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 the turn over rate was astronomical! We all were ov...
  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 come work with us.
  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 HH. I have been a HH nurse for 2 months now, had 3 ...
  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 what perimeter remains. Is this classified as a ve...
  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 debride.
  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 people I work with, but med surg literally ate my lunc...
  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 written report with the oncoming nurse. Wouldn't that ...
  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 well.
  9. Transferring total assist clients, how to?

    We need more training in transfers.
  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 to call it). I know I have improved but maybe not t...
  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 night long. I came home to sleep for a few hours...
  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, how much of the prereq courses do you want to retain...
  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 makes it that much more difficult. At least the ne...
  14. HELP...2 wks left of orientation and I'm still SO slow!!!

    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 5 patients, and acutally able to keep pace. I am...
  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 the health care providers who won't listen to their ...
  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 people know their own bodies better than the doc or...
  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 to ICU since the beginning of my short lived nursi...
  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 the beginning, seriously. I'm a recent grad and ...
  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 a great place to work if that is the case. Howev...
  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 it, what I do mind is not being told what is expe...
  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 term. Seems like there would be some kind of organ da...
  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 visits without the management part and is much less ris...
  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 was what you would call "excited" about the job in m...
  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 assault.
  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. :)