Jump to content
kasendamiles86

kasendamiles86

Registered User

Content by kasendamiles86

  1. kasendamiles86

    New Grad Home Health

    Hey Everyone!!!, I am a new grad RN and I am considering going into home health. Hospital jobs are scarce these days and after filling out countless apps with no prospects of an interview I had to get this show on the road.Moving along I began to apply at nursing homes and what do you know I have work, but I hate it. I work on a rehab unit in a nursing home I have 40-46 pts on a regular basis(well I work 7p-7a so from 7 to 11 I only have 12- 20(rehab side) the other 28 are pretty much ltc, 12-14 of these pts are skilled which means I have to chart I have tube feeds (9),diabetics, ppl with wound vacs,dialysis pts,pts transferred directly from the hospital, and ****** unsupportive coworkers, plus I'm suppose to know everything bc I'm the RN (that's what they say smh) . Sometimes I have to float to other units and yikes. I have been at this job since July 3rd and I'm ready to throw in the towel. I wanted to do 6 mos, then it was october bc in that time I can pay off my bills,now I'm like.....I work 3-12's thank god for that only 3 days in that place. Iam miserable but I need money, but I'd wrather not jeapordize my license but.....I know bashing my job won't help but I always have to stay over I mean hrs sometimes I get off at 9:30 and I don't get paid OT. Enough with the background info. My mom is a home health nurse and she loves it. So I am thinking of following mommy but she worked in a facility for a number of years before becoming a home health nurse. I have two job prospects at the moment. So what do you gals/guys think. Should I try it? Or should I continue to work in this unsafe environment. Any insight would be helpful.
  2. kasendamiles86

    New Grad Home Health

    Not to be rude I wouldn't have took this case. I have limited vent experience and taking people under the age of
  3. kasendamiles86

    New Grad Home Health

    ^^^^You sound silly. I'm required to see them every 60days for an assessment and sup visit, these are not skilled clients, and no they are not in a group home they are in their own home with help from my hha's (company's hha) I use to see skilled clients and I do their assessment every 60 days, do their skilled visit 1w9 and do the sup visit every other week. Like I said my patients are dd but they have comorbidities such as htn, chf, dm, etc. If they have a change in condition or new meds then I go out and see them more often. I have hha's to be my eyes and ears when I'm not around unless the workshop, parent or doctor calls. I'm pretty sure I have 50 patients or so, It's fine. The part time more skilled nurse see's the patients on State Plan/Skilled. I see patients with I/0 Waiver. I also work in the office a lot qa careplans, mars, and the tests the hha's take. I'm rambling but nursing wise I am learning about home health. I was a direct service worker/patient care aide, so many different titles from the time I graduated hs until the time I graduated college. In my experience a nurse never saw my patient's I took care of or came to the house. I was allowed to do delegated nursing. I called the home manager not the nurse. If my patient falls, get's a blister, is having an increase in auditory hallucinations the hha call me. I'm done trying to explain the situation to you people. I:heartbeat my job. I :heartbeat my patients. And I don't like ugly so have a blast saying this and that bc you won't be putting meals on my table, paying any of my bills, taking care of any patients, etc. Ciao!!!!
  4. kasendamiles86

    New Grad Home Health

    Wow this thread has taken a mind of it's own. I have been doing homehealth since september of 2010 (roughly 2 mos now) and I like it.I work with DD clients I see them every 60 days, create their MARS, sipervise the Aides, make sure they do what they are suppose to. I do SOC, ROC, transfers to inpatient facilites, and discharges. I call doctors, and parmacies, case managers, support administrators, parents. There are not many skilled services I provide outside of education/teaching (wounds, trachs). My patients are relatively stable I haven't run into anything I couldn't fix yet. I work with excellent nurses and I have support. I can't believe how upset people are. My patients are very well taken care of by me and their hha's. An acute care oppurtunity has come my way and I will be pursueing that as well. I :heartbeat home health!!!!! I do believe I need to refine my skills so I can provide better care but so far I'm doing ok.
  5. kasendamiles86

    States hiring New RN Grads?

    I accidentally went on a rant excuse me.
  6. kasendamiles86

    States hiring New RN Grads?

    Just wanted to add my two cents. Do not let these negative Nancy's discourage you. Yes it is hard to find a new job as a new grad RN, BSN ADN whatever. The key is that it is hard not impossible. You have to do whatever it takes to get the job if you want it. So what you may not have the best cover letter, or resume, the highest gpa, there maybe something else unique about you the employer wants to see. There is definitely a job waiting for me, you, and whoever else is looking. Also if you really want a job don't be too picky but ensure safety. I have tried a couple of things so far but I still want to work in a hospital and I am not going to stop applying, calling people, showing up, telling people I want a job, and taking advantage of oppurtunities that can increase my chances of what I want. It is a bad economy and there are jobs even for new grads.
  7. kasendamiles86

