rxrn

how many cases do you handle? do you have a recommended website that i could go to to learn more about it? thanks again.

thank you so much for taking the time to answer my queries. i guess everybody has been so busy these days...i appreciate your effort. i was looking into disease mgt. i know its very much different from bedside nursing. so how does your day go? ned

hello, whats the difference bet case and siease mgt? whats a typical day for a disease manager? can i get my foot on the door with just my bedside nursing skills? thanks for the answers ned

thanks for all your replies. i feel that i have more to offer to health care than fetching water and emptying bed pans which i do more often that review patients labs and meds..so ill be moving if i find the right job and im starting that process right now while still being a weekend nurse.that way, i wont be desperate enough to just grab any job that comes my way... hoping though that i will be able to find the "one job" for me. ned

thanks for the replies. this thread shows that if ever you are burn out of doing bedside nursing, there is still a life beyond it!!!! any body want to pitch in? ned

I just want to ask if it is ethical to post your resume in a job search engine while still presently employed? I am just concerned as nobody in my workplace knows im into looking at other side of the fence. thanks a lot. ned

i totally agree that we chose to be both a nurse and a parent at the same time so we better take responsibilities.. i have a 2 and a 4 yr old and my husband is in the military. what i do is im a mom most week days and be a nurse on the weekends and pick up shifts during the week mostly 3-11 so kids get to stay in daycare for only 2h max and hubby picks them up on the way home..this means not much of a family time for us , no sats or suns to look forward to but nonetheless i get to spend almost all the holidays with them unless it falls on a weekend.if charge nurse wants me to work a holiday my come back is " :nono:NNOOOOO...why?while you guys are enjoying each fri dating out, each sat morning late in bed,each sat afternoon watching a game and each sun in church , i was working my behind off ..!" hoping that with this thread, we can each learn and gt tip how to manage family and work effectively.. ned:D

hello.this is in relation of the thread "do you miss bedside nursing?"..ive read all the responses and was wondering what do you do if youre not doing bedside nurses and maybe get a tip or two on how to get a life,earn enough to pay mortgage and bills and be happy? and please be honest if you really take a pay cut so i could think it through...im really not happy anymore doing bedside nursing ,been doing it for 12 yrs now.and im just scared not to earn enough if i leave it..so do pitch in a penny or two. ned:nuke:

how did you become a nurse manager? what do you think are the qualities of a good manager and what qualities should an aspiring nurse manager develop and acquire? any courses to attend ?continuing education? :)thanks a lot.

ive seen that thermos like container and it may be expensive but its a wise investment rather than styrofoam cups that we get to tossed every 8h;one of our arn tole her that almost all of the hospitals have ditched using the styrofoam cups 14 yrs ago and you know what our don answered??:angryfire"oh,well then we'll be ditching ours to after 14 yrs.." arrghhh... ned

i have to get better ideas than our nursing director has!!...we were using a plastic jug/pitcher for pts's use .it has a plastic liner that we change q 24h for infection control issue.now our don decided that the liner has been pretty expensive and has decided to use styrofoam cups that can only hold 500-600mls of water and is not earth friendly..it drives me crazy because i have to refill it every med pass !!!it is sooooo not working and we have already told our don about this but shes not listening..i bet we are dumping truckloads of thse styrofoam cups every day .. what do you use in your facility??? NED

i need help figuring HIM out!!! i have a pt ,incomplete quad who has been started on q other hs bowel program of suppository and dig stim...some nights bowel program was not effective, so t was changed to q hs; then to our surprise the pt demanded that supp be used as prn and said that dig stim worked better for him wthout the supp; per docs approval we did it; and now this pt wanted dig stim not only q hs but twce a day when he wants it...and to our greatest surprise :yeah:our nurse manager and primary physician approved it...even though hell have result w the dig stim he would want it again and agan during the day...sometimes he had like 3-4 dig stim done; he does not want to do it himself saying he is still weak on upper ext; family is visiting and he does not want them trained doing dig stim... how frustrating can that be???...i dont know if im wrong but sometimes i would think that dig stim is giving him "another kind of satisfaction":angryfire..why else wound he want a finger up his orifice that frequent???? arrghhhh!!!! :bowingpur

kalayaan, thanks for answering..yes, i am working here in us as an rn. i came from the philippines.ive been here for 4 yrs now and have been working as a hospital nurse since. edyrn

