coco3299

I love my job and made a natural transition into management from a staff nurse to lower level management (supervisor) to finally manager. The reason why I am going to be leaving (aside from the fact I have a new degree I want to put to use) is that we have spent the last 4 years talking about the same thing and circling the drain with the same issues! It is almost nauseated to sit at mandatory meetings where voices are not heard and the agenda of investors and shareholders is priority but if the just listened to 'the people' they would realize even greater potential of not only money but employee and customer satisfaction. We have taken on a mentality that everyone is expendable and work good people until they quit and spend time and money finding new people instead of just preventing that from happening. My job has been really supportive and I have done things I always wanted to do (get better at being a leader and managing and organizing processes) but beyond that there is little room for opinions on how to make real change work. I've seen so many people come and go I am tired of picking up the slack, training people, answering to why something impossible didn't happen. Companies need to learn the difference between lifting their 'lid' and being delusional.

I'm here looking for corporate owned places that may be in ga other than American laser but you should try there on their site go to ABOUT and search careers they have some states hiring, not mine though.

So the long story short is I have an obese pt who continues to insist she was told in home lymphedema therapy is available for her. I am home health nurse and we only do compression for wounds and then pt is offered long term option such as compression socks they can manage alone but we dont do long term swelling management only heal wounds. So my question is 1. Does Lymphedema ever go away? What is long term goal for pt with lymphedema? 2. Is home health used in such situations, again she is morbidly obese and I think this is her main problem rather than lymphedema. 3. How could this pt even have ABI? 4. I am not even sure her large legs could be compressed if her ABI was satisfactory. 5. She has no caregiver and 5. Cannot go to outpatient clinic but primary MD is frustrated with her and MD has offered to write orders if home health can assist. I have discussed with CWOC over phone but went back to order joint visit but over phone she stated this would be unlikely for pt and Lymphedema is usually managed by clinic where pt is seen often not home health where the pt only sees MD sometimes once a year. Pt even states clinic did indeed tell her this about being able to ambulate to clinic often but again she says they told her home health can do this but offered her no company names which lead me to believe she is fibbing and refusing to accept responsibility for her obesity.

Hey guys, thanks for any help in advance... I am a home health nurse and while I was in orientation I was seeing a patient who is very pleasant and concerned about the wound. It has gotten to a certain point, like 4x2.5 and undermining and stopped healing. THe patient is only 80 lbs. Iodoform has been used with mesalt for quite some time. It was SLOWLY closing last I saw her but I had to change areas because her regular nurse was back off leave. SHe was none too pleased to have that nurse back and I am finding this nurse may not be as into such patients as this one (and one other wound pt) as she should. Recently at team meeting she said the wound was in DECLINE again. Ugh. What can be done for this lady to see what the problem is, she lives a sedentary lifestyle but will stay off the sacrum if requested, she says she doesnt know and does not know why this year old wound is not healing. When a wound is anemic, what does that mean exactly and how can you know for sure? Does silver nitrate have usually good results? When is mesalt used? How long should one dressing be used?

The Messiah? Be lucky you have a job. Getting paid peanuts in your scenario would take years, in the meantime be happy you have a CAREER that is lasting. Stop trying to find any excuse to get to the end result in your mind that was made up before an action even took place... just searching for a reason to down talk. Take a look around, the reason nursing became this big boom everywhere you look is because Medicare became this free for all and places where hiring nurses to keep up with the need. Now that Medicare has been sucked dry the hospitals are turning patients away and telling them to follow up with PCP where they used to admit them for any and everything. And calling off nurses for low census and there is an overflow of new grads who were told how great the profession could be long term and now the door is being closed in their face. So say what you will about THE MESSIAH but I am sure you will be taking those patients you get because of the reform. If you dont like it then go somewhere else. And while I'm on my soap box if you have an opposition to mandated insurance, then fine! sign a waiver saying you won't come to the ER if you have an emergency and tell your patients the same. If you dont want car insurance then you dont drive a care. We cannot afford to keep taking cases and not getting paid.

Is it online or ground? Didnt mention online which leads me to believe it is ground. Not sure why when every other school has online classes and they were on the forefront of this....

Ummm I don't get where these questions are from and what you need done...

Well that sux. Im so afraid of this. At least you have credentials that can def. get you another job. Some people are losing jobs they got by luck years ago and with a layoff they are realizing they were too secure with no real educational backing. You will def find something else soon. Where do you live if you don't mind me asking.

Well I am bumping this thread because I want feedback from others- who else had state limits on preceptors? What if you were mainly online? I had no idea there were contracts with BON regarding preceptors- I wonder what that entails.

I am confused by this too because some programs take nurses from all over the US online, but my online program is saying that students can only go so far for preceoptors because of BON contracts??? So how do other schools have students nationwide? I am moving two states away and don't know how this is going to work...

Theoretically I know NPs can make the difference. I have been treated by an NP and request that my preemie son see an NP at his peds office- she is great. My main concern has come my first semester at NP school which is online and basically I am being given random assignments and taught NOTHING! To boot, I contacted a friend in CNS track at a VERY REPUTABLE school where they offer online as well and she said the same thing. She was just as bothered by it as I was. She said she is over it and ready to graduate. Again, I know NP's can do the job, I have witnessed that, its just that with the demand for convenience it seems that online professors forget to actually TEACH. The irony is that the criticism that comes from attending the UOP was much greater than my current school and the Univ of Phoenix actually TAUGHT me and interacted with students daily! I am afraid for my profession if our schools don't realize they may be lacking right now. I have been sitting here a week trying to decided if I want to write someone of authority on this matter. I mean, I want to take care of patients for crying out loud! I want to be confident that I can perform the duties of my job when it's all said and done.

So you liked UOP too? What type of MSN do you currently have? I am sitting here considering transferring from this school. While their BSN program seems to be more organized, perhaps they are not in tune with the needs of the online learner. I need to make sure I am going to be ready to treat patients when I leave this school and right now I am not convinced they are helping me move toward this goal. I wish more people would respond because I really need to know what other's have experienced in doing online NP coursework.

Students usually take classes to bring GPA up. Go to a GPA calculator and see how many classes you would have to take to bring it up. The other option is 'conditional acceptance' where you have like a year to bring GPA up.

I heard LSU is tough too. Being from Alabama I have always heard and sensed personally that attitude described earlier by USA which was my turnoff. I knew if they were so crazy with their demands during admission then they would definitely continue and get worse as the classes got tougher. I like a smaller program that treats me individually.

Thanks, I was hoping to get some more feedback!