emilysmom,RN

emilysmom,RN

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All Content by emilysmom,RN

  1. How many do you Case Manage in a Certified Home Health Agency?

    I am a RN Case Manager but see most of our own patients all the time. Recently my company hired an LPN to help with routine visits. But I see 6-8 and that can include a SOC or ROC. I also see a...
  2. What to do

    Pt is at a ALF that has LE edema and scabbing and drainage. Patient has refused to go to a WCC, PCP who visits the ALF has not been to see the patient after I have asked several times. A WOCN nurse...
  3. Do you feel like this sometimes?

    Feeling depressed about being a home health nurse. I get very upset when one of my patients have to go back into the hospital. I monitor my patients 2-3 times a week. I call doctors when there is a...
  4. Computer Charting and Medicare guidelines in HH.

    I was always told we can only see pts once a day. I would love to have
  5. Philly new grads- where are you finding jobs?

    Many hospitals in PA are very concerned about the upcoming budget talks. The state is considering decreasing Medicare funding to hospitals and they are concerned they will be losing millions of...
  6. Med surg new grad

    I graduated May 08 I have been on a med surg floor for 6months. What is a good time to go to Home Health? I have heard at least 1yr? There are alot of Bayada jobs open in my area.
  7. HI I saw a spot on my local news station about a online school that has a RN-BSN at a resonable tuition. Just wondering if anyone knows anything about it? I am a RN from a diploma school and I am...
  8. HI Advance for nurses magazine just put out an article that says the PA nurses base salary avg is $30./hr. I work at LGH in Lancaster it is a large magnet hosp and we just got a cost of living raise...
  9. Mistakes

    I had a hard nite the other nite. I had to take 1 dilaudid pill out for a pt. I ended up taking 2 out then before I realized it I closed the drawer. So I figured I would return both then start from...
  10. 6 months

    I was talking to a nurse that graduated 1yr before me. She said many of her classmates including her changed jobs at the 6month mark. A friend of mine quit bedside nursing, it took her over a month to...
  11. Specifics on med/surge

    My med surg floor has alot of different things. We have people that have GI problems some just from surgery others with pnemonia. Many are there for workups and the docs do not know exactly what is...
  12. Trouble with getting a job

    Yes four 8's is full time. My floor is trying to steer away from 12's because when you work three 12s you only have to work 1 weekend a month. I have to work everyother weekend. But they can change...
  13. Trouble with getting a job

    Yes I do four eight hour nite shifts a
  14. Losing confidence...

    I know exactly how you feel. I too was on orientation and had to stay on orientation for a couple extra weeks then was sent to nights. Nights are slower and you have time to think and organize. I can...
  15. Trouble with getting a job

    I had a friend that worked there over the summer was promised a spot in Paoli got a job at Bryn Mawr and lasted 6months. They usually hire GN full time 3rd shift only but no weekends. Some floors are...
  16. What can i do with my husband?

    I work on a med surg floor in a very busy hospital. I have taken care of plenty of pts that had MRSA, HIV, HepC and not to mention many other viral and bacterial infections. I also have taken care of...
  17. Fired or Resign?

    I think critical thinking comes with experience. I too am a new nurse I have been on the floor for 4 months now. I am getting better with my critical thinking but I still have to ask alot of questions...
  18. Looking for CNA Advice, Chester County PA

    I graduated from Brandywine School of Nursing last May. I also have 2 kids and I worked part time all through school. I worked at TelHai in Honeybrook as a CNA on the weekends. They also helped me...
  19. New nurse OVERWHELMED

    I am glad to hear you are feeling better. I am a 45yr old new nurse. I have been on a med surg floor for 5months now. Some nites are good, no major issues and a good report AM and I even get to take...
  20. Is it hard for a 46 y/o new lpn to get hired?

    I am a new 45yr old RN. I have been working for 6months now in a large city hosp outside of Philly. The only suggestion I have is keep calling nurse recruiters and let them know you are very...
  21. How can I prevent myself from having a nervous breakdown?

    I know exactly how you feel. I am almost at my 6month mark and some mornings I go home crying. My mom wants me to go on anti depressants. I realized nursing was a hard job I am in my 40's and have...
  22. The 6month period

    A nurse that graduated a year before me had said that she and 50% of her classmates had changed jobs around the 6month mark. For my class it is around the 6month mark and one had quit, and one had...
  23. As a new nurse only 7 mos off orientation . . .

    I am not a preceptor yet but I am almost at my 6month mark. I am always finding myself asking quesions and I get the look of I should know it. In fact one of my questions I had was about forms and I...
  24. Job Satisfaction

    As many have said you have good nites and bad. I am almost at my 6month anniversary and some nites I feel stupid. Other nites flow and I go home sleep and start it all over again. Lately I have been...
  25. New Night Nurse

    Hi I have been orienting on first shift since the beginning of Sept. I change next week. Any advise on how to prepare? Should I just start staying up really late and sleeping in over the weekend? I am...