Suzanne, thank you for responding..yes, im working here in US as a naturalised citizen already. i came here as an immigrant w a bsn degree.but now i want to pursue a higher degree like msn..do you have any idea on the process of pursuing such?..thanks a lot. edyrn

hello.. i had my bsn outside US..but now im planning to take MSN or any higher degree that has to do w healthcare..if anyone out there will give me advice on the requirments,i would appreciate it.. thank you. edyrn

RNperdiem,im sorry if i have been so vague..i am a hospital nurse for 10 yrs now because i love the job..but i guess these bending,pulling,lifting are getting into me now..so im thinking i cant be doing these forever .. i guess advancing for me would be lesser hands on /bedside nursing and more on like administrative,be incharge...but more satisfaction.. edyrn

hello.. im a staff nurse for almost 10 years now and looking back i can still clearly hear me say " i will be a staff nurse for just10 years", and here i am still th same as i can remember me... for all of you out there..staff nurses, nurse managers, administrators..what have you done to be where you are right now,your sacrifices?...how do you know what road to take?..for others that are on the same boat as i am,what are you planning on doing to advance?.. hoping that that this will spark something in me and provide me w inspiration that i greatly need right now.. thanks y'all edyrn

hello ..just got some questions that need answers and im pretty sure we all could learn from these: 1. how do we you flush a picc;our protocol says 10mls of ns and 2 mls of heparin.is that per port if i have 2 port picc? 2. if i dont have a backflow on a picc is it ok to use it(no resistance observe. how about if i dont have backflow and w resistance observe on one of the port,could i still use it? 3. how do u flush a indwelling foley w only 2 ports? one for the balloon and one for the drainage bag? and w what,sterile h20 or ns? 4. how long should an extremity be no sticks,bp,etc if a pt has undergone mastectomy? 5.if you know of a website that i can learn w staging of wound, please share. thanks for all the answers.if you have a ref book please indicate. edyrn

how much raise do you get and how often??

hello...your enthusiasm about hhc is soo infectious..!! im actually snooping around here as i am trying to get out of my hospital world and hhc is one thing im aiming for..so, being a case manager w your own case load, do you still go visit pts?..how do you end up to be a case manager? edyrn

hello..thanks for the reply.. im thinking of trying it for now but still keeping my weekend duties in the hospital in case i wont be able to do it. more questions : can i choose a case ,like i only take wound dressing changes, or diabetes, no spinal cord,etc? whats the difference bet skilled visits and shifts? is working full time means you have to do 5 days? i just hope i have a pamphlet or an article about hhc ,with glossary of terms :)

thanks a lot for all these informations...ive worked for 10 yrs now as a hospital based nurse so its kinds gets into me now...i want to have a change of scenery..im still actually looking around and hhc is one of the spot that i have my eyes on.. i might try shadowing a nurse for a day or two and see if my heart ison it....what qualities should a home health nurse possess to survive?

hello hhc nurses, im working in a rehab weekends and pick up shifts during the weekdays;i want to try this branch of nursing- hhc ; i was reading some of the posts here but some just confused me plus i have 10000001 questions in mind.. :) heres some if it : #1 how physical is hhc nursing?..am i expected to do lifting,turning? #2 i read that there is no weekends and holidays only on call ,so how many % possible that i would get calls on weekends ,nights or holidays? #3 would my salary offset /make up/top off/equal the ones im making in the hospital?...(im making 25/h right now) #4 how risky is it?..(going into other peoples' houses) im really interested doing hhc but it seems that i would be groping in the dark if i would just suddenly jump into it... please help.. edyrn

hey, so being a hh nurse can be in the field or in the office?..what do you do inside the office?..if ever ill apply for a hh nurse should i specify where i wanna be? enlighten me...thanks

hey guys, i live in jax too and im just wondring if you know of any reputable home health care agency??/...anything pitched in will be apprecaited.thanks