    Young Looking Nurses

    I have a mature look, but some of us are young. Some ppl question how long I have been a nurse because I appear young,I just tell them a while :) and continue business as usual. I wear glasses too so I guess that helps me look mature. Some people will be ageist, but not very many. I had one incident where a patient stated she did not want the young one talking about me. The odd thing is I took care of her the day before and she had nothing to say.....Looking young will be the least of your worries
  8. kasendamiles86

    1 year down, no acute care experience

    I can not speak from experience but I can for a nurse at my job. I started in ltc lasted 2mos, now I'm doing homehealth. I talked to another RN at my job who started her career in home health (2yrs home health) and successfully went to work in a hospital. Didn't enjoy acute care and is now back in home health. I do not believe it is a dead end, and believe there are different areas of nursing for a reason. If you do not have certifications BLS, PALS, ACLS, try some of those to perk up your resume.
  9. kasendamiles86

    How'd you get your job?

    I landed my first job by applying, seriously there was no rocket science. If i met the requirements I applied. I applied online, I applied in person, I looked on jobsites, the newspaper, talked to friends, family, etc. I even just walked in random nursing homes and applied whether they were hiring or not. I asked to speak to the DON, HR, anyone who was responsible for the hiring (dressed nicely business casual). I got a few interviews. What I would strongly suggest is follow up if you are looking for a job, I plan on using this for my next round of job hunting. These methods have all worked to get me interviews, and once I get an interview thats all she wrote, I'm coming home with a job. If people don't call me back as soon as I would like I start calling them.
  10. kasendamiles86

    How'd you get your job?

    Yay!!!
  11. kasendamiles86

    I love my job!!!

    ^^^Well I use to do this before becoming a nurse and I loved, I did it from my senior year in high school until June.
  12. kasendamiles86

    How Many Residents Do You Care For On Your Unit?

    This was a subacute rehab unit split with ltc (the floor was split so the census always changed) 7-3 only oriented 2 nurses , 5 aides, 38-46 residents 7p-7a (my shift)-7-11 I had 18-20 1 RN 1-2 Aides there was nurse on the other ends the one aide would have like maybe 4 of my patients due to their assignment 11p-7a- 38-46 residents 1 RN/lpn 3 aides
  13. kasendamiles86

    Manor Care Questions

    You will be pushing a cart as a supervisor if that's what you wanted know. They had given me my first nursing oppurtuinity prn. Where I live it is the best nursing home I encountered, they have supplies, computer systems, a pixis, ok patient load. But don't be tricked by the supervisor role or them telling you you will be working over an lpn and so many aides, because you will have your own patient load, be responsible for the piccs, ivs in the facility, and assessments for those with change in condition. Just a heads up it's a nice place to work as a RN right now (well the one I worked at can't speak for all of them bc I had seen some horror stories).
  14. kasendamiles86

    New Grad LTC Seeking Advice

    Well I am a RN new grad I work at an ltc of course,I usually work on a subacute rehab floor. I work 7p-7a. From 7-11 Ihave to float to other units I was never oriented to but whatever. From 11p-7a, I have 46 residents, I have to take these ppl bs checks, there are ivs, tfs (9+), treatments, skilled charting etc. I have to make out an assignment for the aids, call docs (labs,iv issues,xrays, ),wound vacs. I have to check in drugs, do the census, change over. I'm just not sure if it's the facility or me,other nurses are doing it. It's very hard and god forbid a new admit, readmit or fall I might as well spend the night. I am very frustrated andI am thrilled I don't have to go back to the hell whole until wednesday. This other nurse enjoys making my life hell (but forget her). I'm just not sure if I'm a wimp or what and often at times it doesn't feel safe. I get in trouble alot for not doing things, but I was never trained or told about certain things . Ppl ask me stuff about residents and idk I have to look in the chart. It is very unorganized papers are always every where. Ijust don't know.... I understand being a new grad is not easy I cry a lot but do I have reason, or is this really hell. Also veterans if you can help me out with a routine,it would be helpful. If I stay on one floor I can get out on time, but if I float I easily stay over 2hrs. I have been employed at this facility since July 3, I really want to quit, but I go back just to make sure I want to quit. I have talked to the don, managers, supervisors,nothing is changing. My unit manager quit, and the person who oriented me quit soI don't have them anymore. I'll quit babbling bc I'm so flustered, tonight was badbc the supervisor called off,this guys midline came out, andI was on a floor I never been on Yikes. I apologize that my thoughts are all over but I hope someone can get my drift.
  15. kasendamiles86

    'Onboard' New Nurses to Prevent Them from Jumping Ship

    Well I recently took a job in home health. I went to shadow another nurse and it seems like a lot of paperwork,and assessment skills being used. The woman told me I wouldn't be doing any skilled visits because I'm the RN:eek:. Only supervisory and SOC. I'm like what if I want to do the skilled visits, because I do.
  16. kasendamiles86

    Are Nursing Jobs Plentiful where you Live ?

