pear8

i have been in home health for a few years now in california. i am wondering is it absolutely necessary to have a BSN degree do do home health, hospice in california. i been through so much school and its just such a long way to do the rn to bsn program including english and history classes. its too much. plus i have a bachelors in something else. plus its hard to work and go to school at the same time. i heard someone at UTA is on probation. and drexel is just beating around the bush about the price. is it absolutely necessary to have a BSN if i dont plan to go to the hospital and just stay in home health, hospice? i mean the pay is not even that big of a difference. 5K more. its soo much more work to work and go to school. can i just go on forever the next 35 years with a ADN?

I have and associate's degree in nursing, rn, and work in home health now. i never worked at a hospital. and i was wondering if it is necessary to even get a bsn if i plan to just stay in the realms of home health, hospice, private duty??? i mean will they hire me without hospital experience and just a ADN with good decent pay? i mean the pay and job function are almost teh same for adn and bsn right??? is it necessary to go back to school to get bsn? or will i just be making $30000 or less a year forever if i just stay in home health?

Hi, i was wondering how do i know when someone is ready for discharge or not? what should i be looking for? is there some type of criteria? its either to discharge them or to continue their visits in home health. how about in a general hospital environment? often i feel that patients aren't even readdy to get discharged but we are forced to due to insurance limitations.

Hi! i was wondering if you have any advice or tips on how to safely do blood draw on a geriatric patient with dementia and possibly alzheimers and that she may possibly move around and may not be still or forget what is going on? with use of butterfly needle.

can i mix sterile water and 3 puff of combivent inhaler med into the nebulizer and administer it if the client refuse to buy his duoneb med and because he can't afford it/medicare dont pay for it. its the same drug content except one is MDI and the other is by nebulizer. how about inhaling sterile Nacl? for someone with chronic asthma. does just inhaling sterile water or nacl help them relieve SOB and asthma?

also... i thought we remove the turniquout just before we are almost done with all the draws? even for all/most of the elderly? does this cause collapsed vein too? i also wonder why after the first tube of blood... no more comes out? is this like a handling the needle stability problem too?

so if i see only a few drops of blood that means i have to insert deeper by just a little more in the same angle till i see a gush of blood? and if i see a gush of blood i stabilize the needle and push in the tube into vacutainer/?

how do u know if u are in far enough in a vein with butterfly needle? and how can u stablize the needle well and change tubes at the same time?

hi i was wondering what are ways to make it easier to draw blood on elderly clients? more likely than ever clients seem to keep getting hematomas. am i doing something wrong or is this just common for the elderly? what are your experiences and how do i fix this problem????? what am i doing wrong? help!

Hi all! i am an LVN in HH and i want to know what do i report to the case manager or when do i ever communicate with them? do i just ask them for advice on a clients care or treatment? how often do i report to them? do i have to report to them on a regular basis like every week?/ what does the case manager do? do u only communicate with them when the case is opened? are they like mentors? i am new to HH : )

hi, i was wondering because 5-7 clients are seen per day at their homes and it seems to be maybe 1 an hour. is there enough time to drive to different houses and provide them the care they need in your day? or is it just in, out, quickly, next house? cause i dont know if you can give them adequate care in just less than 1 hour or like 30 min? cause then it takes time to drive to the next house. is it under pressure and stress? ? is shift work less stress? :)

: ) at least you can dedicate your time and energy to one patient. check their care plan, do stuff from care plan, do documentation, chat with them, clean stuff, watch tv with them, during extra time.

Hi, i was wondering because 5-7 clients are seen per day at their homes and it seems to be maybe 1 an hour. is there enough time to drive to different houses and provide them the care they need in your day? or is it just in, out, quickly, next house? cause i dont know if you can give them adequate care in just less than 1 hour like 30 min? cause then it takes time to drive to the next house. is it under pressure and stress?