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home health, easier for LVNs?
I am a LPN in Virginia and I do Home Health full time. It really depends on the agency you work for. Where I work I still get difficult cases. There are things that LPN/LVN can not do such as; Start of Care, Re-certification , Resumption of Care, and Discharges. Which means most of the time I don't have as much paper work as the RN, but I still have my share. Also my agency does not assign me IV cases. Every 30 days a RN has to do a supervisory visit to be sure the patient is still please with the LPN/LVN work. I do wound vacs, difficult wounds, a bunch of teaching. To work in Home Health you have to feel comfortable in you assessment skills. You have to remember, it's you out there. You could always call your office, but it's mostly up to you and the patient. I hope this helps.
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Any suggestions would help
I would suggest going to local long term care faclities and ask if they have a CNA program. Many do. Also since you are looking at becoming a nurse in the future, many LTC and Hospitals do help with tuition after working there a certain amount of years. If your facility does help with tuition, many times you have to sign a contract stating you will supply them with your services for a certain amout of years. I hope this helps, and good luck.
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Dissapearing Aids... the norm?
I don't think it's typical of every place. But I have worked in a place where I could never find one particular male CNA. Nurses were required to do rounds at the end of their shifts to make sure the CNA work was complete. Well, I was going down the hall and couldn't find him. His work wasn't complete either. And since this has happened many times before, I was so frustrated I wrote him up. Well, He was all buddy buddy with the ADON and didn't get in any type of trouble. The ADON basically said I was wasting my time with the write up. After I left he kissed her cheek and said thanks :angryfire . I left 2 weeks later. I'm not bashing CNA's at all, but I'm not going to let a CNA get away with not doing their work. And I am not going to stay at a job where the higher ups let it happen. So I think it's up to the CNA to do their job. Even when i do direct CNA's, some times they still don't do it. So if you are a CNA, please make life easier. You are there to do a job, not milk the clock. :sofahider
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Survey: Has your facility implemented nurse to patient ratios?
I work in Long term care. We never implemented a nurse to patient ratio. But ours would be 30+ residents to 1 nurse. See a problem, because I sure do. :redlight:
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I didn't get all this education to wipe behinds!
I'll tell you all the same thing my nursing instructor told our class in school. When you have a Nursing license, that's just a license to do more work. I have came across too many nurses who feel they are too good to do primary things. So call bells could be going off for long periods of time and those nurses would say, "That's not my job". Is that what getting a licese means? You don't have to give the care to the person needing it just because it may not be your job. My very first job out of nursing school I did primary care. I didn't have CNA's working under me until about 2 years after I graduated. And I'll tell you, I loved doing primary care. You knew the people, you was able to do a full assessment of the skin because you'll be giving showers. It was rewarding. I feel that no nurse, EVEN A FNP, is too good to wipe behinds. I worked with a FNP and if she was seeing a person and they was dirty, she would clean them. So no one is too good. You're a nurse. Remember that!!!