GYPSY1349

amen to that!!!:heartbeat:up:

for "travel nursing" your experience needs to be within that year (in any specialty in a hospital setting):heartbeat..however, there are traveling home health jobs in quite a few areas, and it is huge in california.

[color=sienna]i have a garmin street pilot that i got two years ago...it's wonderful, and has never gotten me lost...which is more than i can say for my sense of direction!

ok now...take a deep breath!!! congrats on making a great decision...you'll be amazed at how much you already know having worked as an lpn. many of us also had families and obligations that appeared overwhelming while going through school. and there are a lot of us who also were lpn's when we decided to take the plunge and become rn's. if nursing is the profession you love, whatever it takes to get where you want to be will lbe worth it! when things get tough, repeat after me...."this too shall pass!!" blessings to you, you can do it! :redbeathe

That only works if you are not the one in PAIN. Remember...Pain is subjective. It is not our job to decide who or who is not a "drug seeker." Our job is to DO our job, with compassion and professionalism. :redbeathe

Absolutely! I LOVE nursing, and always have since my first day in nursing school, some decades ago...But once I got out of the "hospital rat race" and went into Home Health, I finally felt as if I'd found home. For all the reasons you mention, and many more, I'll never leave Home Health. :redbeathe

The only Palm software I use is the Davis Drug Guide...use it all the time. And, yes, I do use a GPS..as I'm "directionally challenged!" LOL... I have a Garmin Street Pilot, which I love. It does not have to be permanently mounted, so I can take it off, pop it into my glove compartment when I'm in a less than upscale neighborhood. I sure wasted a lot of time trying to read maps before I got it...and will never be without one again!:redbeathe

Actually, there are HH nurses that just do visits...to different patients most of the time, without doing Case Management. Some agencies have specific Case Managers for a certain group of patients, some by zip codes, some by specialties (i.e. Cardiac, IV..etc) So, for most, there is a difference, not only in the work required, but in the pay.:heartbeat

[color=sienna]hey candida...come on back to the travel work any time...the water is great! hugs, jesse:redbeathe

you have an interesting, though skewed perception of travel nursing...and maybe it comes from being in management, although i'm sure you haven't always been a manager. were it not for travel nurses, many hospitals in this country would be forced to shut down. one of the reasons so many thousands have chosen to travel, is precisely, because they were tired of the exact attitude you express in your post. i have been a travel nurse for over a decade, and have traveled from one end of this country to this other. prior to becoming a traveler, i worked in a hospital setting as a loyal, tried and true employee...i worked my way up to a position as director of clinical services, in charge of all licensed personnel in the facility. not only did my hospital use travelers, we treated them so well, that the same ones are still returning year after year after all this time. it takes a very special type of individual to make it in this field, and it goes beyond what is taught in nursing school. the saddest thing for me, after a lifetime of commitment to my profession, is that we are still in the dark ages, when it comes to supporting each other. your post proves this unequivocally.

[color=darkslategray]traveling as a nurse can be an awesome experience, or a failure...it really depends on your attitude. yes, there are high paying positions, particularly in california, and if your housing and insurance are free, your mileage reimbursement fair, and your hours are guaranteed, then you can make a very nice living. however, that being said, you have to approach each job with the right attitude. you must be willing to really be of help to the facility and flexible in what you are willing to do. you must also be firm in declining to float to areas where you are not trained or feel comfortable with the level of care required. ...and then there's the attitude of knowing how to negotiate your contracts, so that both you and the agency make a decent return for your efforts. yes, there are less than "happy" assignments, but then there are also a zillion opportunities for learning and seeing this beautiful country of ours with fresh eyes, and finding out just what we're made of. i've traveled for many years now, from one end of the country to the other. successful travelers never stop learning from each other, and sharing our expertise. each assignment can be an adventure or a failure. i truly believe it is all up to you, and how much time and effort you are willing to invest in searching for that "good fit" in an assignment and location, then going in with eyes wide open, and an attitude of "bring it on!" happy travels!:heartbeat

unfortunately, for some agencies, even some considered "reputable," the $$$ is the bottom line, and stuff like this happens, way too often, in my humble opinion. however, fortunately, there are reputable companies that allow their case managers to decide if a patient is appropriate, either for an admission, or for discharge. we all make our choices, to speak up or stay quiet, and for very different reasons. it's a matter of what you can live with, i suppose. but i'd rather take the high road, whatever the cost. :redpinkhe

if there is no skilled nursing need, then the nursing assisance cannot stay, as aides must be supervised by an rn every two weeks per medicare regs. the patient's blood pressure is controlled by her meds, and you cannot change the sciatica and back pain, except to provide teaching on her pain meds, repositioning, etc. which i'm sure has already been done many times. probably pt has also worked with her...nothing left to do...she needs to be discharged. :redpinkhe

too funny! i'm a vna nurse myself, in northern california, and often go to homes that literally do not have a place for me to sit...i've got the getting down and back up off the floor routine down pat! where there's a will, there is a way..sometimes we just have to be creative!

ambiguity is part and parcel of being human...sometimes we just have to make ourselves get out of the rut. remember that bad situations are always a possibility, wherever you travel. the only choices we have are what we make for ourselves, especially in how we let others treat us, and how we respond to situations. everything that happens, we allow to happen. with that in mind, resume your career when you're ready and make better choices. hawaii is a wonderful place, and i'm sure the change of scenery will do wonders for your mental health...just remember..you are in charge of how you feel and respond to the nonsense we deal with every day, and not just at work, and like you said...this too shall pass! (it's my personal mantra, as my loved ones will tell you!) blessings and prayers for your quick recovery!:typing