happthearts

(A reader, formerly a chiropractor, and who wishes anonymity) First off trust me if he was a real chiropractic doctor and felt this way he would be suing the school. Some have tried. I am not buying this article I read for a minute. First off from a paranormal site, .You can't just sit on your backside in any profession and expect the money to be rolling in. Chiropractic ,like any other you have to have business sense and market your self along with, your skills and study very hard at what you do. If you are shy, your skills are poor, no business sense, then being a doctor period is not good choice. If you want to look at a great Chiropractic site try chirioweb.com. Don't mean to offend I just can't believe a doctor that is this mad won't be shouting it from the roof tops.

Karen I am impressed !:chuckle Even as a non medicail we have to have the list of med's in the chart even though we do no meds .We pretty much follow every thing that happens in Regular home health . Weve had no problems this year except disaster plan. But before state was done we had one in place before the ladies left our office they took 3 days . Couldn't find a thing wrong. Happy

To be honest I was never able to wear them. You could try putting (a little rubbing alcohol) inside the shoe and twisting the shoe to get the stiffness out. That's what I did to soften my boot in the military. I do wear some great white shoes I found at Wal-Mart 10 bucks on sale and they lasted 1 1/2 years. Always be sure to fit your longest toe. I now do toe exercises everyday that the Chiropractor gave me .So my feet no longer hurt. I distract and pull and do ROM to each and every toe each night with lotion then rub the ball arch and heel of foot. Then I roll my foot on a baseball bat bottom right side then left side of foot. Rotate the foot an ankle round in a circle . People are always surprised when I say I have no pain as I am a big lady. I used to have a lot of pain but no more. Should take you about 2 minutes a day total no more to do toe exercises. Hope this helps Happy

First off did you get copies of every thing you signed when you first signed on at your hospital? I always have a copy of my contract that I sign with the hospital. Check your contract are you a at will worker .Are you in a state where they have the right to fire you with no reason. Called right to work state. I would explain using there contact, if they are dead wrong about what you did or didn't do. Second did you write a note at the time you were written up stating you did not concur with the write up always respond to a write up. Don't ever just sign a write up without responding. I had an RN charge doing the deed out in the parking lot with her boyfriend ( a long time ago) ,when I had told her before early in the shift one of our PT was very unstable vitals were very bad off and the RN accepted PT to our hospital which was a drug rehab. From another hospital. I asked her to go down and check PT which she the RN didn't. I was just the aide (so what did I know only had been in nursing 20 years .)RN was an RN 6 mts. RN went off to lunch with no one in charge didn't tell us she was going, PT who was full code starts taking a dive in 2 hours .We looked all over no RN to be found. So I called 911. Fire department drives up next to the Van in the parking lot and sees her jumping out of van zipping up. They report this to staff inside .Then RN says what's going on. That I have over stepped my bounds .But protocol indicates otherwise. RN then begins passing meds and not documenting on the PT chart. Never charting on PT. Following day she tries to write me up in front of administrator and RN tries to get me fired having heard her side first they believe her. Wanting me to sign and just crawl away .Really forcing the issue. I said only if I can write my whole side of the story on that paper .They said no which was against policy. I told them that I often read policy when unit was slow or few PT. So I was well aware of policy. So I asked to explain what I did. That I would go to the nurseing board. Told them not all of us aides are stupid. RN was sure surprised. They were totally buying RN side of the story until I mention they might want to check the security camera's from last night in the south parking lot and that half the staff was told by the fire department saw a female jumping out of a van half clothed. That staff could not find her any where. I told them to check with those who were on and they backed me up. They could also check with the two firemen who I named by name. RN was shocked! Can you believe they didn't fire the RN .The PT ended up dying. She was no longer charge RN. But then she was fired for another thing the following week. Never saw her again after that. But I wasn't fired either, worked another 4 years until they closed the hospitial. When they checked on what I told them they tore up the write up in front of me and told me I did the only thing I could have done to cover the hospitial.

