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RN94

RN94

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RN94's Latest Activity

  1. RN94

    Hate Home health job

    I know this post was from over 2 years ago but I'm just seeing it now and would like to know what state you work in?
  2. RN94

    Home Health Rates

    what state is this?
  3. RN94

    Home Health Rates

    What state do you work in?
  4. Thank you for commenting. I will look into them.
  5. RN94

    Med management

    Anyone have any advice regarding med management? My toughest patients are the ones that are forgetful due to dementia and either don't take their medications at all or miss some days etc.... My boss and one of the NP's I work with recommend getting meds prefilled by the pharmacy, but this does not help the forgetful pt because even if it's filled correctly, the pt doesn't remember to take them or they could forget they took them and take more than one day's worth. Lifeline has a dispensing machine that will alert ppl (i.e.: family member) if the pt didn't take the meds but even that is not foolproof and some families/pt's can't afford it and don't want it. So, I guess my question is, if I've identified the problem and notified the MD and educated the pt/family on options to safely deliver meds, can I leave it up to them and discharge the patient? I just feel with some pt's nothing is going to work. There may be a slight improvement in compliance but I don't know what more to do. I can't go everyday to give the meds myself and if I've notified the MD and educated the family, referred SW, etc... etc.... That's all I can do right? I should discharge right? If I've done all the forementioned things and I continue to go in and find that medication is not being taken or extra meds are in the pillbox, there's not a whole lot more I can do about it. It's my understanding that if I'm just going in and checking a pill box and taking vs, that's not really skilled nursing that insurance will pay for. Is that right? Any advice comments would be appreciated. Thank you.
  6. I live on the South Shore and I work for vna care network. I don't like them much. The office is disorganized, the pay is not great and there's nobody available to help you if you have questions etc.... Anyone work for an agency they love?
  7. RN94

    pleurex drains

    I am a homecare nurse which is new territory for me and I have never had oncology pt's before either. I was just wondering why alot of oncology pt's need fluid drained frequently from lung/abd etc….? What is the pathophysiology? May seem like such a basic question for an experienced oncology nurse. Believe it or not I've asked this question to multiple colleagues who were not able to give me the answer.
  8. RN94

    Hate Home health job

    Wow, that's great! So, you are making a decent living there? a little ahead of the game?
  9. RN94

    Hate Home health job

    Libby 1987 RN, BSN -What state do you live in that you can make that much at home care? Are you working more than 40 hours per week?
  10. Thank You. I'm going to do home care for now. The pay is almost half of what I was making, but it is a job. So, you mean you got a job as a manager outside the healthcare field? Thanks for replying to my post. I hope I can share a success story with you in the near future. Thanks.
  11. Thank you so much! I needed to hear that. I hope you're right.
  12. I really appreciate your feedback. Everything you said is what I figured. I'm just nervous about the "not eligible for rehire". That kind of says it all. I would think any hiring manager would not need details after that. I mean, if someone is not eligible for rehire, they must have done something seriously wrong. I just want to get past all of it. I really did learn from the experience and nothing of the kind will happen again. The director of another department that was formally my manager 10 years ago said I could give her name and she would give my a good reference. So, I'm just hoping they would call her and not HR. I sincerely believe that if I wasn't at the top of the pay scale and receiving benefits based on my 20 years with the hospital, that my mistakes would not have caused the same results. I am not minimizing my mistakes, but I just wish I could have had another chance. I am a good nurse and I know I can prove it. Thank you for responding.
  13. RN94

    Please read! I desperately need advice!

    There is more of a back story but I was just trying to keep it short. I made three med errors in a short period of time. I got written up for each one. 2 of them had to do with not following proper protocol and one involved a patient receiving the wrong dose. I did not think you were supposed to be punished for med errors, but it's my understanding that it was more about not following protocol and not a system error. I do feel if it had been another nurse with serveral years experience that did not get paid my salary and benefits that they would have been given another chance. I just desparately need to pay the bills and I loved my job. I just want to know I have a chance to get another job and that I also have a chance to make the salary I was making. As it was, I was living paycheck to paycheck. Now I have no money (I had no savings), no health insurance and lots of bills. Just looking for some hope. If anyone was in a similar situation and has a success story to share it would lift my spirits greatly. Thank you.
  14. I want to try to keep this brief because I don't want anyone to lose interest and not answer. I'm not a manager but I really need help from some of you who are managers. I was at the same acute care inpatient hospital job for the last 20 years. I made 3 med errors in a short period of time. None of them brought harm to a patient, but I'm not attempting to minimize my errors. I was put on adminsitrative leave for a day and was being brought in for a meeting the following day. I knew they were planning to terminate me, so I resigned. I really need to work. I'm am the sole provider in my family and now I don't know how I'm going to get another job. I'm seriously having a nervous breakdown over this. I really am a good nurse. Can anyone tell me how to get another job when I did not leave on good terms, as in (not eligible for rehire)? How do I get another manager to hire me? With the exception of several years experience in home care- that position I held spanned my entire career. I can't not put it on an application. Any advice? Honestly, I'm desperate and would be so greatful for any input. Thank you.
  15. RN94

    Please read! I desperately need advice!

    Thanks. I am looking into home care especially since that's where I started my career. I of course will be willing to take any job right now, but home care does not pay well. I'm wondering if I can ever recover and go back to making anywhere close to what my salary and benefits were in acute care.
  16. I have been working at the same hospital for 20 years as a pediatric nurse and was terminated 2 weeks ago for a med error. Anyone out there have a similar experience happen and go on to get a good job? Any advice on what to do?? I'm devastated! I have a mortgage and lots of bills! Any input would be appreciated. Thank you.
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