paddler

paddler

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All Content by paddler

  1. Yep, call, call and call again. Show up if you have to. This happened to me once and it was 2 weeks of leaving messages before I showed up at the office and spoke with the DON and the HR person who...
  2. Drama and dangerous supervisors

    I did call the patient to confirm she got the book. She was very pleasant and said she had someone else she wanted to lend it to. She said she hadn't called the office, merely mentioned it to the...
  3. Drama and dangerous supervisors

    I recently quit my Home Health job after only working for that particular company for 2 months. They just did not have enough work to keep me busy enough, and I ended up working 6-7 days a week at...
  4. taking blood pressure on side with paralysis?

    It can be done without causing harm to the patient, but the BP result would be erroneous due to compromised nerve and circulation function in the CVA arm. I would go for an
  5. Necrotizing Fasciitis

    I have seen/helped 3 patients with NF and they all survived. One lady worked in medical records and got a paper cut on her finger that erupted 3 weeks later as NF in her axilla.
  6. Request for Nursing License

    I have no idea why they would want this. Some states no longer even issue a paper license and it must be verified
  7. Wound teams

    THanks for the input and for the links. Sounds like it's done differently everywhere. I wonder what system works
  8. Wound teams

    I have worked SNF where there was no such thing as a Wound/Treatment nurse or a wound team... floor nurses did all the Tx as well as meds and other stuff. However, I was given a position as a wound...
  9. So very tired!

    Some of us sound depressed. I am contemplating asking for a prescription for an antidepressant for the first time in my life. I am so tired on my days off. I can't sleep the night before my shift,...
  10. What do you say when calling out sick as a nurse?

    I rarely call in unless I really have to. But they announced at a staff meeting at work that when people do call in be prepared for the Nurse Manager to ask and record on paper your responses to why...
  11. Short staffing/call ins

    Thanks Cali, maybe I am just burnt out on nursing in general,
  12. Fraudulent charting?

    Is omitting pertinent information which explains a patient's decline, such as: "pt was found without oxygen on for unknown length of time", "pt was found without dressing on wound...", "Air mattress...
  13. So very tired!

    Not just you. I am the same way. My job sucks the life and energy out of me. Forget about taking care of myself when it seems like my entire life revolves around caring for other people....
  14. Cruella Deville, RN, MSN, CRN, BSsssss

    Whatever you do, don't sign the
  15. clinic job vs hospital job

    I started in SNF right out of school and went to a clinic for 3 years and a few other settings since and my career path has never been a detriment to me for "lack of skills". There are many ways to...
  16. Who are you at work?

    In school I was top student, class representative, the one who always did the homework and tutored along the slackers. At work I am reserved, keep to myself and just last night was told, "At first I...
  17. Fraudulent charting?

    Something isn't sitting right in my gut, and I'm sure it must be just because I am misunderstanding. So, I anonymously called the BON and asked the same as above, and they said yes, it is fraudulent...
  18. I would like to add, regarding the secondary ointment with Santyl is because Santyl, while debriding slough and eschar will also debride healthy periwound tissue and can cause maceration. So, often...
  19. Let me get this clear

    Thanks for the
  20. "I Read the News Today, Oh Boy..."

    Not only no raises, but my prior employer was cutting wages. Actually REDUCING the amount of pay for more work as the charting requirements for Medicare get more cumbersome, they expect the nurses to...
  21. If you had to do it over again would you?

    I would not. I would have looked into becoming a Physical Therapist instead. There is a lot less B.S, better hours and twice the pay and similar career opportunities. Plus, there is the added...
  22. Does it pay to job-hop?

    I've never worked as a union nurse, so this topic does not apply to union situations. But I have to say that in my 8 years as a nurse I seem to get better pay simply leaving my current job than...
  23. I had been approached by a previous employer in HH to change my documentation because an episode had been denied payment by CMS. It was an unplanned discharge (was supposed to be a routine...
  24. Lay offs in Homehealth care

    The company I recently quit from is going under, slowly. There was not enough work for me, so I left. They reduced the pay per visit rate, the documentation has increased exponentially, requiring...
  25. I give up

    Well, there was a time when I absolutely loved working Home Health. There are many aspects which I still do. However, starting with a new company that is not-for-profit and apparently expects their...