This is the article I found on the net It doesn't say that it helps but doesn't really spell out that it hurts. Kinda vage if they sat them up . http://jnnp.bmjjournals.com/cgi/content/full/73/2/167 Hope this helps Happy

Sorry didn't see this until after I posted DR wrote an order to give a Hot water enemma to a comtose patient. When I called the DR on the phone (being from another country) I thought he just made a mistake in his order because of verbage that he ment warm water . DR starts yelling at me on the phone I ment what I wrote!. I told him if this was the the case he could come down and give the enemma himself and I would call the RN in charge. He told me he would get me fired for not following his order. DR actually showed up to give the enemma at at the same time charge RN showed up on the floor. DR was going to give Hot water enemma to PT for real. They hospitial gaurds removed DR from floor .DR stated these comtose Pt were not worth living and should die anyway.He found out very quick you don't say things like this in a Catholic Hospitial and to a head RN who just happens to be a Nun. Needless to say DR was removed and I worked 3 more years in that hospitial until medcare cut backs. Saved my backside from being chewed many times by questioning a Dr order. What makes me laugh is they will try to say the nurse transposed it wrong. I always thought that was strange as the nurse must read back that order to the DR . Happy

Whoa this is a sticky wicket if you clocked out early they could have sent your license to the state as I know in my state unless relieved of duty by the nurse and other aide, its called abandonment of care. I would not press this issue to much with the lawyer. Could cause you problem getting future license. We had an aide years ago who was going to school for nursing license ,lost a PT never reported it till I got there at 11.pm Lady had been missing since dinner time Just took off early never look for the Pt. The Pt was found dead. In the pool. But what the state nailed him on was abandonment of care. He never did become a nurse. Also if you're in a right to work state they can fire you with out cause. Either way on this one you will not get unemployment when you are unemployed you must be able and ready to work .You left the shift early and other than being carried out due to illness or getting permission from a higher up. This poses a problem which gives them the right to fire you with out cause. If your illness is not work related this also poses a problem you can't claim workers comp. I do understand your side as well I am sorry this happen I am just trying to state how the state will see it. Don't rock the boat. Could cause repercussions. If I were you I would get a job in Home health you can get a more workable shift to go with the nursing school. I would be honest with the next job and tell them why you were fired and that problem is in the passed. I am not trying to make you mad just telling you what the state looks at .When considering you for un-enployment I would also respond in writting if you were fired to the place you were working and request a copy of your record also add your side of the story to this record so your backside is covered. Sorry Happy

Heck some days I don't remember. But to be honest I started as an aide and thought it was a cruse course in high school Yeah right!:uhoh21: Doctored my dolls when they were small. My first day as an aide consisted of the hugest decubeitus I ever saw on no joke a 700 pound women could put my elbow in it .I worried every time she rolled over and bent the side rail all the way down to get on her side to use the bed pan. Then the ward nurse's played a mean joke on me by sending me in to take vitals on a dead man, got in the room and he had no pulse anywhere no BP no breath fog against the mirror. We used to carry a mirror .So I Put on the call bell and told the nurses the PT appeared to be deceased; they may want to come check this out. They were laughing. Then my 3 patient had a double mastectomy at age 24 the cancer had gone all the way though to the lungs all ready really gross looking. I figured if I could get though this day I could get through anything and got into nursing. Diane

