wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Accepted offer. Leaving HH

    It's off to Oz I go, onto a general adult psych unit of a large free standing psych facility. No, I will not be the one locked up, I'll be the one with the keys. One regret is 8 hour shifts, at least...
  2. Quit or get fired?

    If you don't know how your attitude is condescending, how are you going to correct it? Ask for examples. Maybe there is something to it or maybe it's a perception thing on the receiving end. As for...
  3. packing a child in ice for a fever of 105 degrees?

    During my tenure in hospice, I've treated unresponsive patients for fever using rectal suppositories and cool cloths. I honestly don't know if the patient actually felt more comfortable. On the chance...
  4. Home Health RN Switching to Hospice-I think.

    I've done both. Admission paperwork might be slightly less but then there are the recerts. Many more recerts in hospice. If you didn't like HH because of the never ending nature of it, you won't like...
  5. Loan repayment is taxed too, all taxes due taken out during the first year of
  6. Help me find the positive in this

    As RNs, all of us were required to spend a minimum number of hours in the secretarial role. In trauma ICU, often at night there would be no secretary. During a code situation, someone has to be able...
  7. Are They As Brutal As People Say

    Brutal? Depends on your instructor and the nurses on the unit. You might feel good about some days and not so good about others. Don't expect to get much done. Clinical doesn't turn you into a nurse....
  8. packing a child in ice for a fever of 105 degrees?

    In neuro critical care, we would use a temperature controlled cooling blanket for raised ICP. Maybe this would be an alternative? When I was a child, I had spiked a temp >105 degrees. At the...
  9. Why work in unsafe neighborhoods????

    It's just part of the job. Seasoned HH nurses understand this and new ones should be made aware of it and be given tips on safety. I wouldn't dwell on it
  10. Home health nurses, I need your help!!

    It's not at all like hospital nursing. Once you're out in the field, you're a one-man show. I really loved that part of it. The autonomy is refreshing. You meet people who are most often past the...
  11. Why work in unsafe neighborhoods????

    Why would your agency want to put someone at risk like that? Can't that territory be shared? Sorry, I now this doesn't address your
  12. our calling

    I get up in the morning, shower, dress, drive to work, work and drive home. I get a paycheck every two weeks. Sounds like a job. But wait, while doing that job I have the opportunity to touch people's...
  13. Where Is The Worst place to work in Florida?

    In Southeast Florida, avoid Bethesda and West Boca Medical Center. These facilities are notoriously toxic to nursing
  14. new prn home health rn worrying, help!

    PRN employment in HH can present some gray areas you might wish to address now that can severely impact on your compensation. 1. Missed visits. Are you supposed to attempt visits on patients who you...
  15. Accepted offer. Leaving HH

    Thanks for the good send-off. Yes, I'll be careful. I learned a lot in HH about safety. It seemed like for about a month I was a magnet for psychotic patients. At least this will be a controlled...
  16. Use of HH Aides

    The agency in the OP is struggling for every dollar. An aide is considered a luxury. I think you have to spend money to make money. Clients are often in need of ADL assistance for bathing. I can think...
  17. Use of HH Aides

    We often run across situations where an aide would be appropriate for hygiene. We don't employ them (medicare doesn't reimburse for them... not a skilled need) and have to borrow them from our sister...
  18. How to Calculate Mixed Insulin (70/30)

    Yeah, this sounds like a trick question. 12 units of a mixed solution of anything is 12
  19. How to Calculate Mixed Insulin (70/30)

    The answer is I'd call the
  20. I desparately need some input....

    The thing about nursing is that once reality hits and you're in your first year busting your gluteus maximus on a med-surg floor, the only reason that's going to matter is that you have a passion for...
  21. Psych newbie here so take it with a grain of salt. I would say it depends on the disorder. Someone looking for hope and strength might find healing energy in worded songs like I can See Clearly. A...
  22. Do I need to take legal actions???

    Will taking legal action get you anywhere? If it gets you accepted into their program, don't expect any warm fuzzies. You will be branded as a trouble maker. I'd take my energy and concentrate it on...
  23. Pay Per Visit/ Salary Question

    $80 for an OASIS is high end where I'm at. $65/$40 is the going rate here. Do you get mileage reimbursement too? Most per visit nurses don't make a ton of money. Salaried do better. When I was...
  24. Why is psych nursing only 8 hours???

    Do you think 8 hour shifts impact negatively on patient care? Just curious. I just accepted a position working 5 8's on a general adult inpatient unit. I would like to have had 12s but they were all...
  25. You're too sensitive...

    It means whoever told you that isn't sensitive