    Hmmmm....I went to UT.....plentiful you say?
  17. kasendamiles86

    Nursing homes' bad reputation

    I have no idea why people do that. Theses nursing homes are different now, especially a rehab/subacute unit. You will see and learn a lot. So screw those people, it's ridiculous people would wrather be jobless than try a nursing home, you need to try it before you can say anything. It is very hard work, but hard work pays off. For someone to turn their nose up at the mere notion of working at a nursing home being a new grad in these times is foolish. Do your thing, get your experience, and you will be making a decent living for yourself.
  18. kasendamiles86

    'Onboard' New Nurses to Prevent Them from Jumping Ship

    Not to be rude, but if new grads can't get into hospitals where are we suppose to go? I have been scorned and burned by ltc as a newbie and plan on not returning anytime ( I did learn a lot while I was there though) soon but how did you come to this conclusion? What about new grad lpns? Seriously though just wanting an honest answer. Not to hijack the thread, but if a new grad can't get hired at a hospital (RN specifically) where should he/she go? I am curious.
  19. kasendamiles86

    New Grad LTC Seeking Advice

    Likewise :)
  20. kasendamiles86

    Where is your heart at?

    That's a good thing. Don't be picky. I do not like peds or maternity but if the oppurtunity presents itself. I want to be dialysis nurse, radiology nurse, piccline (assist with picc line insertion guess they are associated with radiology) nurse ultimately. I shadowed these positions and I was excited, it will take some work to get there but I'll make it. My friends stepdad use to go to dialysis so I have been obsessed with dialysis since I was 5 (1st choice was not to be a nurse but since I am I want to be a dialysis nurse). Then when trying to pick a career it was between pharmacy (whew that program was to rigorous for my 18 yr old brain), medical technology, and nursing. Pharmacy that damn chemistry, medical technology was not an option at my college as far as a bachelors degree so nursing it was. So to get what I want and love second would be to go into radiology as a RN so I could get the medical technolgy part that I love. Well second would be home health, I love the patient care, education, etc. So1.dialysis, 2. home health 3. radiology I have 3 loves
  21. kasendamiles86

    Are nursing grads still having a hard time finding jobs?

    Well I have no clue if I replied to this thread or not but I'll reply again. When I applied to hospitals, I put in 5+ apps a day everyday for 30straight days maybe 31. I took my boards in March applied to hospitals around Ohio all may, even the one I did an intership at (thought I was in), not one damn interview. I was outraged. Then I started applying to nursing homes. I went to 3 one day when I was bored just to see, didn't see if they were hiring or anything just went bc I was in the area. 1/3 called me back and I got a job, it was prn:(. So I applied online to another nursing home hrs later someone called me. Went to job fairs 2 more interviews. The ft job I finally got in July I never even applied there (network). All I have to say is be careful guys really check out these facilities. Nursing homes, other places outside the hospital are not going to give you 6 weeks of orientation (long periods to adjust), they give you 3-5 days, some give 30(better than 5days), then you're on your own. I was so excited to have a job, and I have never been happier to leave a job. 2/3 Ltc I worked for weren't bad, I actually still work at one. Be careful with all these nonhospital jobs, demand adequate orientation training, don't be afraid to ask for more, or say you don't feel comfortable. And keep searching it took me 6mos to get a job period (I worked with sex offenders while getting licensed and getting a nursing job) before I got my RN, moved back home from college so I can wait another 6mos until I get a job I can tolerate (not like or love, at the end of the day it's about putting food on the table, or 1yr so I can have experience, but I need more satisfaction out of my job than that).
  22. kasendamiles86

    New Grad LTC Seeking Advice

    I tried to hang in the for a couple months but I had to jump ship and I'm never looking back. Or atleast I know what I don't want if I ever pursue ltc again. Money will come if I'm supposed to have it, I'm in a position where I saved a couple mos, worth of cash. Yup we must work at the same place. No papers are filed correctly, everything is just thrown in this drawer in no particular order. I was thrown under the bus and written up during my first 90 days (maybe 60 bc I didn't make it 90)..... someone asked me about a lab req one day, and I was like what is that (no one ever showed me a lab req before, I usually just fax what I want to the lab). Tried to go in the policies and procedures manual one day (what a joke unorganized foolishness). It's good that you have the strength to endure sister, I hope you make it your 6mo-1yrand enjoy what you do.
  23. kasendamiles86

    Are Nursing Jobs Plentiful where you Live ?

    Well I'm in NE Ohio and the job market for nurses according to job sites etc, is alright, now for nurses with
  24. kasendamiles86

    'Onboard' New Nurses to Prevent Them from Jumping Ship

    ^^^^^^"pay" part.... When I worked in a facility as a new grad rehab etc, I made the same if not more than my friends who worked in hospitals...No biggie but I don't think that part is true, or maybe it depends on the state.
  25. kasendamiles86

    New Grad LTC Seeking Advice

    Thanks but I quit. It wasn't getting any better and I hated my life. After I put in my 2weeks notice it really started getting unbearable so I just decided to not come back. Maybe I ll have better luck next time if I get a next time.
×