Patchouli

Patchouli has 16 years experience and specializes in PCU, Stepdown ICU, Home Health Case Management, ED.

Latest Activity

1. Tired of ALFs throwing us trainwreck patients with little to no information on referrals.

   Patchouli posted a topic in Home Health

   It’s hard enough to keep up with the documentation in home health admissions, along with phone calls, communication, etc. The patients these ALFs are taking are absolutely not appropriate for their...

2. Is this typical weekend requirement?

   Patchouli replied to fromtheheartRN's topic in Home Health

   Time to leave. Home health is challenging enough with the paperwork/computer work, without adding more personal time into it. With what you’re describing, you’ll have zero personal

3. You may want to consider looking at less desirable career options such as a nursing home o

   Patchouli replied to fin0814's topic in Home Health

   The skills I learned working in the acute care setting have really assisted me in the home health setting. It's the charting and insurance regulations that have made this job a challenge. I enjoy my...

4. Who gets visits once a week?

   Patchouli posted a topic in Home Health

   I started HH a few months ago. Most of my patients are 1-2x a week for 4-6 weeks. I generally see them twice a week and either d/c on the last scheduled visit, or earlier if they are ready. Most are...

5. New to Home Health # 1 Pet Peave so far...

   Patchouli posted a topic in Home Health

   Trying to schedule appts with elderly pts that are HOH, and do not own an answering machine. Phone just rings and rings. Emergency contact is hubby, same darn

6. advice on changing jobs

   Patchouli replied to 8781RN's topic in Nursing Career

   That sounds better than the LTACs I'm accustomed to. Is there a way for you to tour the floor for a few hours, and maybe ask the staff

7. Epic Charting System

   Patchouli replied to mbutler14's topic in Emergency

   I used Epic in my last hospital position. Large system, but user friendly once you know where everything

8. advice on changing jobs

   Patchouli replied to 8781RN's topic in Nursing Career

   IMHO, if you really want a hospital gig, go into med surg. If you want something a bit more challenging start out on a Tele floor. I would stay far, far away from an LTACH. If they offer techs, that...

9. advice on changing jobs

   Patchouli replied to 8781RN's topic in Nursing Career

   ICU pt's on vents are typically sedated, only there for a short time, and you get a 1:2 ratio. Stepdown a little less critical, but typically a 1:4 ratio. You can get LTACH pt's on the stepdown unit...

10. Are physicians that thick?

    Patchouli replied to nynursey_'s topic in Patient, Colleague Relations

    LOL, that's definitely a different story! It was only half an hour late? Then he needs to chill. Most of the time you won't get regular draw results back before 30mins

11. Flu Vaccines. A Hassle?

    Patchouli replied to ChooSoul's topic in Disaster Preparation

    Oh no, not this

12. Are physicians that thick?

    Patchouli replied to nynursey_'s topic in Patient, Colleague Relations

    I agree, but ultimately we are responsible for missed orders and labs. Even in the best hospital, most physicians don't grasp the concept of juggling multiple pt orders/labs/care/I&Os/

13. Are physicians that thick?

    Patchouli replied to nynursey_'s topic in Patient, Colleague Relations

    I would suggest a PICC line on a pt that is a difficult draw that has a necessity to get frequent labs/possible blood. Getting q 6 H&H's is not enough reason to warrant a CCU. Med/Surg nurses are...

14. Patient Satifaction survey scoring

    Patchouli replied to hearttraveler's topic in Patient, Colleague Relations

    Join the club. Has ANY hospital received top scores on this. Just think hotel. These are the same type of questions asked during hotel surveys. Ridiculous if you ask me. You cannot run a hospital like...

15. Home Health...good option for RN with bad back

    Patchouli replied to MommaRN86's topic in Home Health

    Home Health Case Management is a pretty good option if you have a bad back. There are a few times when I need to roll or assist a pt. ambulating, but this is very