted out my visits for the day, driving times, expected visit times, ect. 0415 hours: reviewed the care...
  2. Anchor & Maxim agencies

    *cough,
  3. Need advice, preventing shear force/friction

    Thanks, Mon... This was a Home Health patient, no care giver, no Hoyer lift, not incontinent and NOT willing to consider assisted living facility or board & care. Fairly obese, mobility impaired,...
  4. If we had a conservative nurses forum

    I'm a Libertarian. If Libertarians came into power, I'd have to find a new party. ANYONE who can get elected beyond dog catcher is bought and paid for. I weary of the political bickering; its a...
  5. Can a Nurse Punch a Patient in Self-Defense?

    I'm not going to take the time to read the original report. The basic fact is that CPI and other forms of "de-escalation" both verbally and physically are only marginally effective. The psychotic...
  6. Contemplating a job in HH

    $70 for an OASIS evaluation/assessment, initiating the Plan of Care, getting additional orders, etc. is a RIPP
  7. Contemplating a job in HH

    I always do a "drive by" in Google, then in person just prior to the visit. If I see unsafe situations, I call my agency and report it, then call the patient and explain I will not be making the...
  8. Contemplating a job in HH

    Kelnich: you'd be well advise to brush up on modern wound care, "moist wound healing" protocols and basic materials for the various types of wounds. OASIS documentation will also be a must and takes...
  9. Psych nursing is easy

    Sister (or brother, as the case may be), you've OBVIOUSLY have had limited experience if THAT is your experience. And, no, I'm not trying to be rude. I've been out of psych for 3+ years; it was the...
  10. haldol

    Haldol 10mg, Ativan 2mg, Benadryl 50mg -IM! A "B-52!" I haven't done psych nursing in about 3 years or so, but I remember that well! But, to answer your question, since "Peak plasma time: 6 hr....
  11. nurse/pt ratio

    I'm not going to argue this point, BUT consider THIS. I graduated nursing program in the 1980's and Jumped into a GREAT job at a major teaching hospital where I finished my last semester and worked...
  12. Would you hold Metformin fot a BS level of 149

    Metformin is less likely to cause hypoglycemia than other oral agents. More likely to cause lactic acidosis. I believe the important point in this discussion is: What are the physician ordered...
  13. Welcome to nursing. The employer carefully weighs cost vs. liability. There is a "Policy and Procedure" manual someplace. If you deviate from it for ANY reason, including your "lack of...
  14. Me: I've got an MRSA infection in my hand, has just been opened/incised, packed and the Vancomycin IV is in place. Employer: Why can't your just wear gloves over your dressing? The I.V. should be...
  15. California BON

    The BRN, of course, is trying to "shake you down" for $'s. Unfortunately, if you want to practice nursing in CA., they've got you by the cajones... literally. I'm no attorney, but if you want back...
  16. Best Hallucinations Thread

    Dang. Sounds like you met a learned master. Should have listened to him and gained
  17. Manly patterned scrubs

    "Manly?" I remember, MANY years ago, watching Jessie "The Bod" Ventura on WWF. He was being interviewed after a "match." Jessie was wearing pink leotards and God knows/remembers WHAT tank top with...
  18. Best Hallucinations Thread

    Back in the "day," a young man in his early 30's, nearing D.T. status, perspiring, wild eyed, girl friend unable to comfort. States he drank "2 bottles" of wine per day (r i g h t). As "green" as I...
  19. New nurse..from Med/surg to home health

    https://allnurses.com/home-health-nursing/my-first-home-908502.html See my post this page. I hesitate to say this, but you'll not have much time to "spend more time" with you're Pt.'s. HHC, unless...
  20. Training/Orientation

    The agency I work for promised "2 weeks" of orientation. It consisted of "shadowing" 2 or 3 nurses on visits; of course, they were too busy driving/visiting Pt.'s to formally lay out what is entailed...
  21. My First HOME HEALTH Job :)

    I'm back into HHC after about a 20 year hiatus, still struggling. I'm sure others will give you better advice, BUT, I believe organization is a key factor. I use Microsoft Office Excel to plot my...
  22. While I no longer work "psych," it sounds like a dream in comparison to my experiences! 1st psych job: NOC shift, 18 beds, 1 RN, 1 non-licensed staff; up to 2 (I think my record was 4) admissions,...
  23. Does psych nursing affect ur home life?

    For me, yes. Positive: "trial by fire" to organize myself and staff, learned to cope with the chaos and low staffing. Negative: the injuries I sustained during "psychiatric emergencies." I no...
  24. Payscale for rns

    RN revisit = $60 RN start of care/admission = $100 RN resumption of care = $60 RN recertification = $60 Paperwork/computer documentation/phone calls/phone tag/faxing/fixing aforementioned = included...
  25. I did telephone triage for about 10 years, some 8 or so years ago. I understand most is now done from the employees home. Can anyone give me a ROUGH idea of how much telephone triage is now paying?...