ea.bednar

I read this article in it’s entirety even though it was very painful to read …I am so sick of the word misinformation, about as sick as I am of doctors and their god complex. Like that one doctor that had a god complex and prescribed a patient with active cdiff senna AND mirilax twice a day and every single nurse that had that patient administered it until I got the order dced after a week. Do you think that doctor was happy I caught that errror? No he wasn’t. Did any of the other nurses that gave the laxatives to the poor man already pooping 10 times a day laugh at the stupidity of it when I told them what had happened. No they felt shame and were either angry or embarrassed. Yea Remember gallilio risking death trying to say the sun didn’t rotate around the earth? Well scientist are soon going to have to risk death to get the truth out if society continues on this dangerous path of demonizing people that don’t agree with the status quo. Science has already been incredibly corrupted as things being studied are no longer studied to benefit mankind, but subjects are now only being studied because the government and other special interest want the particular thing to be studied. You can’t do a study with out funding and it turns out that funding isn’t coming from the goodness of peoples hearts. Funding is being produced to push a wanted narrative. People for as long as I lived believed things about their health that wasn’t true, however, this is the first time in my life that society has tried to turn these people into villains and criminals. Something I never though I’d see and that is truly horrifying.

I know you’re not going to like my answer but time management and prioritizing aren’t little things they are the most important things especially in the ICU. Nurses are not nice people especially nurses that work in the ICU and critical care. For the most part they are there because it makes them feel cool they can say I’m an ICU nurse. They are usually very competitive with their coworkers and want to be the best nurse. I know you like it but it is a lot of responsibility and something over 99 percent nurses in general have no business doing. You work with a lot of medications where you can easily kill someone on accident. Things are different now days nurses that accidentally kill people aren’t just losing their nurses license they are going to jail. I’ve read news articles of ICU nurses getting up to 7 patients. Icus are short staffed because people were bullied out the door or at the very least not trained correctly and failed not because there is a lack of interest. I know in nursing school they act like someone is going to take you in under their wing but no one is going to do that. No one is ever going to give you positive feed back on a consistent basis even if you deserve it let alone if you don’t. If you want to be a nurse in any unit on the hospital your going to have to learn how to stick up for yourself and stand up to bullies. It really sounds like you need to get a job on a med surge floor until you learn time management and how to prioritize and you desperately need self confidence. These are skills that take a few years to build and that’s normal!!

Also the CEO is in charge of HR, though I am hiring aides independently. And I am not responsible for any billing/medical coding, and the agency is planing on having a expert one on staff, though I need to learn the basics (I have some coding books.)

no THANK you for lots of feedback! It is really helpful. I have a DON job description! I have read it. It's helped me put things into perspective, but I'm still trying to figure out HOW to lead, look at things through a leadership perspective. The administer that I work for has also been a "consultant" for the company. She knows her stuff! This week she has been trying to teach me how to lead using the "sink or swim" method. I know WHY she is doing it, but I'm not sure how I should react to this method. Before she TOLD me every thing I asked her, and now she's trying to get me to figure it out myself, but it's exhausting and has causes kind of an emotional reaction because I still don't know how. She told me that she would be finished working for the company when the CEO and myself knew how to do our jobs, and then the CEO would also be the administrator, and the company would hire some one to do the billing. Is this common practice? She has planned and lead a successful HHA in the past, and she also gets HHA out of failure. Thanks for the aide tips. This was very good advice. Is you have any more insights I would greatly appreciate it! Sorry I don't have any more specific requests. I really want to learn anything/everything I can!

