joy09

joy09

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All Content by joy09

  1. Per diem schedule obligations.

    joy09 posted a topic in Home Health

    Per diem used to mean you work the shifts you want to. No more in my neck of the woods. I must do weekends, holidays and call as scheduled which is equal to what the regular staff is required to do....

  2. Does everyone work 7 days a week in Home Health?

    joy09 replied to startofcare's topic in Home Health

    Redo nurses notes? I wouldn't do that. Stay away. Don't let them drag you back into that mess. I worked for an agency that assigned holidays without compensatory days off. The scheduler told me the...

  3. Can you have a life AND do HH?

    joy09 replied to lweatherby's topic in Home Health

    This is a great thread you have provided, especially with your updates. I heard HH nurses are the most abused in the profession and I now see it and believe it. I work pediem and take up to a full...

  4. Can you have a life AND do HH?

    joy09 replied to lweatherby's topic in Home Health

    How many patients do you

  5. Can you have a life AND do HH?

    joy09 replied to lweatherby's topic in Home Health

    Fulltime?

  6. What is "FULL TIME"?

    joy09 replied to dreamct's topic in Home Health

    The elephant in the room is that home care nurses are supposed to get six-8 patient visits, documentation and travel done in forty hours per week with few exceptions. Some agencies pay a salary to...

  7. home health nurse, feeling burned out, depressed

    joy09 replied to NurseCard's topic in Home Health

    I burned out in five weeks covering for a full time nurse. I can't handle exactly what you describe. I do per diem while I look for another fulltime

  8. start if care oasis time frames.

    joy09 replied to babs1963's topic in Home Health

    I do alot of SOC. At first it took me 3a hours visit and documentation. Now, most of them are one hour in the home with some documentation and one hour to finish documenting unless it's a vac,...

  9. Time with one Patient and Documentation

    joy09 replied to sinawahi's topic in Home Health

    One hour total for a basic visit. 1/2 with the patient and 1/2 documenting

  10. Wound vac

    joy09 replied to PrrRN's topic in Home Health

    Wet to dry and wait until morning unless assessment indicates need for a visit. I would not send a patient to the

  11. Never Give Up on Your Dreams

    joy09 replied to AccelCNL's topic in Pre-Nursing Students

    Can't beat that story! Imagine what you can accomplish in 8NO years with your health. Repost

  12. Does everyone work 7 days a week in Home Health?

    joy09 replied to startofcare's topic in Home Health

    Toomuchbaloney is right. You need to draw boundries. Why are you putting your safety at risk in high crime areas, neglecting family time? Keep looking for a job and take the risk of honoring your...

  13. Fall protocol

    joy09 replied to ttouslee's topic in Home Health

    I don'think there is a protocol but this is what would be done: PT eval on admission; the HHA would call the supervisor who would advise her until a nurse could get there (or would be directed to stay...

  14. My First HOME HEALTH Job :)

    joy09 replied to seanynjboy's topic in Home Health

    Excellent post by Yosemite. I'll add that you should do as much documentation at the visit as you can. Don't get into the habit of taking

  15. Can a home health nurse refuse to take a client?

    joy09 replied to nurse98261's topic in Home Health

    I am paid like you: same pay for a short or extended visit. In the end, it should even out. Consider taking the patient just to help out and to get experience if you don't have it with the skills the...

  16. Can a home health nurse refuse to take a client?

    joy09 replied to nurse98261's topic in Home Health

    I am paid like you: same pay for a short or extended visit. In the end, it should even out. Consider taking the patient just to help out and to get experience if you don't have it with the skills the...

  17. Documentation woes

    joy09 replied to tardis traveler's topic in Home Health

    I hope you find the standard and rationale in the literature. That is the way to go about it. A stron willed nurse needs more than say so to change

  18. HHC if your other job is SAHM?

    joy09 replied to Atownshend's topic in Home Health

    I live in Pa suburbs and get paid by the visit. I don't get travel time, just mileage. I take four patients a day and clear around $950 biweekly. I get $35 per visit. I do a little better if I do 2...

  19. New to home health, ADON

    joy09 replied to scifispam's topic in Home Health

    I wish you luck. I turned down a clinical supervisor position because I didn't have experience. I've been doing field nursing for almost 2 years and still have a lot to learn. I have been a manager...

  20. Knowledge and advice needed

    joy09 replied to welch07's topic in Home Health

    I learned oasis by using HomecareHomebase and from inservices and my clinical manager. I have some cheat sheets but have never used any books. In my bag I have hand sanitizer, papertowels, gloves on...

  21. How does your morning begin?

    joy09 replied to PepperciniRN's topic in Home Health

    I start my morning at 8am. I get my assignment on my droid st that time. I review my charts, make my calls to schedule visits. That takes about an hour. I start my visits at

  22. How many hours should you be working?

    joy09 replied to Brian's topic in Nurses Rock

    If I have to work more than 10 hours a day in an 8 hour day job, that is too much. I just left a full time job because I was documenting into the evening, working up to twelve hours per day by the...

  23. How clean is a "bathed" patient?

    joy09 replied to tiredtech's topic in Patient Care Technician, Assistants

    If you ever get the chance to teach techs, I hope you will think about it. Your standards are just good patient care. In the meantime, you should have a discusssion with your manager and see if...

  24. Gentiva job offer, but lots of bad reviews from nurses. What do I do?

    joy09 replied to midnightrose8504's topic in Home Health

    I don't know about Gentiva but I just left a fulltime job at another company because I was documenting until 8 or 9 oclock at night and still not finishing. The patient load was only going to get...

  25. Nursing Career change at 50: Hospice?

    joy09 posted a topic in Hospice, Palliative

    I have an opportunity to bid on a hospital based hospice RN position. I have decided not to continue in a physician office because of the multitasking, fast faced environment. I don't have the same...