I thought my husband could best answer your question, as he is a Chiropractor and has worked with all kinds of other health care providers. You have an intersting opportunity. Here in Utah, you could become a nurse practioner, which are peer-reviewed by other NP's and do not have to work under an MD or DO supervisor, but I don't know if that is allowed in Oregon. A BSN is a worthwhile degree, but will likely put you into an administrative position rather than direct patient care. Western States has one of the best Chiropractic programs in the world, and if you practice in Oregon you will have the broadest scope of practice. The business of medicine presents the same risk and benefits as it has in the past, and relies not only how well you can perform your clinical and technical skills, but also how well you can run a business. I am licensed as a Chiropractic physician in Utah, and formally as a Chiropractor in California before moving to Utah, and feel it was a good choice. For you it will depend on what you want to do. If you enjoy hands on direct patient care, along with using diagnostic tests, from the start to the end of care, with you providing all of the care yourself, in a sole proprietor out patient clinic, then you should consider going to WSCC and earning a DC degree. If prefer administrative work, in a multi-disciplinary setting, either a Hospital or large facility, and you are less interested in providing direct care, and want to supervise and manage patients, then you might be happier doing something else. You could, of course, do both, but that is a lot of time, effort and expense. Neither nursing or Chiropractic are dying professions, and have lots of room to grow. Of course, if you aren't sure if you want to be be a DC, or perhaps might want to have a broader scope of practice, like being an MD, you might consider becoming a DO, an Ostepathic physician (a medical doctor, who also has some adjusting skills similar to a Dc, and is more holistic in perspective). My younger brother choose this option, in Texas, and has been very happy. If you have any specific questions, please feel free to contact me. Sincerely yours, Dr. Haggart

Wonder if he was from the old school where they felt it wasn't professional to chew gum.I had something similar where My RN instructor did this to me. But my gum the instructor had me place on my Nose and wear on the ward. Never chewed gum while working after that. He does sound a little Cookie though. But the thing to ask yourself will he make your life a living hell if you turn him in. For the possible patient abuse. Happy

Not that I have heard . We ussally keep them in bed. I can just see a coma sitting in a recliner .Pt sliding right out of the recliner on to the floor .Not a pretty picture. Boom ending on the floor. Maybe stitting up a bit in a fowlers postion in a bed ,to help assist breathing. I guess or do tube feeding in semi fowlers. Happy

Amazing what you went though .I would totally been scared, if that many mistakes were made. You are totally awesome nurse. When I start dealing with the case mangers at the hospitals ask them a billion questions. I have to explain to them non medicals HH don't deal with drug set ups or do wound care etc. So far the HH and hospices have been very thorough in getting things set up for us .The small things we can do as a non medical like suggest home health's to call and then they deal with medical issues with the patient . We actually get referrals for our non-medical home health from HH and hospices all the time, the opposite way .As we do 1-24 hr care and respite when the family is worn to a frazzle with caring for the love one. We also do aide and attendance care for Veterans and there spouses LTC insurance but no Medicare. When the patients families say they want Medicare, we call the home health if they qualify for home health, we just refer them. If the patients are going down hill medically we call the MD and the doc usually ask us to arrainge a hospice company for them now. The MD's don't seem to want to be bothered. Happy

Do everything everyone else suggested but I would like to add some things as I help run a non-medical home health. 1. DON'T BE LATE first time be 10 minutes early just in-case you get lost or are in heavy traffic. That is the one thing that chaps our hide. Being the boss we have to take all the guff from the families, when the aide is late. The patients worry about you, then they call the company and ask did you get in an accident are they coming and go on and on and on. This takes up time from clients and patients who we really need to speak to us.If you have to call in do it as soon as possible not just before your shift. 2. DON'T talk about your Personal life or problems. The families will call the company if you do. Keep your personal life personal or The Company will know everything you might not want us to know about you. Don't talk religion. I know this is hard but keep it professional. We do not wish to offend any one about there religion or lack of religion. They have a right to there beliefs (In other words WWJD.) 3. Don't take your kids to work. We had to fire someone who did .No matter what it's in our policy. No matter if the family says it's OK. It's Not OK! 4. Don't do your own coverage. Like Oh I can't make it so I will just send the peer without notifying the company. 5. Do the required charting .Its hard to get the company paid when we don't have care notes to back it up what we did in the home for care. When insurance involved .Turn in all care notes on time 6. When you go into a home .Be confident say Smile, Say hello, my name is. Shake the Patient hand they will be more comfortable and they will like you right off the bat. 7. When you go into a patients home The first time ask where things are stored like Depends gloves etc.You don't want to be considered nosey or accused of taking something . 8. Do your job Great and the home health will give you more than you can care positions than you handle. Every one will want you. 9 .I always offer a little extra care like Lotion care ROM mini back rub to the client if there's time .Go the extra mile be the best and you will be.:) I worked over 33 years as an aide 20 in Home health field. Now director of services . Hope this helps Happy Director of services @ My company

Hey you handled it perfect they couldn't get mad when said that way.

