Patchouli

Patchouli

PCU, Stepdown ICU, Home Health Case Management, ED

Member

  • Content

    159

  • Visitors

    6,905

  • Followers

    1

  • Likes

    7

All Content by Patchouli

  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. Online NP programs.

    Patchouli posted a topic in Student Nurse Practitioner

    i am looking for information on online nursing masters programs that have emphasis on np rather than administration, education, or informatics. i really want one that has rolling enrollment, is...

  4. 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...

  5. 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...

  6. 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

  7. 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

  8. 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

  9. 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...

  10. 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...

  11. 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

  12. Flu Vaccines. A Hassle?

    Patchouli replied to ChooSoul's topic in Disaster Preparation

    Oh no, not this

  13. 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/

  14. 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...

  15. 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...

  16. 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

  17. Low Morale

    Patchouli replied to Trauma16RN's topic in Emergency

    One major reason I finally left the hospital. Giant leap for a nurse that has only done acute care. Low moral, low wages/no raises, increase in workload and patient ratios, no techs, etc. Nearly...

  18. On "dumbing down" résumés

    Patchouli replied to mclennan's topic in Nursing Career

    Maybe they are afraid you will not stay. With all your experience, maybe they consider you a hire risk since you are applying for a job below your credentials. That you'll get "bored" with the...

  19. Am I Only one who is irritated by doctors and medical shows?

    Patchouli replied to Destiny'skid's topic in Patient, Colleague Relations

    Scrubs and Nurse Jackie are the only two worth watching that don't irritate the heck out of me. Nurse Jackie is the most realistic, and even it has unrealistic moments (like going out to eat regularly...

  20. A month into my first assignment...how it's going so far.

    Patchouli replied to cosmicmama's topic in Travel

    Received and

  21. A month into my first assignment...how it's going so far.

    Patchouli replied to cosmicmama's topic in Travel

    Kc87t I wanted to thank you for all the info you added. I have a few questions about travelling myself. I plan on traveling when my youngest daughter is out of high school (about 5 years from now). I...

  22. Where to get the most experience an a new RN?

    Patchouli replied to Da-ved's topic in First Year After Licensure

    The best ER nurses started out on the floor, learning the big pic, and the reasons why we do what we do...

  23. Boy, did I mess up :(

    Patchouli replied to soon_2Bnurse's topic in HIPAA Challenges

    This is not as big a deal as you are making it, lol. You are going to be fine. Like you said, slow down, and make sure you have everything together before you make calls. Good

  24. Frontier Nursing University Bridge Class 111

    Patchouli replied to frylockholmes's topic in Certified Nurse-Midwives, CNM

    Quick question for you Frontier students. I'm a little confused on the required math for this school. It's not covered anywhere on their website. With an ADN, college level algebra was not needed....

  25. Hilarious maternity nursing sayings/pics

    Patchouli replied to RN2B123's topic in Nursing Humor

    I love how no matter our nursing specialty, we can all relate to this tumblr. Love it! Thanks for