Silverblitzen

Silverblitzen

OR, ICU, Tele, Psych, LTC, Palliative

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All Content by Silverblitzen

  1. mileage issue/home health issues

    Nope, no scorching from me, only a hearty agreement. It's why I just left nursing. Our central agency was offering our company everything that came down the pike and our company accepted EVERYTHING in order to keep the contract, even if there wasn't ...
  2. the "non-adherant" patient question

    "It is too bad that agencies "give up" on these patients and will not allow nurses to continue to try and educate their patients." Hi Anna, You can only do so much with the time you have. For every one of the non-compliant clients, there are so man...
  3. Meds in TPN bag?

    Arwen, Well said. I couldn't add any more than what you stated. Sue
  4. Do you get paid

    Hi Cookie, You have to be careful and really watch for burnout. I didn't catch your age, but those kinds of days can wreak a toll on your body. I did the same till I came down with pneumonia and was out of work for a month. I had to drop to part ti...
  5. Vent: Bad day

    Uh, I think you're right about the CG not wanting to leave the little cabin in the woods! The body could be days old and she'd still be saying the poor thing was just sleeping! OMG! Let us know what happens? Sue
  6. Vent: Bad day

    Ya know, I tried to pick just a paragraph to quote in order to save space, but that whole situation was just too much! I couldn't pare it down anymore:eek: What a horror story! Is she still with us? The CG sounds like a trip. And she knew nothing o...
  7. shoes, shoes and more shoes-and those darn heels

    I've got to check in on this topic. Since I'm not a spring chicken anymore, I have to pay a bit more attention to the tootsies so..... I paid a visit to the orthotics store next to the hospital. While there I was directed to a brand called Naot. I bo...
  8. Do you care if they want you to remove your shoes?

    Hi, I always take my shoes off in my house, and therefore, I take them off in client's houses. It's a long standing habit from when I had horses and also had a mud room outside the kitchen in which to take them off. So, I carry a pair of hard sol...
  9. What do you eat while on the road?

    I never thought I'd wax poetic about a PBJ, but with Fieldberry jam (Smuckers), and the crunchy style PB, OH MY! Sooo good. I try to make it a bit more nutritious by making it with flax/sunflower seed bread. Ummm. Sue
  10. Typical Day For A Home Health Nurse | Life of a Nurse

    Yes, Ontario. I do think home health is the way to go, but there has to be some consideration to the amount of work one can do in one day. I'm past wanting to do 60 hour weeks anymore and that is what full time (anything over 22 hours a week!) had tu...
  11. Typical Day For A Home Health Nurse | Life of a Nurse

    Hi Os, Nope, not prn. Regular part time. Our company doesn't offer benefits. We were promised a new contract by July 1 that offered 8 hour shifts, comparable pay to hospital nurses and paid benefits. Guess what. We got a 3% raise. Nuff said. I can...
  12. Please Help Me Figure This Out!!

    Hi, If you figure on 8 visits a day at $21 a visit, that's $168. Adding the $48 in mileage for the 100 miles (hypothetically) gives you the $216. Of course if you live in your area and only do 20 miles a day, that would change the outcome. Still, you...
  13. Typical Day For A Home Health Nurse | Life of a Nurse

    Hi all, I've been in HH for 4 months, started full time and am now part time. Even at only 3 days a week it's burning me out more than anything else ever has and the kicker is that I love this kind of nursing! I took an $11 an hour pay cut to do t...
  14. Do Nurses Eat Their Young?

    Hi Cariboujenny! That was a great letter! I wish I had the chance to work with you; I think we'd have fun! I always felt privileged to have a student or a new orientee assigned to me. It always gave me a feeling that I was giving back and helping an...
  15. Please Help Me Figure This Out!!

    Well, I think it comes down to what you'd enjoy doing. Company 1 will probably offer more diversity but longer, fewer visits. Number 2 offers a more stable roster of patients, but less time on each and so more you can fit in per day. Lets figure o...
  16. Do Nurses Eat Their Young?

    Ahh, you nailed it, Nanacarol! Sue
  17. What Would you Do!!!

    In this case, no, I wouldn't call 911 but you now have a baseline with which to compare. He has edema and crackles so you know the heart isn't working at its maximum capacity. If he's up and feeling great, just continue to keep an eye on him as you k...
  18. Visit Equivalents

    Hi Anticoagulationnurse, And welcome to the crazy world of HH nursing. I've only been in the field since April, and it's a steep learning curve. You basically have to forget what you learned about hierarchy in hospital settings and consider yoursel...
  19. What Would you Do!!!

    Hi, more from me. To monitor a client is to use your assessment skills. The symptoms you see allow you to make decisions regarding your client. Symptoms of extreme hypotension are: urine output less than 30mls per hour, altered state of consciousness...
  20. mileage issue/home health issues

    Whew, first I had to convert from Kilometres. Taking 1Km to equal 0.63 miles, my .36 a Km comes to .57 a mile roughly. I think I did that right! :smackingf Ontario, Canada not-for-profit HH agency. Sue
  21. What Would you Do!!!

    Hi, I'd just continue to monitor, and notify doc if BP falls below stated parameters, and/or pt becomes symptomatic. Some people seem to live in these ranges, but I'm sure glad I don't! Best, Sue
  22. New Home Health Agency Needing experience

    Hi Jessica! Back in 2000, I lived in Tucson and took a summer contract at the Casa Grande Regional in the ICU. Great pay for a summer's work! Anyway, will your company be associated with the Regional hospital, or something completely separate? (I'm...
  23. Disease Management Program

    Sorry I can't give you any advice right now, but I'm a HH nurse with a Canadian not-for-profit company. We're looking into ways to circumvent the gas situation, as is everybody I'm sure. Our manager let slip that they are looking into ways to incorpo...
  24. I've had it!!! Need to vent again

    I've been working full time and my day usually started around 8 AM. With faxing, travel to, from and in between clients, chart work (paper) and at home processing of admits for the next day, my days ran about 12 hours at least. I've done this full ti...
  25. mileage issue/home health issues

    I've always tried to do the 'circle' route. :rollI start with a few nearer to me, then plan on driving out to the farther ones, working my way back. That way, you're paid mileage from a distance closer to you, including the trip out to the farthest a...