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Mom2boysRN's Latest Activity

  1. Mom2boysRN

    Pre-req tutoring-Too much a bad thing?

    When I took stats I needed ALOT of help. If you know you need help in certain subjects by all means get it. My nursing school also had tutoring available, not just for pre reqs. You need to understand the pathophysiology to be a good nurse. Being in school is much different than practicing nursing. Just because you take more effort to grasp concepts from class doesn't mean you won't be a fantastic nurse. Good Luck!
  2. Mom2boysRN

    Future plans versus the unexpected future

    Ha! Yes, plans are good to have, but life has a way of changing your direction. I am also a second career nurse. My plan was to get in do my year of MS, then go to the ER. I wanted to be a trauma nurse. What actually happened was that I had difficulty getting in to a hospital like many nurses that graduated when I did. I ended up doing skilled care in a rehab on the medicare and dementia floors. Then home health came my way. I kept saying home health was something I saw later in my career, it wasn't what I wanted. One day after I was developing some comfort with being a home health nurse I was in my car after seeing a patient and I got teary. I realized at that moment how much I loved my job and that I was doing exactly what I wanted to and that was the reason I became a nurse. I find my job very fulfilling. I love the amount of time I can spend with each patient and how much I can influence their health. Now, whether they listen is sometimes a different story. So I am about 180 degrees from where I wanted to be, but I'm exactly where I need and want to be.
  3. Mom2boysRN

    Dealing with a dirty old man

    I'll just echo what others have said. You will run into patient's that look at you inappropriately, try and look down your scrubs, or say and do other inappropriate things of varying degrees. I ignore some things like innuendo (I act like I don't realize that's what they are doing). If it's an attempt to look down the scrubs I'll grab the back of my shirt and give it a yank while making eye contact. They are usually embarrassed by it. If they are saying something blatantly inappropriate or trying to touch I'll tell them it's inappropriate. Generally once they are told it's fine. I do home health and I had one patient that had dirty movies on when I would come over (not porn, but movies with lots of sex) I told him to turn it off and all he'd do is mute it and try and get me to look at the screen (always during a sex scene of course). I told the office he needed a male nurse which immediately happened. Many men sexualize nurses just as women do with police and firemen. Go in with this understanding and be ready to let them know it's not okay. Whether it's a "dirty old man" or a dirty young one we are professionals and shouldn't allow this behavior.
  4. Mom2boysRN

    Home Health

    Recert, resumption of care, and start of care are all Oasis. They are medicare forms used to help assess and make your plan of care. A recertification is done at the end of your 90 day episode in order to continue care for the patient. If they are not being recertified then they are being discharged at the end of the cert. It is done during the last 5 days of the certification period. A resumption of care is filled out after a hospitalization. Hope this helps.
  5. Mom2boysRN

    Go Fund Me for Co-workers?

    I have donated to a couple of Go Fund Me pages, friends or someone I know of that is having a valid issue that I feel deserves help. I think back to where we had a crisis in our household (this was before Go Fund Me) and a friend offered to do a fundraiser for us. We were one of those very sad stories that would have compelled many people to give us money. We said no. We had insurance and were able to cover co pays and deductibles etc. We asked people if they felt compelled to give to us to go donate blood as the availability of blood and blood products is what made our tragedy have a happy ending. I know many people would have used this as an opportunity to make some cash, but I felt the bills we had because of it were OUR responsibility, not anyone else's. I say give if you feel it is right and give with a joyous heart. If not, then don't.
  6. Mom2boysRN

    Documenting in car

    I just jot down some quick notes and then do my charting once I get home. I have a calendar/planner that I track my mileage on. My agency doesn't do anything on paper for the most part. I'm able to set reminders for myself inside the charting software etc. Organization is key!
  7. Mom2boysRN

    General query

    You will have to check with your state's BON.
  8. Mom2boysRN

    Ethics help!

