akvarmit

akvarmit

ED, PCU, Addiction, Home Health

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All Content by akvarmit

  1. Headed back to ER

    Well, I'm leaving my cushy daylight management job to head back to the ER. I've struggled with my current position (lots of history pre-dating me there with the staff) and the skills I'm losing. (Honestly, I feel dumber for each day I spend at my ...
  2. is this nursing to you?

    I think Showbizrn nailed it. Is it what you want to do? I recently struggled with the same thing. I am leaving a Director of Nursing position to go back to the ER. Management is great when a portion of the folks I work with are going the same dir...
  3. HH Assessment quick guide?

    Hi Kym - welcome to Home Health :welcome: I have found there is nothing "quick" about Home Health. Even though the nursing is not "critical care", there still is a huge learning curve. The focus of care is completely different. I found the best t...
  4. QA Nurse changing my Oasis answers!!

    Wow - I feel relieved to see that my agency seems to have thier "stuff" together. I have been trained to help review SOC's before we lock them and we NEVER change any items - that charting is the nurses's charting and it would be just like changing ...
  5. Remicade / Immunoglobulin IV in home health setting?

    It is an acceptable practice to infuse certain medications in the home setting. Medicare and private insurances both may pay for this service, and there are many IV companies who's only work is to support these patients and provide the medications. ...
  6. Thanks Karen - already emailed my local state senator tonight. I did some online surfing about the bill beforehand. I couldn't find exactly when it will come to vote in the Senate - but they apparrently re-convene oct 16th. Dawn in Pa
  7. Looking For Other Pa Nurses!!!!

    Kymmi- Hi there! I live in Davidsville - half way between Johnstown and Somerset. Feel free to email me privately if you want to reminisce about floods, corn fields and Coney Island Hot dogs. Dawn in PA [email protected]
  8. Average # of visits

    fourwacers - your required "points" sounds similar to the system our office uses, except we call them "units." We have to do avg 5.5 a day (56 a pay) so that would be comparable to yours. I've been in home health about 9 months, and somedays I feel...
  9. Hi There - I am a ADN grad of Excelsior after 11 years as an LPN. I made the mistake of "signing on" with a private publishing company for study materials. Thankfully, I also reviewed textbooks and not only the workbook they provided. I was "paying...
  10. Snack ideas?

    Hi all! I'm 3 months into my Home Health job and loving it. (After 2 years of being in a level I trauma center ER - there's nothing Home Health can do to hurt me!) Anyway, I'm trying to come up with inventive snacks and lunches to pack in my car wi...
  11. 2nd day and I already want to cry!

    {{{{hugs}}}} to you for seeing that side of HomeCare! I did some longer shift type work with Interim here in PA and had both good and bad experiences. My first case was wonderful! Mom knew as much as the nurses - somedays Once in a while I'd wal...
  12. Snack ideas?

    Thank you for all the repies! I have been doing a lot of what you all have suggested. I started packing a cooler now that it's getting warmer here. I took a big swig of water from my bottle when I got back to my car the other day - and it was HOT!...
  13. New to Home Health....any tips or advice?

    I've been doing HH for about 3 months (hardly an expert, more like just driving with a permit) but I absolutely love it! I do well if I can focus on one thing at a time, get very engrossed in it and move on. I did the ER for 2 years, and I learned...
  14. What do you wear in this weather?

    I am new to Home Health (and loving it!) but I never know what to wear! I live in snowy, blustry, Pennsylvania. If I wear tennis shoes, my feet are soaking from tromping in the snow. If I wear big boots, my feet sweat in the car in between patient...
  15. Typical Day For A Home Health Nurse | Life of a Nurse

    I like that - what a great "blessing". Well I had posted earlier that I interviewed to transfer from ER nursing to a Home Health office at my same hospital - and today they offerred me the job. I am very excited! I did a ride along earlier in the ...
  16. Typical Day For A Home Health Nurse | Life of a Nurse

    I am really enjoying this thread and all the resources you guys have posted here. I am currently an ER nurse x2 years - and I have bid on transferring into a home health job with the same hospital. This particular branch office is just a few miles f...
  17. Roll Call for Excelsior Grads - stand up and be counted

    I graduated Sept. 2003 - Can't believe it's been 2 years already - Wow! All of the advice here has been wonderful. I also paid and scheduled each exam about a month in advance and then made myself study like a madwoman till that date to keep on a pa...
  18. Five week ER orientation

    I also work in a level I trauma center - and our orientation is about 6 weeks. We also hire new grads. I thought our most recent new grads did very well, as they had no "bad habits" to unlearn. I went to the ER after a bit of med/surg nursing and ...
  19. Nervousness has set in

    First of all - congrats to you! Knowledge is a journey, not a destination, so envision this as the beginning of a long and interesting trip! I started in our Level 1 ER last year after 12 years as an LPN, and 6 months as an RN on the same med/surg f...
  20. Trauma Season

    Yep - already had the first hand blown to bits from a 1/4 stick of dynamite. I said "What? It's not July yet!?" then I got it......he was drinking......duh. Silly me. Dawn in PA
  21. Can anyone help me with EC Pathophysiology

    Hi there! I'm about to start studying for Patho as soon as I can find a textbook used online. I graduated from EC with my Assoc. over a year ago, and I'm going to re-enroll in December and start with the BSN stuff. I know I need the patho, so I fi...
  22. Need advice on distance learning!!

    Hi there! I am an Excelsior grad from last year, now working in an ER. Remember that the ONLY accredited school that you can go from LPN to RN with is Excelsior. ALL of the other names you hear, chancellors, rue, distance learning systems, moore, e...
  23. Cynical? Realistic? or both?

    I am just a new ED RN (but had many years as an LPN elsewhere). I just wanted to add that I can see myself changing since starting in the ED. I don't think I'm becoming cynical - I think I'm learning about society and humanity. (survival skills?) ...
  24. Drug Seeker Antics and Dramas- the Vents

    Hey - early am we got a patient in - moaning and writhing on the gurney. 'Bout near tossed herself on the floor she was in such throes of agony from abdominal pain and nausea with sudden onset about 5am. While a few of us are getting her settled i...
  25. CT scans and how long to wait?

    Hmmmmm ...... we use gastrograffin, but the patients can drink all 3 glasses right down, then we scan in 1 hr. We also use the Aussies to read our scans on night shift..........sounds like they got one heck of a racket going on there!