UpTheLadder12

UpTheLadder12

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All Content by UpTheLadder12

  1. Company Dynamics, Family Dynamics, Burnout

    I'm an LVN, 2 1/2 years in hospice as a visiting nurse and continuous care nurse, and I also occasionally take the On Call phone on weekends. I'm finally morphing from the bright-eyed bushy tailed new nurse to Hospice Hulk. I'm really having trouble ...
  2. I do home health and hospice, and even though I love the nature of the work, I was at first very miserable, broke, and fairly certain that I was going to have a stroke before I was 40. I have learned some valuable things, and here's my Ultimate Guide...
  3. Question for current Hospice nurses

    Our company has one person take on call from Friday night until Friday morning the next week, and not just case managers but LVNs too, for a flat weekly rate. It involves handling all distress calls and scheduling cc if needed during the weekend and ...
  4. Company Dynamics, Family Dynamics, Burnout

    I should add that we serve the greater Los Angeles area, my route averages 90 miles a day total driving, there is no "rush hour" here, freeways and major streets are jammed from 7am to 7pm and sometimes later, and finding parking for patients in apar...
  5. How to determine fair pay????

    I'm a CC LVN in California. Here, any RN or LVN can do the death visit and/or call the death if it occurs during CC. I don't know if that is only for California, but I know that in hospice we can call the death and it isn't even a physician's order a...
  6. Stressed and Depressed

    I know the job market is tough right now, what are you all doing to cope with it? Right now I'm working 50 hours a week at a low wage job that I absolutely hate, and I often have to go to the bathroom because I break into tears spontaneously. I sooo ...
  7. Stressed and Depressed

    Thanks for the input! I have family in AZ and am seriously starting to take the idea of moving out of state seriously. At first I thought it was off the table to uproot because my kid's dad does make an effort to spend time with him a couple days a w...
  8. Bottom Line

    Ok so I posted an in-depth post about a particular situation, but I wanted to broaden my question. As an LVN working private duty, do you EVER perform a medical treatment: give meds, g-tube feeding, breathing tx, etc. if you have not personally seen ...
  9. I was hired by a family to do pediatric private duty as an LVN, and it was explained to me that I would be paid out of a trust fund, which i believe is a public trust for children who experience complications at birth. I filled out a giant employment...
  10. Am I unsafe to practice?

    I'm so sorry to hear that it went down like that! But don't let it get you down too much. Did they OK you resigning instead of being fired? If so, it should be relatively easy to find a new job. You can always spin your choice to resign at future int...
  11. Am I unsafe to practice?

    Wow! I am not working yet but in clinicals I saw these things happen OFTEN, and the nurses often had a careless attitude. In fact, this happened more in the hospital than LTC, which I would think is worse since those patients are acute. Did you have ...
  12. Did I make a mistake? Please comment :)

    Thanks! :) I definitely learned my lesson about starting with home care! It's true, I need to hone those clinical skills. I did good in school academically, but nothing replaces experience when it comes to actually performing the tasks related to nur...
  13. Did I make a mistake? Please comment :)

    I am a new grad LVN, got my license a couple months ago, and yeah- the job market is dry out there. But I answered a Craigslist ad looking for an on-call LVN for a pediatric home care position, and got an interview, which was with the mom. Although s...
  14. Hospital Won't Hire Obese Workers

    I'm not saying that its specifically discriminatory to not hire new grads, I'm saying it's lazy to use a blanket policy. You might have a new nursing grad with 10+ years of experience in fields that contribute to being a good nurse, and references th...
  15. Hospital Won't Hire Obese Workers

    Thinking more about it, the idea of a hiring rule based on BMI is similar to the "No New Grads" blanket policy that is rampant everywhere. Lazy, incompetent management that can't figure out how to size up a good candidate, so they make broad generali...
  16. Hospital Won't Hire Obese Workers

    I think if someone's primary duty is going to entail a lot of lifting and transferring and physical work, they can do a fitness test to make sure that the employee can do the job related tasks BUT a blanket BMI rule is totally unacceptable. That real...
  17. I'm a nurse...for animals?

    Honestly I would be more freaked out to work with animals than people. I don't know why exactly. i love animals and I'm a vegetarian, but the thought of starting an IV on a dog kinda makes me want to vomit. If I had a choice between working in a peop...
  18. Did I make a mistake? Please comment :)

    The chart is there but i was told that since I'm not from the agency I "don't deal with the chart". I know that parents can give herbal supplements themselves, but to have the nurse give it, they need to mention it to the doctor to have it added to ...
  19. NCLEX and IV certification

    As far as IV, look up the Scope of Practice in the states you might move to to see if it's even as issue. I just took IV Cert and was told that because of layoffs at BVNPT, it takes up to 6 months to get the cert to show up on your actual license (yo...
  20. LPNs in hospitals?

    Yes if you want to work in a hospital, get at least your RN, but definitely pursue BSN, and even MSN in the long run. Nursing is one of those fields where every few years, something that could be done with an ADN changes to BSN, BSN changes to MSN, ...
  21. What jobs did you do before nursing?

    Quizno's AND Subway Vintage clothing store after school dance/yoga/art teacher at elementary schools front desk at a gym inside sales (calling, e-mailing, yawwwn) sales manager receptionist I had to take a job in sales for now because im having tro...
  22. Did I make a mistake? Please comment :)

    Thanks guys. A lot of your comments echo how I was feeling, but since I am a new grad I don't want to start off thinking I know everything about everything, so I had to check :) I was prepared for the differences and flexibility in home care vs insti...
  23. Hippa Violation in the Nursery?!

    Yes, I agree with the other posters who say Report!!! It doesn't sound like a HIPAA violation but it definitely violates the Patient's Bill of Rights because she did violate the right to privacy by sharing that info. And i wouldn't be surprised if ...
  24. Illegal home health operation? Please help.

    Thanks for the response. What about things like using a pulmo vest? And g-tube feedings. Do I need orders for those?
  25. Illegal home health operation? Please help.

    so, since i was hired private duty, there is no regulation on what i have to chart? also, can i give medications, g-tube feedings, postural drainage, etc. if i have never set eyes on a doctor's order or spoken to the physician, and my only direction ...