R*Star*RN

R*Star*RN BSN, RN

LTC, Med-Surg, IMCU/Tele, HH/CM

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All Content by R*Star*RN

  1. Burnt out on HH after 6 months

    Hi everyone, I have been working as an RN case manager in home health for about 6 months. The first 2-3 months it was great, I got everything done in 8 hours. but the last 3-4 months I've been working...
  2. Hey everyone, I was just extended an invitation to interview at Harborview. I'm wondering if anyone can offer me guidance on what your typical interview looks like there? Or share what your interview...
  3. Who has more stess RT or RN?

    Here is how I tell people to decide (sort of funny but true): If sputum makes you want to vomit, become a nurse. If urine and feces and blood make you want to vomit, become an RT. But yes both jobs...
  4. A question for all nurses...

    Yes you will be using your psych knowledge alllll dayyyy long. But non-nursing degrees don't count in the nursing
  5. intermediate care vs med/surg floors

    when i worked in intermediate care it was also considered cardiac step-down. So we got post-open heart surgery such as cabg and valve replacements, post stents, post MI, post pacemaker. Ocassionally...
  6. Acute care vs. Home health

    I left the "never-ending stress" of the hospital to go into home care. It is the worst decision I have ever made. Now, all home care agencies are not created equal but in my case there is nothing that...
  7. how do you night nurses do your assessments?

    I worked nights on an IMCU. We were required to do an assessment every 4 hours unless otherwise noted (ie if they just came back from a procedure or were on hospice). I did mine between 2000-2100,...
  8. All Med-Surg patients require an IV site

    It's not required but in my opinion everyone should have an IV site. Why? So if they code you don't have to fumble around to get access. Even if the diagnosis is stable, anything can happen. The only...
  9. Is med/surg really that bad?

    I spent a little over a year on a med-surg floor that took mainly post op patients. Yes, it was stressful at times but I enjoyed it. I learned a lot and grew as a nurse. I still look back upon that...
  10. Why hire RN's when other disciplines can do the job

    It's interesting what the public knows. First of all I have seen MAs, CNAs and even Vet techs called "nurses" which I do find offensive, though it is usually by the office staff or receptionist and...
  11. I was once arrested for "obstruction of justice". It was some a bs charge to get me into protective custody and away from an abusive boyfriend, whom they couldn't have arrested instead of me for some...
  12. McKesson Horizon

    Ugh. That is all I have to
  13. The grass is always greener. . .

    Hey everyone. So about 6 months ago I made the decision to leave the hospital (night shift) for a day job in home health. I had a nagging little feeling that this was the wrong choice but night shift...
  14. What's the best area of nursing to start?

    i havent found an area that makes me WANT to clock in. But ive found areas that are tolerable. . . .which, I a miss now that i have left the hospital and am trying to get back in
  15. Hospital nursing question

    To be honest I went to case management in home health because i thought it would be less stress. Now, I am applying to hospital jobs hoping and praying I can have something similar to my old job back...
  16. Personality Typing...

    I am an INFJ. I dont know if there is one type that fits with nursing. I believe that it is a calling. I can't imagine not being a nurse. It is all I know, really. Ive been in healtcare since I was...
  17. Like everything else it varies from hospital to hospital and varies from unit to unit. On top of it all that changes from year to
  18. lay offs

    Prov SW WA is laying off managers, about 100 people took a voluntary layoff with bonus pay, and about 100 more people will be laid off involuntarily. This does include
  19. What do you think of this agency? Transition to home care

    I got 6 weeks of orientation. . I am now going on the 90 day mark and I still feel completely lost most of the time. I'd definately say 2 weeks is not long enough for orientation. OASIS requires an...
  20. Am I asking too many questions?

    I find even the RNs that have been with my agency for 30 years will still ask questions, nursing is constantly evolving, medicare laws are changing and agency policies change as
  21. I am still fairly new at this, but I have had patients that had a hired "caregiver" and a HHA. My manager explained to to me like this, which could be way off base. . . so correct my if my thinking is...
  22. Home Health RNs paperwork out of control

    The paperwork is horrible. . . and I am expected to see as many patients as the LPN and do case management. So after I spend hours in the office in the morning (getting sucked into meating with admin,...
  23. Documentation of physician communication

    We have a notes section. . . so we create a "physician contact note" documenting the date and time that the physician was notified and what they were notified of, if we left a message or spoke with...
  24. at my agency we have an admit nurse on the weekends who works 12 hour shifts. She does a maximum of 4 admits in 12 hours. I am not being asked to do admits yet because I am still learning the admit...
  25. I just started a position where the official hours are from 8a-5p mon thru friday with one sat a month and need to be on call for at least 4 holidays a year. There is PRN staff to cover sick calls,...