Long story short, I started working for a HHC agency that was start up company. After a month, the administrator offered me the DON position. I KNOW I'm under experienced for this position, but I KNOW I can do it. After the adminstrator appointed me, I pointed out to her that I was under experienced? She said I was never allowed to say that again, that I had a lot to learn but I had what it took. She KNOWs her stuff like a pro. 6 months later JCHO came and we passed. I handled all the medical questions the surveyor had and I got lots of respect from her, and she said I would make a great leader : ) I just wanted to know if anyone had any tips or advice for me. The company is going to pay for me to get a professional mentor for a while, and pay for me to go to some medical/clinical leader seminars, but I'm not sure when. They really want me to succeed. This, however, is my only experience with Homehealth care, and I know I wasn't even really exposed to the industry standards yet, as the administrator did so much of what I am expected to do now, and we continued to recertify clients as long they would let us, and only ever reached a maximum census of 12. They all were skiled. A lot of start up companies do supervisory visits only, but not us. It's a small company now, but projection census is 60 steady by the end of the first year. The referral resources are already formed. I'm not sure the organizational framework for most agencies but ours is lead by the CEO/owner who is my boss, and I am second in command, and then the administrator. The administrator told me the day we were officially a real company, that she is now the agencies consultant, and she is only going to be with us until the CEO and myself know how to do the job with out her, and from here on out I will be working directly with the CEO to plan where the company will be going. She is no longer the planner. I'm her boss now and she's no longer going to be telling me what to do, but she's not going to let me miss anything either. I was wondering if anyone had some tips or advice for me. Anything at all would be helpful. I'm trying to formulate a plan of what I should do ahead of schedule so that I will be more likely to succeed. I have a general idea of what my new job entails, but I need a detailed one. Any good tips on keeping aides? We have been unable to ever keep and aide for more than 2 weeks, and no matter how many times I have told clients to call in if the aide doesn't show up, they never do. I could see this turning into a really big problem. We can no longer afford to have missed visits since we are now billing. Anyway, anything would help. Thanks so much! Liz

Long story short. I'm a new DON for a home healthcare agency. I started working for them at day 1, with the offer of the DON upon JACHO accreditation. 6 months later JCAHO accreditation happened as of Thursday. Anyway, next they're going to hire me a profession nurse consultant, and pay for me to go to some medical/clinical leadership seminars, but until then I remain working with the administrator, but now I'm her boss. She said she could no longer tell me what to do, and I was responsible for MEDICAL issues, she's only their now to advise, and teach me about the regulations/legal requirements,and get me to remember what medical issues to stay on top of. So first issue: Hiring AIDES. We need to hire an aide ASAP, we don't have one and we have patients that get AIDE care. We currently need very few hours. All the aides we ever hire seem to work no longer than a few weeks at a time, just stop showing up, and then it takes us at least a week to get a new one. This is no longer acceptable. I HAVE to stop aide missed visits. The administrator and myself are doing several interviews on monday for an immediate hire. She wants me to focus on everything MEDICAL concerning the interviews, and this is going to be one of the only times she's going interview aides with me. I need to become independent. Anyone have any tips on hiring aides? Any good medical questions to ask staff? Any way you've gotten aides to stick around? Any tips are getting them to respect you? I've never been a manager. Anyone have advice on a way to monitor aides performance, and if they are even going to their visits. I need to think of ways to really prevent missed visits, and these aides are going to be a night mare. Anything would be much appreciated! Thanks!

Long story short. I'm a new DON for a home healthcare agency. I started working for them at day 1, with the offer of the DON upon JACHO accreditation. 6 months later JCAHO accreditation happened as of Thursday. Anyway, next they're going to hire me a profession nurse consultant, and pay for me to go to some medical/clinical leadership seminars, but until then I'm remain working with the administrator, but now I'm her boss. She said she could no longer tell me what to do, and I was responsible for MEDICAL issues, she's only their now to advise, and teach me about the regulations/legal requirements. So first issue: Hiring AIDES. We need to hire an aide ASAP, we don't have one and we have patients that get AIDE care. We currently have very few available. All the aides we ever hire seem to work no longer than a few weeks at a time, and then it takes us at least a week to get a new one. This is no longer acceptable. I HAVE to stop aide missed visits. The administrator and myself are doing several interviews on monday for an immediate hire. She wants me to focus on everything MEDICAL concerning the interviews, and this is going to be one of the only times she's going interview aides with me. I need to become independent. Anyone have any tips on hiring aides? Any good medical questions to ask staff? Any way you've gotten aides to stick around? Any tips are getting them to respect you? I've never been a manager. Anyone have advice on a way to monitor aides performance, and if they are even going to their visits. I need to think of ways to really prevent missed visits, and these aides are going to be a night mare. Anything would be much appreciated! Thanks!