    I do home health so it's a bit different, but I have made suggestions to my patient's on questions I would ask if they were my mom or dad. I try to be careful not to step on the docs toes while still advocating for my patient.
  9. Mom2boysRN

    Ideal RN position for mother of toddler

    Home health. I work as much or as little as I want. When my kids were younger and they had something going on at their school I would plan a break in my day so I could go to it. Mostly daytime hours, if you have an on call requirement that would be the only time you'd normally have to work in the evening.
  10. Mom2boysRN

    Potential problem/issue

    We have agency parameters that we all have to follow. The only exception is if the doctor wants a different set of parameters.
  11. I almost went into OT, but chose nursing instead. Due to having a previous degree the amount of time it would have taken would have been about the same for schooling. If I had it to do over again I would have done OT instead. No on call, no weekends (unless I wanted to), no holidays, and more money. I didn't realize before I made my final decision just how much impact a good OT can have on their patient. That's what steered me toward nursing. Don't get me wrong, I love my job. If I had the choice to make over again I think I would choose differently though.
  12. I wasn't sure. I just knew I wanted nothing to do with OB.
  13. Mom2boysRN

    RN to Teacher

    Former teacher here. Check into what requirements are to substitute teach in your area. In the state where I taught you only needed 65 credits in college to be able to sub. You may be able to be a sub on your days off from nursing and see what you think about being in front of a classroom of kids. It won't be the same as having your own classroom, but it will give you a bit more perspective. If you decide to continue with nursing much of the home health nurses job is teaching. Good Luck!
  14. Mom2boysRN

    Is home health that bad?

    I love home health nursing. I'm not sure what other type of nursing I could ever see myself doing. I love the impact I can have over my patient's health as well as the independence of it. That being said when you go from a nursing job in a facility to being in home health you are on quite a learning curve. You don't have anyone on a unit with you to help guide you so there are some qualities that will help someone have an easier time with this. You need to reach out when you have questions as soon as you have them, you can't allow yourself to get buried. You have to be disciplined with paperwork. You also need to be able to think through what to do in new situations. There is paperwork at home. If I see 5-6 patients, which my agency considers a full time day, I work 5-6 hours depending on how far apart my patients are and why I'm seeing them. That leaves 2-3 hours (to equal an 8 hour day). Now, if I sit and just do my paperwork then my total working time may be 8 hours or less. The Oasis forms take longer than a regular visit note, but I also get paid more for them. I get paid per visit so I am not paid separately for charting time. I feel my visit rate is fair and what I get paid per visit covers my time for the visit and charting, most of the time. I make a pretty decent salary and I work just shy of full time. The miles you drive depends on what area you work in. I work in a suburban area for a pretty decent size agency. I drive an average of 30-40 miles per day. If you work for a smaller agency or cover a rural area you will drive more. If you are home health you drive, it goes with the job. Ask what area you will be covering before accepting a job and understand if census is low you could end up covering an area that is farther from you in order to see your required number of patients. When I first started with my company I didn't get much orientation, but there is someone else running the agency now and they give an adequate amount of orientation. Everything you ever run into will never be able to be covered in orientation. Patient's love to give us surprises. This is where you need to be able to use your nursing process and be the type of person that will call someone to ask for help. My agency is a reputable one. We follow Medicare rules and are very highly regarded in the community. There are a lot of bad agencies out there so research the agency before you work for them. Find out what the local hospital's preferred agencies are to refer to. Since it sounds like you are undecided about home health maybe consider a per diem job to try it out before making the jump.
  15. Mom2boysRN

    Rasmussen College?

    Last time I checked they were not accredited with any nursing organizations, buyer beware!
  16. Home health is covered under medicare 100% and there could be problems with billing for a home wound vac if there's no documentation of a home nurse doing vac changes and evaluating the wound. By having home health she will have someone that can be available to teach the family and maintain the vac. If she needs therapy services that will also be available to her.

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