Just Call and ask your states odbudsman should be posted at your hospitial somewhere on a wall on a poster .Happy

Just thought I would update you. Well after 5 months the new marketer signed her first two clients and offended another care company that is in the area. Big time :angryfire .She is still making more money than I Even though My track record remains the same which is signing 3 to 8 clients a week . I have actually been traveling and training another office manger in another part of the state here. I am taking on much more importance in the office. I am doing the training, hiring cleaning up the other marketer mess and etc. Even though I love doing more .It kind of tee's me that I don't get paid for It.:angryfire I currently am looking at another couple companies for employment , my current boss is aware of this .I just told her I can't just keep working for less. I know she has applied for a raise for me .But the company at this point remains firm on there amount they offered me at the time of employment. Will keep you posted Thanks for letting me vent. Happy

Just to update you We did write the aides up and did do ton's of inservices about this. One thing we added right at the interview time was. We inform the CNA you deal with who's on call. If I the director deems it necessary to call the Manger I the director will do that, but the aide is not to do that period ,when she the manger is not on call. Now if I can just have an inservices on not what to say to clients and patients in the home .I sometimes wonder if people were ever taught social skills at home. (I know I did my son when he was at home .) What ever happen to having manners. I really feel weird having to teach adults this. Thanks for all the help Happy

WOW! I would have probably lost it by then said lets step out side. Tell her You may do things different than. I But This does not give you the right or license to correct you in front of Pt or family. I would have written her Up with the agency . I would not care if the PT is a vegetable, That RN, she doesn't have the right, Very unprofessional .As we well know a lot of these kids respond to stimuli and can feel the tension This is not good for them as well as you . How dare this RN play games back in forth. I would be telling her Put every thing in writing so you have documentation to show the agency. I hope you have been documenting every thing out of this RN mouth to back your self up dates and all .In case they let you go so you can collect UN-employment most of the cases that are fought are won by the employee. Happy

Its only 287 for regular here in Utah But if I could afford a little scooter with a basket I would do it, when I marketed and set up care in SLC. I have an SUV and its over 35 to fill up every time now ussally every other day and the company refuses to give more money for gas . But here latley its been pouring rain so Then I wouldn't be able to use it on those days . That little hospitial down the street is starting to look good now It's in walking distance. of my house.

Thanks my legal council said the same .They can,t keep you from working forever. Just thought I would update you Our boss is really angry right now at the other marketer she has been coming in when ever like 9 or 10 and leaving 2 hrs early each day . (Our hours are from 8 to 5 .)Then she told My boss on Friday she needs the day off today. Plus the other marketer is doing all personal phone calls from work and tying up the computer .(We didn't have the new ones set up .)I have kind of just kept my mouth shut and let my boss vent she had confided in me . I did mention at this point to my Boss until the other marketer gets her feet wet. I would prefer she stayed in her own area to market ,(knowing that her experience is not that strong ). At this point I would prefer the marketer not to be let go ,as I wouldn't want to be doing the other marketer area as well as my own . I may stick this out a little while longer at this company .Just to see what happens .We are all on probation for 3 months with the new company anyway. Don't you think I'm doing the right thing ,just keep my mouth shut sit and wait to see what happens do my job . Thanks for the help Happy

