twokidsmom,rn

twokidsmom,rn

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All Content by twokidsmom,rn

  1. How do you say no

    I left a company who had me working 6 days a week average visits were 38-45/wk for the last 3 months. I told them I will do PRN and keep 3 pts Well she calls me up and asks me to open a case for a spanish speaking man. I have a Iphone and have a t...
  2. When do you document

    I see 8-10pt/day that may include a recert or open. I have been writing then coming home and typing my notes because we do not have computers any my handwriting is very bad and have had too many complaints so I just type them. Yes it takes me around...
  3. Homebound

    I have a pt that knows that he has to be homebound for care. Has stasis ulcers. But has no family and needs to go to supermarket for food and goes to MD and WCC appts weekly. He does try to do MD and supermarket stops at the same time and supermar...
  4. Just hired by HHC agency--not feeling very good about it now

    But the nurse who did the SOC which the 485 is taken from should know what is on that 485. Lately we have not received a copy of the 485 for weeks. We usually see our own cases but sometimes if going on vacation or might see a pt for someone if the...
  5. Job of the BSN nurse

    Most BSN programs I have looked into are at least 10K. My nurse friends that are in classes have to take things like statistics and are always doing research papers. I do not think they have to do any public/community health class. That would be a g...
  6. Just hired by HHC agency--not feeling very good about it now

    When I see a pt for another nurse I get report from her before I see them. They tell me everything that I need to know and I can ask questions.
  7. Job of the BSN nurse

    Many specialties require a BSN in order to sit for there test. I am a home health nurse and I do not have a BSN. Many of my fellow classmates are going for there BSN when asked why they do not have an answer. Too rich for my blood. I will stay a ...
  8. Staple removal

    Thanks. Was talking to another nurse she said that if the staples are not inserted straight that no matter what they will hurt coming out.
  9. Staple removal

    I feel horrible. Have a pt with a total hip replacement removed 46 staples on day 15 (Wednesday). Site looked fine, some pink in middle of incision but no drainage and she has been doing alot of walking. Also on coumadin INR is 2.5. Had her take ...
  10. Oasis Pay

    I live outside of Philly I get $35/visit, $65/SOC and $22/hr for office work. Lately have been seeing 5/6 pts a day. Our census is low right now. With Medicare cuts do not see any increases for a long time.
  11. 1wk9

    In my new company MANY patients are 1wk9 to monitor C/P status. In my old company we always had to see our pts 2xwk unless we were going to discharge soon. Do other companies have many pts with 1wk9 and stay on service for a very long time? As a cas...
  12. Parrot Bite

    I was bit on the ankle by a parrot. Was doing wound care on a patient when her parrot came up behind me and grabbed my ankle. Broke the skin. I cleaned it applied neosporin and a bandaide. Next day feel lousy, red around wound but no pain, no dra...
  13. Home health and hospice companies

    If you work for a company that has both Home Health and Hospice. Are you ever on call for both? The company which I am leaving has the RN case managers on call one night a week and every 7th weekend. When your on call you can see home health and h...
  14. Burnt out on HH after 6 months

    I know exactly how you feel. I was seeing 40pts a week and working every weekend all summer. I found a company that promised me 6visits a day. So I changed companies. BUT I am going back to the other company. The new company is also a hospice and ...
  15. Home health and hospice companies

    When you are oncall you have to answer the phone. No matter who it is a home health or hospice pt. All case managers have to be on call at night once a week and one weekend every 7 weeks. Not an option.
  16. skin tear not healing

    A non approximated skin tear. Caretaker applied adaptic and tegaderm. It now has white area in center.
  17. skin tear not healing

    It is a skin tear on his elbow and forearm. Not a stasis ulcer, he bumped into the doorway and tore his skin.
  18. skin tear not healing

    Should I use telfa instead of adaptic? Or will that dry it out too much?
  19. D/C med list vs current list

    What do you do when discharge med list was different than what pt was on. I called PCP no answer left message will fax ROC list with meds from hospital in the AM. Also faxing verbal order for PT since he is SP fall. Nothing too bad lasix decreased,...
  20. Pay per Visit

    Make $35/visit and $65/SOC. Live in Philly suburbs. Went to a $33/hr job but did way more driving since territory was 20-40 min from home and office was 30min from home. Thought I would like it better but feel like I truly live in my car. So going...
  21. Went back

    My boss from the company I left 2 weeks ago called me. She wanted the phone back and wanted to check with if I am sure I did not want to come back she had a nurse that she would hire if I did not want to come back. She has hired 3 nurses in the las...
  22. Are you happy?

    I am starting to think it is me. I worked for a per visit company and was seeing pts 6 days a week sometimes 7, 35-45 pts a week. Now working for a company that I am a case manager and see 6 pts a day no more than 7. They have many PRN nurses do m...
  23. I think I've landed my dream job

    WOW! I would LOVE that too. I get $33/hr on call one weekend every 8 weeks. BUT on call one night a week. Have not been oncall yet for this company.Have been going into office daily and it is 30min from home. Hope to cut that down to 3x/wk. CONGRATS...
  24. Do home health (visiting) nurses usually work on holidays?

    We have a on call but I have worked holidays. If a wound needs to be changed it does not matter what day of the week or if it is a holiday. Also IF a patient gets discharged from the hospital the day before a holiday then a SOC needs to be done. B...
  25. I think I've landed my dream job

    Congradulations. I like home health but trying to find a company that is more flexible and allows me to have a life. Right now I see 6 pts mon-fri but I have decided to stay PRN for my previous company just in case this new one does not work out. I...