OkieeRN

I have hear of 21st but do not work for them. My agency is relatively small, we are a close knit group :)

The problem with alarms is that they don't always align with eating. Medicare does pay long term if the pt is unable to draw up or administer reliably his/her own insulin and there is no willing/able caregiver available. It has to be documented on every note though. And unfortunately it doesn't pay much. It wouldn't hurt to try the alarm and/or alarming med planner before you consider taking on a BID pt. Good luck, let us know how your interventions work :)

Idk if there are any rules, perhaps there are guidelines through ANCC for certified case managers but I am not sure. I can say that at my last job I carried 40-45 patients on my caseload and saw them all for all oasis visits plus the less stable ones on a PRN basis. The job I have now I only carry 30-35 and I do not see the patients. We have an oasis RN who sees all our pts. I desk case manage only now.

I consider them the same. If I write a d/c summary upon d/c I do not write a 60 day summary. The D/c summary replace it.

It sounds like he needs to be a daily insulin pt if he and/or his family cannot consistently give him the shots. He clearly is not able to pull up the insulin on his own and forgets with the prefilled syringes. If he doesn't have children or church family or someone able and willing I think making him daily is the safest choice.

I would finish the dressing. It is not worth leaving a sterile dressing change open to air while seeing what another pt needs. That pt could end up with an infx. I would also reply that it is important to hourly round on all my pts so that they have what they need before I am in the middle of a task. Finding co-nurse and Asking them to listen for my other pts while I do a sterile dressing change would also be appropriate. hope this helps.

I did OU's RN to BSN and was in class with several LPN's that were getting their BSN's as well, bypassing the traditional route of LPN to ADN to BSN. since you have to be an LPN for a year before starting OU's program idk of its a benefit or not... For RN's you do not have to have any nursing experience before starting the program and you also do not have as many clinicals. I worked full time while attending OU full time. It was nearly more than I could handle that first semester. Word to the wise: get yourself thoroughly organized if you go to OU. They will keep you disorganized enough without you helping them any! Good luck to you!

I earned an A.S. in diversified studies while working on my prereqs for my ADN program. So when I started nursing school full time all I had to focus on (school wise) was school. That said, I also was married with two children and worked full time. I was certainly glad to not have to take other classes while in nursing school. I used every spare minute to study the entire 2 years! I did well in nursing school making 2 B's and the rest A's and passed the NCLEX with 76 questions. I think the bottom line is, you do what you have to do to make it work. Preparing as much as possible and keeping life as calm as possible during nursing school is ideal although sometimes impossible. good luck to you!

You may want to consider desk case management in home health. It isn't bad on the back (as long as sitting doesn't bother you).

That is not enough pay for on call. I am paid a base salary and my on call pay is in addition to the salary. $150.00/weekend to be on call and $65-$85/visit for resumption/recert/SOC. I would look elsewhere especially since you are the bread winner. Your time is too valuable for $2.00/hr!

I have been a field nurse case manager, a case manager that did all OASIS visits and had an assigned LPN conduct all regular SNV's, and an in-office case manager (with no hands on pt care), with the latter being my current role. The pay I received while working as a field nurse cm was per visit. I made the typical lower rate for regular nursing visits and a higher rate for OASIS visits. Both of the other case manager roles were salary.

I saved mine from my BSN program because I didn't save them from my ADN program and wished I had... I have referenced the ones I saved. Congrats on becoming a nurse!!!

I was a nurse 6 months when hired in PACU. Maybe it depends on the facility but our recovery room nurses are AMAZING! I have learned so much from them, and the anesthesiologists, and the CRNA's... Being in one large room is good for multiple reasons but two biggies for us new nurses is 1: someone is close by if something you DON'T know how to handle happens, and 2: when another nurse's pt is crashing or having problems you can learn from the experience. I have never felt alone in the recovery room. Good luck to you.

If mom lifts him, why not ask her to help you do a two person transfer?

We are about to buy a trike!! SUPER excited!!!!!