Holisticlifern

I picked up a per diem job last year and worked per diem home care for almost a year. I kept my full-time job at the hospital. As almost everyone has said, its tough and risky to give up the stability of hospital nursing. I resigned from home care b...

Hello all! I've been stalking this forum for months now as I have been preparing to start my new position as a home care nurse. I graduated nursing school in 2008 and was very fortunate to start in the PACU as a new grad. I work at a large teaching h...

I just made my first visit on call. I received a call about a leaking foley catheter, initially the operator said the foley was out. When I called the patient he said "my catheter is out, its leaking" I asked him when was the foley placed, what reaso...

Hi, I'm still working home health. Ive experienced very good days and some bad days. Im getting much better at admissions because thats pretty much all i have been doing. I love the patient/family interaction, most days when I work i feel like I'm ju...

I couldn't agree more! I have been working per diem home health since october and feel like i wrote this post myself! lol. My very first day in the field I remember saying to my preceptor "wow we are getting paid to teach this patient about his diabe...

No we still use paper to document. I never understood call either without records. The office is closed on the weekend and there's no way to access patient information. I've been with this company since October and have taken call a few times and thi...

I love homecare but after 6 months I'm beginning to see the frustrations with paperwork. I did two admissions today each of which I spend about 1-1.5hrs in the home. I only seem these two patients. I had to get home to pick up my kids. I only spent a...

Thanks RN4life08 i actually did two more admissions since my post and they went well. I'm getting much better at the paperwork and was able to complete almost the entire oasis in the home. i learning its easier to just fill it out in the home because...

thanks, my agency doesnt offer extended care cases.

There's a first time for everything. I'm a little traumatized. I admitted a 80yr old who was d/c from SNF the day before. Originally the patient had a fall that resulted in a brain bleed. I arrived to find her with a very wet cough, typical of end or...

Thanks everyone, I feel a little better. After reading all of the replies I realize I would have felt much worst had I not sent her to the ER. I honestly thought about her and her family for hours after I left them, I had a feeling she wouldn't get "...

I'm new to home health as well. Just last week I had to write orders for the first time. I just looked in the patients chart at old orders and used it as a template. It was a fairly simple order, I will give an example. I made a visit to check an INR...

Im fairly new to home health but I've been a nurse for 6 years. If I were you I would start applying for other jobs. You are not being treated as a professional or even a person for that matter. It sounds like you are handling the situation well as ...

I work per diem in home health. I only do 1-2 days week and usually seen between 3-5 patients a day. We are paid per visit $48 and $78 for admission. Home health is very flexible and as long as you have care for your child during the day you will be ...

Hi I am very happy to come across your post. I have been a nurse for 7 years and all of my career I've been working In the recovery room at a large teaching hospital. I've always been intrigued by holistic health and felt like I found my "place" whe...

Ummm I don't think there's really a "routine" morning in homecare. From what I've learned you either call pts the night before and head out in the am whenever your first visit is scheduled or like me I have to go into the office in the morning and ge...

Here ya go! Hope it helps excuse the quality I just took a pic of it with my ipad

I'm new to home health as well. I work per diem so even though I started in November I still feel like everyday is my first day. As far as oasis I just looked over the form before I used it the first time. But when I went to fill it out I was overwhe...

Hi are you an ahna member? If not than it's the American holistic nursing association and they list a variety if programs that provide contact hours, if you become a member you will also receive the beginnings magazine and the journal of holistic nur...

My first admission Yesterday I finally did it! I did my first start of care (SOC). My day started with our required care conferences where we discuss all of our patients, and then we had a staff meeting. I was annoyed because the meeting was almost 2...

I say follow your heart, I know that sounds cheesy lol. I am in a similar situation as I've been at my hospital job for 8 years but started per diem home care in November. I too love homecare for many reasons, flexibility so being the biggest reason....

Hi everyone! Have any of you heard or considered Healing Touch? It's a modality endorsed by the holistic nurses association. I just registered for a level one class. Classes are held through out the country and from my personal research healing touch...

Hi congrats! I know most would suggest you first have hospital/long term care experience before home health but I don't think it's necessary. Yes in home care you are on your own, but so far from my experience home care reminds me a lot of nursing sc...

I recently started per diem for a small home health agency, during my interview I asked how many patients I'd be required to see, if pay is per hour or per visit, what kind of orientation is provided, what is the call requiremtn. ive been at my agenc...

hi, i don't have any real advice for you as i am kinda in the same boat. I am a big believer in yoga/holisitc health and alternative medicine. eventually i want to leave the hospital and possibly be a nurse coach/yoga teacher or something like that. ...