starcandy

I am new to home care and the agency that I work for is a disorganized mess. I got very little orientation. I was just thrown out there after 4 days. My problems are I do not understand "home bound" per medicare rules. There are some patients that ...

How many are can you complete in one day?? How many for one week?? I am new and feeling very overwhelmed. It takes me 2 hours just to finish the interview

I just started last week in home health. I did my first SOC with preceptor last friday. Monday, I was given 10 more start of cares , with the addition of 14 new patients that need recerts, discharges and regular visits. I am new to oasis-c and overw...

What exactly is this device and what protocol do you use if you need to access for blood draws?

I think case studies are a good idea. Drawing electrolytes and CBC with diff would be a good start too.

I was a LPN since 1986 and worked the first year in a nursing home. After that, I started to work agency private duty and nursing homes part time for a while. I had four small children at the time and decided to be a stay at home mom for 6-7 yrs. I ...

I am a 2004 grad of HFCC, Congrats to all:yeah::yeah:

I would have done the same as you and tried to get more IV access. No, I did not catch the contraindication, but we learn something everyday. :chuckle

I understand you needed more IV access for your patient, but why was the Dr. upset??

Kati2005, I hear HFH has great orientation program also. Did you feel they did a good job with orientation to SICU?

I know they still use contract nurses at the DMC. I would like to do agency nursing for a change of scenery also.

I will keep my regular job and use the agency for supplemental income only. I know nurses who contract with agencies and have full benefits. This is a good way to go because the nurses will contract with a hospital for a certain number of days and t...

There is an agency Critical Resource Inc. that pays 42.00 /hr. They are located in Brighton but you can fax all your info to them. I am thinking of going per diem with them to make extra money. I am in the process of looking for other agencies also.

I have never been able to get a handle on "Nursing Time Management" I have searched books that specifically address this subject and have not found one yet , or I have very generic information . To be brutally honest after 3 yrs of being a Rn, I am ...

70 year old pt CHF, ESRD on a vent with dyspnea , b/p 70/30 currently on comfort care only. Dr ordered ativan 4mg/ morphine 4 mg IVP . Due to the difficulty in breathing I gave the morphine dose but was leery of giving the high dose of ativan also....

I agree with you. :lol2:They don't pay me enough for this job:lol2:

This is what I did I gave the morphine and pt was sedated resps decreased from 30's to low 20's. It was ordered q 1 hr prn. I know the goal is to maintain comfort but I did not want to be the one to speed up her impending death. I assume terminal we...

I have pt with a fairly new spinal cord injury fx C 3-4 . Pt is a quad and vented and has chronic fevers. I just learned that the elevated temp originate from his neuro condtion. Medicating with Tylenol I find is largely ineffective in decreasing t...

My first job was horrible with gossip and rudeness to new grads. I was having a hard time staying a year. The shift wars were crazy. I remember I worked dayshift and had a pt with a GIB. Dr wrote order for a stat CBC and a type and cross. I sent the ...

:balloons::balloons:Congratulations Tweety:balloons::balloons:

I am sorry this happened to you. Unfortunately their are many people out here that should not be a preceptor. It sounds like you were paired with someone who either did not want the responsibilites or just basically mean. The next place that you ar...

Isn't the Rapid Response team used to prevent codes??I think you did the right thing considering the pt condition was worsening

A patient with an order of IVF of 0.9 ns with 20 meq of kcl. The k level was 4.4 decided to give the IV thinking it was only 20 meq in a one liter bag. It could be addressed on day shift if the Dr wants to change the order. Do you think I made th...

I consider it a good day if I could go home and I not think about what I could have done better. It just seems that I am not progressing fast enough and it is so frustrating.

It was a mn shift and where I work the residents are pretty nice at night, but I thought it was something that could have waited until days. The creatinine level was normal.