(happyhearts) The other marketer was more managerial than marketing she worked for Walmart and has that type of mentality Sell it for the lowest price She also did work a small amount of home health aide..) I just had to laugh The new marketer who is suppose to have all this nursing experience asked me yesterday what does ADL's mean, Every aide I know and some who are just caregivers knows that meaning . I just about fell on the floor. Would you trust person who markets for home health if they didn't know the terminology.I would sure question at least. Then talk about being stressed .My boss informs me the new marketer will be also marketing in my area .Which as you know in this field .You must talk the talk and walk the walk. Know your stuff and keep your promises . I just don't want all my business I have developed to go to the out house .People will not trust us. Then the new marketer when I went out to market shoved all this stuff printer and books on to my side Of the desk. She told the boss she wanted my space as well.I just really feel I am being walked upon.I finally told my boss how I felt .That every time the new marketer wines she gets what she wants . That if this is how its going to be I am not going to be a happy camper . My boss informed me no that's not how its going to be. but has proven otherwise. I am going to look some where else and just keep the job till I know what I am going to do since I have the marketing clause with this company .I am also going to have my attorney look my contract over as well. I feel I am just about to blow . Happyhearts

Believe it or not We had one of theses families . My CNA's all would quit withen 2 days. That worked for this family. Mom would keep running in and saying he needs Rom or this or that when she would be watching him and my CNA on camara. Even in the night. We felt at our company it was a lawsuit waiting to happened and stoped service.Gave it to another company found they did the same as we did after one month of service .The family was out of hand . I personaly would not want to work for that family your working for. Happy

First off I am so sorry My heart achs for you . I have always looked at people with big families and wished I could have had more children. I also think that MD was out of line .I never make a comment either way when I worked in OB.I think people often know what they can handle . I probably would have stood right up and said something to that DR right after and been in hot water. I feel unless that PT made a comment like I don't want any more kids after this . Then the doctor could have stepped in and said then if (that is your choice )lets make an appointment in the future. Its not his choice to say who has how many kids. I often feel that Maybe it will be one of the children in this world who could turn it arround. That one parent will teach just the right things to help there children make a diffrence in this world. Hey BTW 10 not big try 22 kids same mom and dad Not a single birth in the bunch all the older kids have become MD, lawyers and shuch I found there home clean and tidy .All her children from the youngest to oldest had a job in the family to help with the house . Can you imagane that MD who told the lady not to have kids would have fainted. Hearing about 22 kids. They- be one child born in the world to carry on To carry on. Happy

First off thanks for everyones advice heres what happen I do appreate your help. I would have cut bate and ran if It hadn't gone down this way. Regarding the non-compete agreement that does transfer to the new company But only a Non medical home health. Its the way they wrote it. If they don't buy my contract They also miss all my contacts I make on a day to day basics. Not to mention I still haven't signed my contract yet with the new company . So I could go do home health and use all my knowledge and they couldn't do a darn thing according to my old boss which they did not keep. Says it won't hold water according to Utah law .Also I have been pursued by a DME company and could use my same list . Of course I kept a copy on disk. Just thought I would up date you on what happened today ,I kinda just kept my mouth shut around the big wig .I never even mentioned knowing that I knew what was on the contract.Then My Boss pipes up and tells the big wig that she noticed that our gas and cell isn't written in the contract and the guy say yes I noticed that as well one was getting 200 and another was getting 300. for gas and cell. Plus I and the office staff will get benifits package. He said no problem I will write it in .So I will believe it ,when I see it then I will sign. . This really teed off the other new marketer about the gas money ,who is making more money than I and then she asked for more money even though her territory is much smaller than mine .But she also makes 2.85 more an hour. I told my boss it would really make me mad since I have more experience than her and my area was much bigger .The other marketer was more managerial than marketing she worked for Walmart and has that type of mentality Sell it for the lowest price She also did work a small amount of home health aide.. This is what happened when I was trying to show her how we set up care . When a Client said she needed 5 days of care ,the other marketer butted in tried to cut the client back to 3 and make our caregivers work all weird hours and times .The marketer Would not be quite and it took twice as long to sign the client and set up care. Which would have been impossible for us to find one that would work those hours , I saved it by saying why not start with 5 days which is what the client wanted and cut back when she was feeling better ,It was very clear this client felt awful and needed the care. It will be very intresting to see what happens .I fiqure at this point I really don't care for the other marketer yet and will avoid her as much as possible . I just kinda am just letting my boss deal with her.She trying to show me up and I watch her fall flat every time . Lets just say at this point the stress is a little better for now will keep you posted the next couple days .. thanks Diane