Guardian Angels

You aren't the first and won't be the last - You will appreciate that you now know what you need to learn! This will actually help you when it comes time for medication calculations - Better wrong on a sheet of paper than in someones body.... Just do research and practice - there are loads of sites out there and then you will be able to pass with flying colors both on paper and with people

Hang in there - Talk to the instructor and Dean and see what they suggest. Take the time to evaluate what went wrong and then research how to fix it - you aren't the first - you won't be the last.....It is a learning experience. Maybe this is your jump start into something bigger and better!

McKesson is also has home based Telenurse positions - It is a fortune 16 company and most hirings are completed by The Judge Group

There are sample contracts you can find on the web if you spend alittle time searching. If you want to independently contract - just yourself - you do not have to file the business entities. If you want to get into the agency end - then - you need to file the business aspect. You will need workers compensation, liability, contracts, attorney, cpa, staff for on call hours and money to pay the nurses of course. Charges vary per contract but are usually double - some one and 1/2 times the amount of the pay the employee receives - depends on the market and the facilities.

Start your searches with the State department of Health - and then inquire regarding contacts with the Area Agency of Aging, Veterans administration and also with the Medicaid passport programs for Ohio. Call centers to find out what is charged in your surrounding area for a baseline. Absolutely it is a wonderful idea. It can be costly - you need an attorney, and an accountant along with liability insurances. And PLEASE - whatever you do - NEVER- go into business with a Friend - she will screw you in the end - LITERALLY!

Begin with searches on the State Department of Health Websites. Most personal care must be licensed by the department of health in many states. Also - Contracts should be obtained with the Area Agencies of Aging and also with the Medicaid state systems - Asking the Area Agency of Aging can begin to direct you in a miriad of directions. Some Veterans Administrations will also offer contracts for personal care, and don't forget the special populations such as HIV. That is where I began my search. That should keep you busy for awhile

Ok - Another thought - What type of education does she have? How many hours of floor experience? I don't approve of her behavior - but with the push to pull in nurses during the shortage - I have to wonder what kind of quality we as a profession are loosing due to the accelerated programs. I also have to wonder WHY a new grad is in Intensive Nursing! The new graduates need years of basic work on medical and surgical units. It isn't fair to the staff, the patients or the new grads to place them on intensive units. I would address the situation with my manager and ask if possibly she could be able to work on a general unit for a few months to build a foundation. It sounds as if she was overwhelmed, afraid, and just lost. We need to work together as a profession to focus nursing specialities as exactly that - specialties with EXPERIENCED nurses. I believe when there are issues and they are addressed with management - a solution should be brought to the table. As written above - that would be mine...

To focus back on the issue at hand - the patient and her mother refused to leave and were angry that they were approached for discharge. I believe the physician handled the situation the best felt necessary. The patient was allowed to stay and was then induced upon his entrance to the patient's resolve. Suggestion for future reference: You did the right thing - you notified the physician and the situation was handled. The only additional advice would be to notify the house supervisor or manager as to the situation should this arrise in the future in case there are issues - That is why they are "running" the unit and should the next physician not agree that the patient should stay - the supervisor or manager can step in on behalf of the hospital system for the documentation should a case as such would errupt into a liability issue. Judgements aren't needed here. We are treating patients and we are all in the same boat - We all have difficult patients and personal beliefs that can affect our focus of the patient. We need to leave that baggage at the door when we enter the organization which we work. We need to stand together as a profession and celebrate the "crazy stories" that makes our profession such a unique one!:balloons:

Well lets see - It could be due to medications Hypothyroidism Electrolyte disorders Sick Sinus syndrome (cardiovascular disease) Infection Hypoglycemia Increased intercranial pressure - (Feels like I am taking a test!)

I have been a nurse for a very long time. I am attending my Masters/ DNS courses now. Advise? Do not attempt a CNA (STNA) position if you want to possibly change to a nursing professional career. I suggest you speak to a representative at a local school which has BSN courses to talk to nursing students and educators. Also I would suggest asking to see if you could shadow a nurse at a learning hospital. (Your chances may be alittle better of actually being able to shadow). Question - Why do you want to become a nurse? What about the position appeals to you? What do you think nurses do? What would be your ideal nursing job? WE NEED NURSES! There is a huge shortage! But - only if it is the "right" decision for you. There are fantastic programs out there! Have you attended college before? There are bridge programs available... But again - only if the profession seems to be a fit for you. It is much more than changing attends and passing pills - as you can see on this board- the potential professional possiblities are endless.

it takes a good 6 months to become acclimated to a new position. you need to take time and breathe during your day. the position won't change - but you need to be in control of your time - not the position in control of you. it sounds as if you have a great "handle" on your duties at this point. you have discussed your concerns with the administrative staff - now plan your days. not overtime - your working time! your family needs you just as much. when you are on your death bed - you won't say, "i wish i worked myself more." i am an advocate of delegation. your position is exactly what? read the job description and take the time to highlight your duties. if you cannot complete them in one day - then document, make copies and inform administration. i believe that with every issue - bring to the table a solution. it sounds as if you have done that. every patient needs a great case manager. i am certain that you are performing your best - but at what cost? :balloons:

Please answer me on this one. Yes the whistleblowers act is a wonderful act. However, do you realize that if someone makes a complaint against you or anyone in PA malicious in nature, the board will not punish the nurse for the malicious complaint, even if it is proven it was done under EVIDENCE of malice? What about the months of torture of the individual who was accused? I was just through that process and there needs to be a provision for punishment of professionals who report out of malice. Right now, anyone who has a grudge against you can issue a complaint, your life is turned upside down and that person "gets away with it with a smile." :angryfire

Thank-you for your support. I have also been looking at non-profit business in nursing............Any ideas out there to guide me?

What have you found out? I wrote to the PA depart of health and they were helpful, but still I am stuck.

The business that you mentioned, Home Health Care is exactly what I owned. I started it on my own, no franchise. We did well, but now I intend on going back into the business on my own, with non-compete clauses since my partner, and partner of my husband during the cheating time, is buying it, unless she backs out. I am hoping for other ideas, though, your response is helpful. I guess you do learn alot.......Trust no one close to you and you won't get burned. :chair: