RyanSofie

Your reply was well worth quoting! "As an Oncology NURSE and Hospice NURSE" Thank you! My question was " if this were your loved one what would you suggest". As nurses we are patient advocates. It is not beyond reason to suggest Hospice/Palliative ca...

My friend's patient has a tumor large enough in his neck that he has dysphagia, a PET scan has shown several "spots" on his lungs.He has end stage COPD. He is anemic and severely underweight. He is 76 years of age. The "team" has told him he needs to...

You will develop a method to pass medications more efficently. Each nurse tends to do this so don't worry. I suggest you start as early as possible setting up your cart ( right after report if possible). Check to be sure your well stocked with cups/s...

Maybe this comment is tad bit off subject but i find it amusing. I have a son inlaw who decided since I am an RN and he thinks a nitwit, that he wuld go into nursing. Afterall he knows I earn a half way decent living ( which in 10 years I have known ...

I have had this happen and it can make you question yourself. I now see it as the family looking for a better outcome of a situation they cannot control or change. You were correct in requesting family sit with an anxious patient. Your intervention w...

A "REAL" nurse has no problem washing 6 years of dirt off her/his diabetic patients feet and from between his swollen blue toes. A "REAL" nurse takes the time to sit and really listen as the old man with those grungy feet shows the nurse his collecti...

The "TOTAL" work hours are as long as it takes to complete visits, open cases,recert cases,discharge cases ( assessments) and make routine visits or prn visits. Then...complete Oasis, med sheets, careplan, orders,Braden scales,pain assessment forms f...

Ask if clinicians are allowed contact with physicians if orders are needed. Do physicians see patients if change of status occurs? Commuting/road warrior is the norm for home health. Expect alot of travel time and reams of paperwork unless company ha...

R.N. B.S.N PHD Phooey....I sign my name 20000000000000000000000000000000000000000000000000000000000000000000000 times a month...D.S. R.N is enuf !

Sept/Virgo: HH is a 24/7 commitment without the compensation to reflect the amount of time consumed from your life. The companies know the time required and the managers,adminstration are appropriately compensated for putting the whip at the field st...

The focus is on the goals set in the POC. Each visit note should reflect your teaching,the patients response and the progress towards goals.Three weeks before end of cert period your patient should have met at least 80% or more of goals and your docu...

Age has many benefits in nursing as the response above indicates. Life experience and having learned the skill of prioritizing and the ability to accept and utilize constructive criticism are key to making a long day survivable. There is no doubt tha...

:nurse::nurse::nurse: We are advocates for our patients. We will use our critical thinking skills at solve issues with intelligent, experience based knowledge that we have diligently worked to aquire in our professional settings. Why then do we as N...

Who has even heard of a weekly meeting running THREE HOURS late? If my med pass/shift started at 2:30 I would have gotten up, excused myself, and got out on the floor. That place sounds insane. If the meeting ran that late...did the previous shift h...

The company I work with rotates call between clinicians. One week on usually a month which includes a weekend ( Friday to Friday). We have no "shifts". If you work in the field you work until you finish your required "quota" of 5-6 visits. You set th...

if it were a perfect world a hh nurse could work an eight hour shift and see one patient every hour. unfortunatley that is never the situation..a start of care oasis..requires an hour just in paperwork ( at the home) in addition to the reams of addit...

Repetition....over and over and over and over again. Writing a patients' name 50+ times on one open ( count em)...and the pts birthdate....cert dates blah blah blah...Ansewering the same question with different wording over and over....

would love to hear about your system too....

I have (since posting my comments ) went to a per diem position because I simply was unable to keep up that pace. I have some very talented administrative RNs working with me whom I have so much respect for as professionals, so I chose to remain with...

Well best of luck to you and I hope you enjoy HH. I love it and often did not get down time but that has changed as I returned to per diem status. Trying to see 30 patients a week, do ROCs ,SOCs,case management and drive lab specimens to labs where I...

"The paperwork I can usually complete on my down time or at lunch. Today I am behind so I am up early to get a head start. One thing I don't like is I can't leave my job, I continuously feel responsible for my patients." What lunch? Down time?

HH the paperwork is all too time consuming and too much duplication of information. Being assigned one patient 45 miles east and another 60 miles north is plain insanity...especially when you must MAKE a daily productivity quota of 5-7 patients. It i...