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desertnurz has 12 years experience and specializes in Home Care.

desertnurz's Latest Activity

  1. desertnurz

    Why HH nurses quit

    You cant hold others accountable for the profession you choose to enter. I am with you, I hear you,and it is unfortunate that our profession does not command the respect you mention. We all work hard every single day, and this is what we choose to do. Nothing is really different discipline to discipline, and I've worked in a few arenas by now. But you need to realize that you DO make a difference in every life you touch. You need to go home and feel happy inside for the awesome work you do everyday because you know you did, not because some manager pats you on the back every day. Even if they did, you'd get to the point that you'd think they were "Faking it". I am sad you feel the way you do.....I know you are appreciated either by many people. The patients, your co-workers, your friends and family. No level of appreciation will ever be enough for the type of work nurses do everyday. Good luck to you!
  2. desertnurz

    Help me become more empathetic.

    Some time ago I was praised for my stern, no nonsense, yet consistently fair approach to home health staff-holding all accountable to the same standards. Since then, we've build a stronger, solid team of clinicians and morale has improved......Now, some time later, I am being told I lack empathy. I guess at times, I can lack empathy as I really couldn't care less about their problem, my focus is more on working together to find a solution that benefits the staff member with the problem and their need, a solution that does not compromise the operations of the agency, nor the needs of our patients. I've been praised on my ability to monitor the day to day operations, manage my budget, increase volume etc etc etc..... but now need to build on my relationships with staff and earn their trust and become more empathetic. Any words of wisdom from our fellow leaders? I have a sincere desire to manage effectively and succeed in this role. I've got a lot of the technical stuff down, and now realize this may be my stumbling block. Advice greatly appreciated.
  3. desertnurz

    Dr.Oz dancing with sexy "nurses" on his show.

    The community already has a skewed sense of what it is nurses do. I think this hurts our image overall...... I agree, to write.
  4. desertnurz

    Does HH just have to practice foley incertion?

    Systoly Lighten up. I did not realize 10ACGIRL was a CNA. I agree, that is something, CNA's should not be expected to do or troubleshoot. But I still think its funny. Its not a warped attempt at humor, it is my humor. Without it most of us wouldn't have survived nursing for as long as we have. I may also, add it is something I would have addressed with the family in terms of unacceptable behavior towards my clinical staff and threatened to take them off service if they could not control themselves. It is something I would have discouraged my staff from calling the cops. The darn thing is a piece of rubber not a brick. Calling the police, would have been OVERKILL in my book. 10ACGIRL Sorry for your past childhood experiences.
  5. desertnurz

    HH Questions for Interested Nurse ...

    Definitely I look at clinical skills. Do they know and feel comfortable and confident with the basics. With all the other stuff you'll be learning, most agencies will not be able to offer one-on-one training for basic catheter insertions, peripheral lab draws, picc line dressing changes, wound vacs. The more skills you've got down, the better. Someone who is organized, good time management and yet, enough flexibility to adapt to scheduling changes and varying home environments and lots of travel (Up to 800 miles every 2 weeks). People that are too organized and too rigid don't survive very long in homecare. Lastly, if you are thinking Home Care is "easier" its probably not going to be a good fit for you. There is a huge amount of detail. If you can, ask the agencies you are interviewing if they can offer a day of observation. Our agency offers ride alongs where you can spend the day with an employee in the field before hiring on. Its not a super duper accurate representation of the life of a home care nurse, but it definitely offer you a mini look into a day in the life. I also encourage my staff to relay the good, bad and ugly about what its really like. Good luck to you... Hope this helps a tad.... :)
  6. desertnurz

    Why HH nurses quit

    To WILLOW and RN1236: I am sure no one is strapping you down to your job, sounds like you are burnt out.....why don't you refreshen your resumes and leave the industry you both so much seem to like to complain about. Or maybe work part-time? Vacation time perhaps? KARENRN thanx I could not have summed it up better..... Believe what you want...but some nurses do pursue an interest in Home Health because they do "think" it's easier. I am not agreeing with them it is really hard work, but there are those who think is is easier.....those who don't know.
  7. desertnurz

    How many is too many?

    Gheez.....my nurses complain about 4-5.....(2admits, 3 revisits)..... I should have them read this website. Yeah, I would say 8-9 is way lots.....unless you do 10 hour shifts, that almost sounds impossible.
  8. desertnurz

    Why HH nurses quit

    I totally agree with KATERN1. Her first paragraph nails it right on.......So many people I hire on board do think its "easier" in home care. Medicare Regulations, OASIS questions. "Massive volumes of documentation" doesn't cut it....its worse than that. After about 3 weeks, you can usually weed those "wanting it easier" nurses out. The rest have already quit by then. I believe Home Care tends to attract people who need great amounts of flexibility for their family or granchildren or those who are almost ready to retire but still want to work (but not really). Add to that who see a false sense of autonomy...... By the way.....Our policy calls for documenting during your visit, not afterwards.....72hrs is given to complete admission paperwork...as it is more detailed. Add to that poor case management at the hospital level and MDs that want us to go out "just" for blood draws or those complex cases that really should not be discharged, the nursing shortage, overworked RN's, and you've got a brewing pot of failure waiting to happen. It takes a really organized, well skilled, yet flexible "GO WITH THE FLOW" type of person to survive homecare. Maybe that is not you. Its ok, not everyone is cut out for the job.... Its late and I could probably go on and on....but I'll save that for another day.
  9. desertnurz

    Horizon Homecare MobileCare-GPS TRACKING

    We'll be getting these next year too. Am very skeptical, half the staff still cant figure out how to check their messages on their regular phone. One geezer still cant manage how to get it off speaker phone. Everytime they answer the whole room hears the conversation. Just because there is available technology does not mean its smart to assume everyone will use it effectively. We shall see how it goes.
  10. desertnurz

    HH Questions for Interested Nurse ...

    I have to say it is extremely challenging to train those employees who get hired on who are planning to still stayed employed elsewhere. Usually it takes a full time RN about 3-4 months to learn the basics.....10-14 months to fell comfortable. I usually double that for part-time hires and I dont hire anyone who cannot offer at least 3-4 full 8 hour days a week for training. 90 percent of my part time hires that hold another job usually quit. Those who stay usually have some experience in home health already. There is an extreme amount of detail on home care that no one tells you about. A lot of people think its just clinical stuff but its not, There's medicare guidelines, hmo rules, OASIS documentation, laptop training etc etc etc. Good luck.
  11. desertnurz

    Recommended Home Health Agencies

    Are you still looking and where do you live?
  12. desertnurz

    Stats (patient visits per day)

    If the frequency and duration calls for twice a week for the one week, and there are no specific dates, then at my agency, we usually do allow the visit to be moved to the next day so long as it falls on the same work week between Sunday and Saturday and the patient is made aware. If the patient is not home for the scheduled original day and time, then yes we try again the next day and notify the md office of the missed visit. If the order states specifically for visit to be done tuesday and thursday then we are out of compliance with the order and would need to call the physician's office to get another order to make it up on another day that week. I agree with the prior entry.....check with your supervisor and the specific policies as they relate to you agency. Good luck.
  13. desertnurz

    Does HH just have to practice foley incertion?

    First of all; it is "insertion" not "incertion". Secondly, I think its hilarious you got hit in the back of the head with a catheter....I could not stop laughing when I read it. I think calling the police is a poor waste of their time. I think you should review your technique till you get it down, and if this really bothered you as bad as you say it did, than YES homecare is probably not for you. It takes a resilient person to work homecare.....one whose not going to crumble at something as mere and hilarious as this. Assault and battery charges is really blowing it out of proportion.