HealinghandsRN

That is ok.....u will get passed this..........Please don't use the word fail.....U were unsuccessful at this attempt....try again......Keep your chin up, learn from it and Keep going.....When u become a nurse, u won't even remember this part.......Not everyone goes thru nursing school without any set backs..............don't loose your dream. Put the pedal to the metal and keep going. You CAN do this. Good Luck.

Thanks Capecodmermaid Is there anyone that would like to share with me their nursing assistants assignment sheets? Thanks.:pumpiron:With alot of effort, I can do this!!

Thank you for your reply.......very helpful input....How many nurses on each shift? who does the admissions and discharges? do you have a secretary? How long have you been doing this?? Thanks.

SS sets up meetings anyday....but, the one thing I see for starters is one nurse comes in at seven thirty and she is still late and the other comes in between seven and seven fifteen...so right there we are almost an hour behind. and the night shift nurse is sitting there waiting for them all to come in to give report. How did the girls give report to the next shift....for example at my place the charge gives charge report because we have the running report sheet for all shifts and the med nurses give their nurses report to me it is all a waste of time, I haven't figured a way but it just seems like one report should be given and all there or the charge nurse listen to the med nurses reports.....I am not sure which might work better but...and the one who works seven thirty to three thirty, I believe she is detrimental to the unit...she is a good nurse but, too busy butting her neck in everyone elses to do her job in a timely manner.....if they came in on time they would be at the desk earlier to help with the admissions, discharges, consults, orders and the phone that never stops ringing....Thanks so much and any input will help me a great deal. :pumpiron:I can do this....just need some consultation with other nurses who were or are in my shoes.

ok let me ask u this....how about the call out to the docs on labs and did u have a call board....and what was passed on to the three to eleven shift? and let me ask u this not to get personal but what is the average salary rate for that type of position?:pumpiron: it seems like our labs and any other orders we may be requesting from docs are called out about 2 now when the docs call back and it is 230 and now I have a slew of orders to write and carry thru to the mars and I am there at seven am when can I draw the line and pass off things and what can i pass off to the next shift? What was your next shift responsible for?and also, SS schedules family meetings at three oclock....now I know as I said earlier as manager u won;'t prob get out on time but I am putting in tooo many hours and I think it is simply cuz I am not sure what is appropriate to pass off to the next shift....

Thank you Michelle126 for your reply.... we have a restorative person, a mds coordinator...and the roles u described is what I do so it sounds like the facilities were run similar....Who was at the desk all day though, did u have a charge nurse and what were her roles? admissions and discharges? How were consults handled? and were u as a unit manager salary or hourly and what kind of hours did u work...I am salary and of course I know that as a unit manager u don't get out on time but my set hours were 7-3 and the earliest I ever left this week was 425pm a couple of times I was there till 615. I do the exact roles as u said but the desk is chaos and all the girls expect me to stay and help with the desk till they are done. I am being pulled in every direction but being new to the sub acute unit, i need to know how it is done other places so I know where to draw the line.

hello, maybe someone on this thread can help me...... i was hired one month ago in a sub acute unit in a ltc facility...prior to this i have worked in hospital setting....well i was hired for a unit manager in which i thought there was a charge nurse also, but there wasn't...the unit is only a 31 bed unit and they had tried this "subacute" unit once again earlier this year and have a new person to market..well just a month ago the unit had 22 patients and now is full.....the place is chaos...they had 5 "unit managers" in 5 years.....the unit is terribly disorganized......since the census went up to 28 on this past wednesday they gave us a "charge nurse" on a day to day basis....the desk is a madhouse......and anyone who worked in this setting knows how mad the desk can be..my idea of a unit manager is seeing the whole picture and operations and try to help and make changes so that the unit runs more smoothly and clean up the mess, shape it up and organize the med room, supply room and the non functional set up nurses staying but very nice looking unit.....please tell me in other facilities is the charge nurse the unit manager and what is the role of each....i have my idea of it..but need to know how other places do it too....please share any information u have....i just know one thing...i cannot be the charge nurse and the unit manager in one....thanks.:pumpiron:

Would u please tell me some of the roles of your job as a unit manager and the roles of the charge nurse? Thanks.

Thanks for your reply.....have you always been in a LTC facility? I was hired for a unit manager position as I had said.....and previously the unit manager WAS the charge nurse at the desk......This is the first time there census is this high and it is absolutely CRAZY....no secretary neither...so in the past the charge nurse who was at the desk by herself was responsible for the unit, all family meetings, care conference day, Utilization review and every other meeting dept heads go to....and the desk would be empty cuz the girls that do meds and treatments think that is all they are responsible for......I told them I was hired as a unit manager and we ALL have to help at the desk. (of course not so harsh, but just trying to make a long story short) The DON told me today this is the first time EVER that they had a unit manager and a charge nurse on the unit...and she said of course that is prob one of the reasons in the past the unit was not successful....please tell me how it works at your facility...and report at the beginning and end of your shift....thanks.:balloons:

Hello All, Today is one month I am employed at a sub-acute unit hired as a unit manager. My backround in Nursing is acute care. I love what I am learning however trying to get this unit to succeed and do have supportive management and this is the first time their sub acute census is high, we are full. just a 31 bed unit. They have gone thru 5 managers in 5 years and now they have a new don and she is very supportive of me and knows that things have to change on the unit. However, I would like to know what u do in other facilities as far as charge nurse and unit manager positions......What is the difference, I have my own idea in the difference and the girls on the floor are stuck in their old ways. How is the desk handled? how is report given? and of course the role of the unit manager and charge nurse? Thank you for any input u can give........And any other resources that may be helpful to me I really appreciate. ie.....state deficiencies what they look for when the state comes in.....Thanks so much.:balloons:

Hello, I was wondering if there is overtime with homecare and what would be the guidelines? I work for a point system and starting to wonder the "incentive" visits is overtime, does anyone know? Thanks.

Thank u for your response. I am new to HH and we are the case managers of our own patients.....do the nurses have to give u auth forms each time? Or do u have another system? The most I really ever see is 5 at a time even if the freq is 2w6 does that make sense? Shouldn't they at least give them according to the docs orders? Do the nurses that go out into the field also case manage at ur place? Thanks for all your input.

Hello All, Please be kind enough and inform me how other agencies handle clients that have regular insurance vs medicare........and when a patient is admitted, do u put in for the same amount of insurance auths as u put for MD orders?? I find there are far too little insurance auths requested at one time for 2w8 md orders.... I am having a hard time keeping track. Any Suggestions and how does your agency handle the auths? Thanks for any input.

Hello all, I am new to home health nursing and find it very rewarding....Since this is my first agency, I am not sure how other agencies work. Do all Home health Nurses have to do their own case managing? and what is your client load? I've seemed to rack up a nice cell phone bill and we get 50.00 reinbursement monthly for the cell phones.....Please tell me about other agencies out there. :monkeydance: Thank you.

:rotfl: yes, please i want more information. i am definetly for the lowering of nurse patient ratio as i am a bedside nurse. if we don't act, this issue will be swept under the carpet as no one else is going to defend us. please send me more information on what i need to do to contribute in speaking our concerns and opinions. thank you.