So many marriages of parents with special needs children are so fragile anyway because of the stress of caring for their child. That is what makes this sort of thing so awful. From what I have...
I definitely agree that this is absolutely the worst breach of professionalism and trust. Don't for a minute think that the other nurses in the home don't know what is going on. They will turn on...
I would recommend that before you do Home care, you get some experience under your belt first. Most HHA will not hire nurses who have not had at least 1 year's experience. If you are working in a...
Kyasi replied to PerfectlyPlump's topic in Agency Nurses
I used to have a problem saying with this when I first began Home Care. I often said 'yes' when I wanted to say 'no'. My family suffered as a result. I finally got some backbone and began saying no...
Kyasi replied to smurfynursey's topic in Private Duty
I'd be afraid too! Leave if you feel your license would be in jeopardy. Don't let this first case turn you off to home care entirely though. My first case (25yrs ago) was awful but I've had many...
Kyasi replied to smurfynursey's topic in Private Duty
Thanks Ventmommy.... In my state, if we can get a RX number on a med, we can accept that as a MD order. So if a child had increased congestion, the nurse calls the office and reports the problem. If...
I'm sorry if I misunderstood but that is what it sounded like to me. I'm curious why if you have no interest in nursing management you read and respond under this management topic.
Kyasi replied to smurfynursey's topic in Private Duty
It is our policy also to call the MD for any problems we find. However, we do allow the parents who say they will do it the chance to call first. We follow up with the parent to see if there were...
Ouch! That's a pretty harsh view of management! After over 30 yrs as a "hands on" nurse, I chose to take a management position which will be my final job. I'm looking to take an early retirement and...
Kyasi replied to smurfynursey's topic in Private Duty
I'm confused here too. Wasn't "said event" something that happened when you were on duty? If so, Mom knew and I'm assuming you documented it. I took care of a little girl who had a very rare...
Kyasi replied to morningmom's topic in Home Health
Morningmom, Are you a LPN or RN? In the Midwest, Medicaid reimburses a different rate for each. I work for a Medicaid only agency and can use either to staff a case. If I staff with a LPN, the...
MomRN0913 I was just wondering how you were making out with your new job. You were majorly stressed in the last few posts. I hope things are improving. Give us an update please.
Wow! I'm really astounded and can't imagine an agency operating like this. Since you only have 30 days to transmit Oasis after the SOC, reassessment, discharge etc was actually done, I'd be...
Kyasi replied to CloudySue's topic in Private Duty
Wow, that is a tough one. One thing to note is that she hasn't done anything yet. Just because she is saying she will do this now doesn't mean she actually will. So telling her parents about it and...
Some of these issues seem like things that need to be addressed by the CEO or someone higher up then you. Perhaps a meeting to discuss the problems, get suggestions from the current staff for...
Kyasi replied to Blackcat99's topic in Private Duty
This is all so shocking to me. All this has fortunately not been an issue for me. But from a management standpoint, I would never send a nurse or HHA out on a case if they needed orientation or...
Oh, and P.S. Remember above all that it is much easier to hire then it is to fire. So don't lower your standards because you are desperate for employees.
There are, of course, all the obvious things... you check backgrounds, references etc. but most employers aren't allowed to give more than the dates of hire so references are usually not all that...
https://allnurses.com/nursing-management/msn-or-mba-221138.html There is a discussion on MSN vs MBA going on at this link. You have your BSN but maybe some of the discussion about the MBA will be...
I did private duty and home visits through an agency and also self-contracted home visits for a Medical Supply company for many years before accepting my current position. I only worked part time...
I do understand where Tewdles is coming from. I think the best managers are the ones who worked in the 'trenches' on their way up. They have worked all sides of the fence before climbing the ladder...
Kyasi replied to luvtwilight's topic in Private Duty
I'm home for lunch right now and just saw this post. We are expecting the same here and we have already been told to call our corporate office as soon as the weather starts to get bad and they will...