Kim, HHRN

Kim, HHRN

Home Health CM

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All Content by Kim, HHRN

  1. Seriously thinking about quitting

    Are you paid per visit, hourly, or are you salary? I used to work salary at my first HH company and it became a nightmare! I worked 60-70 + hours per week. We had 17 RNs on staff at the time and...
  2. New grad, new to home health - overwelmed

    T your concerns sound a lot like mine have been except I have outstanding support behind me and the lpns I work with r great. If ur in Oklahoma email me. That's where I am too. Would love for u to...
  3. new grad with unknown HH agency, complicated pt case

    I don't think you are giving yourself much credit. Will you be nervous? Sure, everybody is when they are new and there has to be a first time for everything, no matter if it is the hospital or in...
  4. Wound classification?

    Taking care of a man who has had weeping BLE distally from knees to toes and covers almost the entire leg surface, area red, edematous 3+, hard, endurated,bronze brown, looks like skin peeling around...
  5. Wet-to-Dry Dressing

    When I was working med surg, we were taking care of a guy who had thick scabs and appeared to be infection underneath, so they were tx with wet to dry in order to
  6. New nurse OVERWHELMED

    When I read the OP thread, I thought it was me posting......my floor is too fast, too busy, not enough time to teach a new grad.....guess med surg isn't for me. I gave it my best. I like all the...
  7. Leaving an agency, giving report

    This isn't advice but I know I have been to several hospitals where report was taped for the next nurse coming on duty. I have also seen on several occasions where a nurse had to leave but left...
  8. People think you are rich because you are a nurse

    Some cell phones have the option to reject the call automatically, yours might as
  9. Transferring total assist clients, how to?

    We need more training in
  10. I need to vent. I'm on a med surg floor and take care of 5 patients. I still can't get all of my work done that I need to do. I have tried to identify the problem (or make excuses, whatever you want...
  11. Have u ever??

    That's horrible! I had a bad experience, too but not as bad as yours. I was in my last semester of nursing school, doing my ICU rotation. My mom was sent to the ICU and I had stayed up with her all...
  12. Good idea to take micro and anatomy together?

    That depends.....did you take anatomy in high school? If so, and you are already familiar with anatomy, you have an advantage and can probably handle them both at the same time. On the other hand,...
  13. So frustrated. Need advice!!

    Hi, this is advice coming from a newbie, too but it sounds to me like you are doing a great job. Learning how to manage heparin drips takes a few minutes and when you are working under pressure, it...
  14. Thanks for the suggestion, I actually almost got one, but in my last week, I really picked up the pace....don't ask me how cuz I don't even know. I have been off of orientation for one week now, with...
  15. Did i handle this situation correctly???

    What do you know.....was just reading in my Med Surg Text (Lewis) and it states that "ideally, regimens should be mutually selected by the patient and the health care provider." Now can we just get...
  16. Did i handle this situation correctly???

    That's what makes me mad about docs sometimes.....there are a few that act like they are the only ones with critical thinking skills and that the patient (or the nurse) doesn't know didily.....most...
  17. is nursing fun for you?

    Locolorenzo, that's my favorite part of nursing, too...:) knowing when something is not right, acting upon it, and helping to save a life. It does make it all worth while. I've had to send 3 patients...
  18. is nursing fun for you?

    I know what you are talking about. I HATED my position in the beginning and I was SO hard on myself. It took me FOREVER and then some just to pass meds. I don't think anyone was as slow as I was in...
  19. Resignation Help

    Congratulations on your new job. I totally agree with spacklehead. If the new employer isn't gracious about you starting in 2 weeks, I would also question the new employer. It may turn out not such...
  20. May be silly questions...

    Lol....when I was a student, I didn't know it was the nurse's responsibility either. I found out when I became a nurse, and then I found out it was our duty informally. Of course, I don't mind doing...
  21. Lowest BP?

    That's a good question. Wow! With a BP like that, her MAP would be around 50 ~ just barely under what it takes to get adequate perfusion to the vital organs. I wonder how she can endure that long...
  22. Employment Dilemma

    Thanks for the heads up. After reading everyone's posts, I'm thinking about just doing PRN to gain some exposure in home health while keeping my hopsital job. I've been told that the PRN is just...
  23. Employment Dilemma

    Dilemma I'm a fairly new grad, graduated in Dec. Took a job on a med surg floor where I worked as an intern. I'm still on a 3 month orientation which will end in a couple of more weeks. I never...
  24. What would you do?

    Not cool, don't know what I'd do. I know I'd be really mad. I think it would definitely be considered
  25. Employment Dilemma

    I did not know that an NP required a couple of years of acute care. Thanks for the heads up. It's good to ask and find out before making a mistake.