Susan317

I love using the tablet,also love dictating my notes no more lengthy typing.

As a Case Manager in RI my base salary is 75,000.00 with benefits ,vacation time,personal days ,sick days, anything above is compensated at per diem rates. SOC 85.00 revist 42.00, oncall 75.00, oh also mileage 0.555 a mile and cell phone allowance 30.00 monthly. I am very happy at this job,productivity is 30 visits a week.

Why would it expire differently in home care, its still 24 hours, don't use it and ask your company to get spray saline or use wound cleanser spray.

I'm wondering if you should have changed it all ,doesn't the IV company typically change the dressing. Your job is only to assess the site and inform the IV company of any changes. Unless of course your agency is also a home infusion company?

Or they should a wound clinic nearby to refer their patients to, which is what I do.

Our policy is that if the 485 is not received back signed within a week it must be followed up on, and usually that means the MD's office has misplaced the original and asks us to refax a copy.

Anesthesia has a big role here because they know where they are going to put the injection. Its almost impossible to do this without their help.

The pecking order in the OR is very evident as you will soon see. You may be compelled to ask a lot of questions,don't! Learn by observing,ask questions of your preceptor after the case or very quietly during the case and only when she isn't busy doing something much more important than answering your question. Surgeons don't like distractions during the case and they don't like new people who talk alot they want to be the ones talking. Observe,observe I can't stress it enough. The same things happen in almost every case exactly the same way every time. And don't make any suggestions until you've been there more than a year. Ever hear, better to keep you mouth shut and be thought an idiot than to open it and confirm it. This is key to your sucess in the OR.

Please read up on common anesthesia meds propofol,versed, atropine, and the term MAC anesthesia your patient will be awake.

I had one test that asked me knowledge of common anesthesia meds, although OR nurses don't routinely administer these meds you must know what effect they have on your patient.

That is as bad as saying the A word in the OR,abdominal aortic aneurysm. You can almost bet there will be one coming soon.

A 60 day summary is required by medicaid, that is for patients who are receiving homemaker or cna services, only, no skilled care.It is actually a supervisory visit to be sure that both client and cna are happy with services provided. No 485 involved and no patient just client.

I drive a white Mercedes Benz and I've had no problems. Maybe it's my attitude, its just a car. Its my office and I deserve it.

luvpets I'd like to know how you do on the test if you don't mind?

It sounds like something that you can't prepare for. They want to know if you can think for yourself in the field with no resources. You'll be fine , I'm sure you'll surprise yourself with what you know. In the home its not what you know, its what you do. Just think what would I do if this were my family member with no VNA services, and do it. There are no emergencies in homecare is my way of thinking.