paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. The reality is home health care is where the jobs are.

    I agree. But how are new grads going to get their experience if the hospitals are not hiring? We all agree what's best. But what about
  2. Salaried nurses, How much OT is acceptable? What to do?

    My original paperwork quoted me an hourly rate and said nothing about being a salary employee. So I assumed that I was hourly. Many of the employees punch-in in the building so I asked her when I was...
  3. Newish RN with new back injury - help!

    Unfortunately I have a similar story. I went back to work (med-surg) after having a discectomy for a huge L4-L5 herniation. I had horrible pain in my left leg. I lasted 6 months before it happened...
  4. Things pts say that make you scratch your head.

    I leaned over an elderly female patient that was NOT confused and she said, "Wow, you have really nice
  5. Here is my dilemma. I just started a job a 4 weeks ago as a Intake Nurse-RN with a very large home care company. I was one of 4 nurses that were hired. My letter of employment quoted an hourly pay...
  6. Here is my dilemma. I just started a job a 4 weeks ago as a Intake Nurse-RN with a very large home care company. I was one of 4 nurses that were hired. My letter of employment quoted an hourly pay...
  7. I start HH tomorrow!

    Please read the "tips and tricks" TOPIC and the POST from "discouraged". Both will help you get a good start. And get this book ASAP The Handbook of Home Health Standards: Quality, Documentation and...
  8. Discouraged

    There is definitely a learning curve in home health. Home health is a specialty. Nurses are always surprised that they can't jump right in after working at a hospital but I'm not. You wouldn't be able...
  9. I have 11 years of home care experience and prior to becoming a nurse I worked as a Medical Assistant for 10 years. I even taught medical assisting for 7 years. I haven't had any luck finding an...
  10. I start HH tomorrow!

    My kids are grown but I have worked with many nurses who had small children and they seem to make it work. Good
  11. Will home health survive?

    The process is called "bundling" of payments. It hasn't officially started, I think its still in the planning phase, but some agencies are part of the pilot program. Under the Bundled Payments...
  12. The reality is home health care is where the jobs are.

    I agree, but the question is...How do new grads get experience if there are no hospital
  13. Who actually likes nursing??

    I love being a nurse but a job in nursing is not always great. I love the respect that nurses get from the community. I love saying "I'm a nurse, and people usually listen. But, I think that nurses...
  14. Dilemma; small local agency or large national company?

    Take the hourly salary. Most nurses get screwed on the per visit due to high acuity patients (their visits take
  15. worst, most corrupt agency ever!

    Time to get a new job! No sense fighting it. Its not worth the
  16. need help with stasis ulcer!!

    Status ulcers are nearly impossible to heal. Compression is the key. Do you have a wound care clinic you can refer the pt
  17. What did I get myself into??!! I'm scared!!!

    After being in home care for 10+ years, I can tell you that a lot of your satisfaction will be based on what agency that you work for. You want to work for an agency that has many patients that...
  18. Dilemma; small local agency or large national company?

    How are you getting paid for each of them? Hourly? per visit? salary? To me, that makes a big
  19. interview failures and triumphs!

    A couple months ago I had a phone interview with HR from Molina (insurance company). The position was for case management. I couldn't tell how well I did because on the phone you can't pick up facial...
  20. Do you cut corners in your daily nursing practice?

    I am leaving my current position of direct care because I am finding myself cutting corners. I don't want to be that kind of nurse. My excuse is that I am burned out from patient care. As soon as I...
  21. Nursing Student at a Crossroads

    I love that you have a plan. But, trying to plan that far into the future is difficult. However, what you can plan is furthering your education. With a higher degree you are more likely to be...
  22. The reality is home health care is where the jobs are.

    I still think hospital nursing is the best place for a new grad to start. This is because, she doesn't have to make decisions on her own. She has a lot of experienced nurses on the floor who can help...
  23. New Home Health Nurse with Questions

    Your hourly was is fair for a new nurse. But, here are a few problems that I see. Their productivity EXPECTATION points are high. Most agencies require 26-30. But your daily productivity points are...
  24. Question about HH job offer and Advice

    In Michigan, SOC $85, revisit $50, recert/d/c $65. This is the problem that I posted about. Where do these new grads get their experience to work in home health if the hospitals are not
  25. What did I get myself into??!! I'm scared!!!

    Remain calm. Try not to worry about something that hasn't happened yet. I did this once, and ending up quitting a job before I gave it a chance . Hopefully, the agency will start you out slowly. I use...