wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Frustrating patients

    wonderbee posted a topic in Home Health

    Yesterday I lost my patience with a patient. I didn't yell at her or become abusive or anything remotely like that, but I knew I had had it and had to excuse myself before I did say something I might...

  2. Frustrating patients

    wonderbee replied to wonderbee's topic in Home Health

    It is a frightening prospect. No. MC won't pay for that but maybe a community agency can be tapped into like the VNA. In a situation like this, I would request a SW consult. Maybe there is a local...

  3. Per visit rates?

    wonderbee posted a topic in Home Health

    I've got some interviews coming up. If any of you have been keeping up with my never ending saga, I'm looking at admissions positions. My company currently pays $65 for admissions and $40 for visits...

  4. Pittsburg

    wonderbee replied to silverangle's topic in Pennsylvania Nursing

    UPMC Presby has an amazing CTICU. They're doing stuff in there I've never seen before. That said, I recommend checking out Allegheny General and the entire Allegheny West Penn Health System (AWPHS)....

  5. Truth or Dare, how many hours do you really work a day?

    wonderbee posted a topic in Home Health

    That hourly wage I'm quoted, when considered in the light of real world days, is pretty measley. So wanting to know if this is undustry-wide, what does your day work out to in terms of real hours...

  6. Language barrier question

    wonderbee posted a topic in Home Health

    Has anyone run across a situation where the patient is disoriented secondary to dementia and the caregiver(s) speak no English? Was the patient admitted? I am dealing with just such a situation. No...

  7. Language barrier question

    wonderbee replied to wonderbee's topic in Home Health

    We never stop learning. This is a golden nugget of knowledge. My agency is having the visiting nurse d/c the patient today despite the fact there has been no learning and, therefore, no service. I...

  8. Need ideas for teaching...

    wonderbee replied to DutchgirlRN's topic in Home Health

    Our forms have many canned teaching topics. For instance "teaching given new or changed medications". "Skilled observation", "wound care", etc. Sometimes I refer to my old nursing school care plan...

  9. what does it take to be a HH nurse?

    wonderbee replied to fawnfalls's topic in Home Health

    Car murderers! I do hope my car outlives the life of the loan. Dear Lord, bless my car please. May all its (many) oil changes be

  10. what does it take to be a HH nurse?

    wonderbee replied to fawnfalls's topic in Home Health

    The above post is well said. The only thing I would add is a vehicle in good repair, good car insurance and a collection of your favorite CDs. A sense of direction or a GPS navigator come in mighty...

  11. Can a patient be a full code and a Hospice patient in NY?

    wonderbee replied to UM Review RN's topic in General Nursing

    Although it makes no sense to accept hospice care and be of full code status, it's not a requirement. At least not in PA. I had a patient who was an end stage respiratory patient. She was full code....

  12. HELP I'm falling apart!!!

    wonderbee replied to longjourneydream's topic in Emergency

    I agree with the poster who suggested that your charge nurse should have listened to you earlier on when you knew what you needed. Unfortunately the reality is that what's done is done. You now have...

  13. Think I've come to a fork in the road

    wonderbee posted a topic in Home Health

    Some of us just seem to take longer to find our niche I guess. The fact that I came into nursing at 50, I believe, also plays a big role. I had so hoped that HH was going to be the last stop on the...

  14. Think I've come to a fork in the road

    wonderbee replied to wonderbee's topic in Home Health

    You know, I love these forums. It gives us opportunities to work out the kinks together. I have come to the same conclusions that several others of you have. I would do well to accept a job doing...

  15. Truth or Dare, how many hours do you really work a day?

    wonderbee replied to wonderbee's topic in Home Health

    Thank you for all your replies. At this time I have gone casual for HH and hospice because it just seemed like a never ending tread mill. It gives me time to think of options. My time management is...

  16. I think Hospice needs hospice...

    wonderbee replied to introspectiveRN's topic in Hospice, Palliative

    I don't think a lot of people know this, maybe they do... just throwing this out there. Not for profit doesn't mean they're not making money. It just means that they know how to make it look like...

  17. I think Hospice needs hospice...

    wonderbee replied to introspectiveRN's topic in Hospice, Palliative

    It does seem to be a self perpetuating end unto itself a great deal of the time with the bottom line the almighty

  18. Salary vs Per Diem

    wonderbee replied to Allow Mystery's topic in Hospice, Palliative

    Am switching over from salary HH to per diem hospice/HH. Case management is time consuming and has been sucking the life out of me. Per diem where I work doesn't do case management. Just visits and...

  19. Truth or Dare, how many hours do you really work a day?

    wonderbee replied to wonderbee's topic in Home Health

    This is a serious question, not just a curiosity. I'm wondering if I'm getting gipped working 10 to 14 hours a day (without lunch) because the agency is poorly managed or if this is just the way it is...

  20. What is wrong with me??

    wonderbee replied to fancee free's topic in General Nursing

    oh goodness! i hope the message she is getting is not that she is incapable. rather that she keep her eyes open to the possibilities. not every nurse will find happiness in er, right? we're all a...

  21. Cheers and Geers from our Peers !!

    wonderbee replied to MustangSallie1997's topic in General Nursing

    My patients. HH patients are welcoming and warm, especially out in the rural areas. They'll try to feed you or give you a cup of tea. Had to send a LOL out to hospital on Thursday. She had been down...

  22. Is age 45 too old to start nursing???

    wonderbee replied to Toots71506's topic in General Nursing

    I won't sugar coat it. Nursing is hard at any age. Also, school performance doesn't equate with real world. Are you willing to work hard? Can you handle the physical end: lifting patients, carrying...

  23. What is wrong with me??

    wonderbee replied to fancee free's topic in General Nursing

    There's no way to learn when you're this frazzled. Give serious thought to getting out of the ER and moving on to something not quite so fast paced. Have you considered rehab nursing? This is a great...

  24. Think I've come to a fork in the road

    wonderbee replied to wonderbee's topic in Home Health

    Really! Cleaning toilets? Ewww. I did however give my notice two days ago and had my exit interview. My orientation to HH sucked. By 3 weeks out, I had my own full load for case management. I kept...

  25. Considering Home Care....

    wonderbee replied to bsrn0523's topic in Home Health

    What skills would you be losing? I do general med surg stuff; foleys, blood draws, wound care, wound vacs. No IVs and I haven't done a tube feed on our service. No vents either. Assessment skills have...