Patchouli

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 facilities, but all their administrators see is doll...

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 life.

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 accredited, and affordable. perferably pay as you go opt...

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 work, but don't go into it thinking you are working...

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 med management with recent CHF, COPD, DM, wound, su...

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 number!

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 questions?

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

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 may be better, but if not, no way with 1:6 ratio!

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 when they leave the ICU. They are usually the most ...

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 anyways.

Oh no, not this again!!!

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/ etc...

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 fully capable of drawing from a PICC and giving bl...

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 a hotel.

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 infrequent.

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 everyone I worked with was sick of it, but not everyone...

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 position in which you are applying for.

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 with her doc friend, or finding the time to have ...

Received and thanks!

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 may go sooner if I can. Anyways, I have done tele...

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

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 luck!

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. Would this need to be obtained before applying, or is...

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