wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Anyone else Salaried here?

    Yes, our case managers are salaried. I've learned to be bendable. There have been days when I've left home at 9am and been home before noon. Those are beautiful days. There have been some downright...
  2. Hospice...not what I thought it was going to be

    Louisepug, case management is like a box of chocolates. You never know what you're going to get... or
  3. Should Patient be Revoked???

    Our medical director wants us to summarily revoke hospice when patients are admitted. He feels we are essentially pretty useless since the hospital is running the show. We readmit them to hospice when...
  4. Oncall pay

    We get $2/hr for carrying the beeper, $45 per visit, $65 per admission and mileage from out the door back home. If a visit lasts more than two hours, we get an additional $45 at the discretion of the...
  5. What is a "dry birth"?

    My mom, God rest her soul, used to tell everyone that I was the product of a dry birth. It wasn't until I got into nursing school and took OB that I understood there was no such thing. Of course try...
  6. ER nurse new to LTC!!!

    Ask for more. It's a big jump from ER to LTC. I made a similar jump from trauma ICU to hospice. It takes some getting used to the different pace. Also many LTC patients are on CMO. That's a very...
  7. Am I incompetent?

    Is there any way you can find out through your agency what the reason
  8. You need some educating!!!!!!!

    Advanced practice nursing. There is talk that a doctorite will be required at some near future
  9. make a good palitive care nurse?

    Be prepared to answer ethical questions. Your feelings about withdrawing care for terminally ill patients will be
  10. Long hours, unappreciated... yes, I've been there and would still recommend nursing. Once I left the hospital opting for hospice instead, I found nursing to be the rewarding career I hoped it would be...
  11. Flying Solo - Hellllllllllllllllllllp

    There is that business side of hospice that drives me up a wall. No live discharges. Ugh! I am guided by the principal of simply doing the right thing by the patient. All the rest is someone else's...
  12. starting a nursing career at 55??

    I think the question deserves a thoughtful answer. Look at your fitness level and choose a specialty appropriately. Some specialties require more physical stamina than others ie; critical care with no...
  13. Flying Solo - Week 2 orientation

    My orientation was similar to that described by Aimeee. I've only been in hospice nursing four months and have just begun taking call at the end of last month. My PCC wouldn't dream of putting a new...
  14. How much do u like nursing? Scale of 1 to 10

    I would give it a 7. The only career I would give a 10 is
  15. How many new nurses like their job???

    My first choice after graduation was critical care. It may have been the facility, or maybe it was the job. Probably it was both. But I had to be out of there for my own sanity after only one year,...
  16. subdural drain...what to do?

    Per policy, when I was an ICU nurse, we never irrigated without a real good reason. Some of the new drains have one way stop cocks... only out, nothing
  17. Census of 130-140. We have a dedicated on call staff AND we all take call one weekend a month and two week nights, usually as back
  18. Isn't there any specialites....

    We use LPNs in
  19. Introduced as "The Nurse"

    It is very flattering... at first. Just wait till your family calls you for every little thing and expects you to know EVERYTHING about EVERYTHING medical. Last week my BIL had my sister call me after...
  20. Illnesses and calling in sick

    Sounds typical to me and very much like the way my former place of employment was run. I'm good for at least one bout with a cold/flu a year that's bad enough to keep me out of work for a couple of...
  21. Keeping track of time is becoming a real pain in the rear. Our corporate considers the only productive time as the time we chart in and out on our visit notes. Phone calls from docs and families or...
  22. What is the best part of being a hospice nurse?

    Today when I left my patient's home, he said "love ya babe". This coming from a man who is embracing what he has left of life like every day is his last. I really feel like this is a field where you...
  23. Should we consider hospice?

    End stage Alzheimers disease is a qualifying diagnosis. You can ask your doctor for a referral to hospice. The hospice team will come out and evaluate his readiness and talk with you and your family...
  24. Pittsburgh ICU jobs...

    Why not call Presby and talk with their NMs. There are two neuro ICUs there and they're always looking. Your current NM cannot hold you indefinitely. Those are the rules. If one of Presby's NMs offers...
  25. Should I be mad at Hospice? My mother...

    Roland, I am sorry for your loss. End of life decisions we make with our loved ones and for them can be full of detours along the way. I don't think there is any one perfect decision. I read your...