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KalipsoRed21

KalipsoRed21 BSN

Currently: Home Health
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KalipsoRed21 is a BSN and specializes in Currently: Home Health.

Cardiac Step Down, Telemetry, Travel, ER, Intake Coordinator for Home Infusion, Home Care

KalipsoRed21's Latest Activity

  1. KalipsoRed21

    All these nurses writing articles

    To you advanced degree nurses that like writing all the articles on here, I have a request for an article. I want to know if accrediting agencies actually help healthcare facilities. For example JACHO: “OurMission: To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. “ Do all the JACHO nit picky crazy regulations actually help quality or has it gotten to the point that accreditation organizations gotten over zealous with regulation and box checking that patient care is actually worsening even though charting and other administrative measures are showing high marks Are we being nit picked apart about measures that have minimal effect while unquantifiable direct care measures, due to the inability to consistently be able to quantify and identify them, being ignored and not valued solely because there is no way to measure for them or just the face that they are not on the ‘list’ of things to monitor? I feel like healthcare is becoming the ‘wanna be’ field. Where we are more often posers for good care through over charting but actual care and facility staff sanity has gone by the wayside. I don’t like my profession...I don’t respect it because we have lost focus due to reimbursement and over regulation. I don’t feel like I can advocate for the good in my career, because while I know TONS of nurses, CNAs, MDs, NPs, etc that care greatly about patients, all of us are stuck doing a *** job because of over regulation and reimbursement strategies. I am all for hospitals making money, and I like rules, but are we over doing it to the point that we are not obtaining the obvious goal of taking good care of people as the minimum standard?
  2. KalipsoRed21

    Sorry nursing

    I like you nursing....almost love....but the constant emotional abuse kinda prevents me to getting to the point of saying, “I LOVE my job.” The most I can muster is, “Well, I like taking care of my patients.” Administrative creep and ensuring the “right“ supporting statements in to my documentation so that we can get “Max reimbursements” really diminishes most of the joy I have in patient care. Because who really enjoys spending 10 minutes assessing a patient and glancing at their record and the next 45 charting about it? We pay too much money for care as a society to be giving such poor service as a profession. I know no one is trying to give poor service, the industry is just set up that way. And because we care beyond the boundaries of a stated job, we spend to much time trying to hit these unattainable time goals for patient care while spending less and less time with those we care about the most in the name of duty. It isn’t honorable, it’s stupid. And on one’s death bed one will not reminisce happily about spending all the extra paid or unpaid time at work doing “the right thing”, one instead will regret all the pointless hours spent on pointless paper work instead of with those you love....because you are a nurse, you know how short time is, and yet we are letting paperwork dictate our lives and separate us from our families....for what? Insurance coverage? Shameful, not noble.
  3. KalipsoRed21

    Millennial Nurses Have Issues

    This piece is a bit vague on what it intends to accomplish. I am technically a Millennial, on the cusp of being a Gen X. My husband is Boomer. The work ethic between is is not very different, but the expectations of the work environment are. A reason I do not feel we are to far apart on what we want out of work is the fact that he works in a union. He is well compensated for his time with reasonable benefits, time off, has a strictly enforced job description. This is nothing more than what I wished out of my own employer, but have found that this ‘bare minimum’ expectation is rarely met by employers. I am not union, I have often been asked to do more than what I agreed to do when I hired on. For reasons ranging from short staffing to ‘restructuring’, I have often been required to take on more work than is reasonable, missed promised brakes, had my on call day abused as a mandatory over time that I am frequently not entirely compensated for appropriately due to the law requiring compensation to only be provided after I hit the 40+ hour mark. I am used at the discretion of the company by them being able to low census me and therefore cut my pay. Even at my current job, which has been the fairest place I have ever worked, they are constantly screwing with my time. Example: We use to have a call day once a month. We are on call to our patients for questions but also if a patient with very time specific needs was coming out of the hospital we would also have to admit. An admit is easily a quarter or half a day of work...and this would be in addition to the fact that we would have already worked our 8 hour day. But we would get time and a half pay for this and we really only did these admissions if it was absolutely necessary, as our employer had incentive to NOT want us to do an after hour admit due to having to pay us time and a half. I am suppose to work 8am-4:30pm. Anything done on call after 4:30 was time and a half. Now, under the guise of lessening our work load, we only work half a day when we are on call. But instead of our day starting at 8am we are suppose to start at 12pm and thus we get paid regular pay until 8:30pm. So now we are getting less compensation and being required to work evenings (which was not the agreement I signed on for) and the employer has less incentive to make sure that these after hour admits have timed after hours needs that REQUIRE a nurse to see them in the evening. Now management feels because they “gave us” only half a day of work we should be willing to admit any patient coming home no matter if it is truly needed to be done in the evening or not. What does my employer get out of this new arrangement? They don’t have to pay me overtime and get to admit more patients to increase their bottom line because they no longer have incentive to be concerned if the person coming out of the hospital has time specific needs or not. I will be available for the admit because I “only” had half a day scheduled. What do I get? Less compensation and an increased guarantee that I will be working very late into the evening at least once a month because my employer no longer has incentive to ensure that admits that could wait to regular operating hours are done during regular operating hours. I have no recourse as I do not work for a union. I only have a choice to leave or be agreeable to getting screwed. This is the biggest difference to me between Boomers and Millennials. Boomers had such a competitive workforce that they were willing to bend over to every employer need, and they had to if they wanted to support their family. Unions decreased and the power of the employee dwindled and Boomers still needed to bring home a paycheck no matter how bad they got screwed, and they got screwed. Most of them have no retirement, were let go a few years shy of their full retirement benefits, and were basically used up and spat out for the benefit of the top earners in the company. So thank you Boomers for supporting us as children even though you got utterly screwed. But what Millinnals know is that the workforce is smaller. We have more power than you did, and our time is just as precious as yours was back in your prime, but we have the leverage to get what we want (what you wanted back in the day) and we will get it or we will leave. Businesses have abused/enslaved the workforce long enough. I, just as much as a Boomer did 20 years ago, deserve to have a decent paying job with benefits and employers who do not abuse my time, the only difference between Boomers and Millinnials is that the workforce is shrinking and thus we have more power to get what we deserve than Boomers did. If I were a Boomer that would kind of irritate me too, but get over it and come over to outside. You will get paid better and have more time to be with your family if you do.
  4. KalipsoRed21

    Help...need AWAY from bedside but don't know where to go...

    Read Dave Ramsey’s “The total money makeover.” Revamp your budget and learn to live off of half of what you make (yes it is possible). Then your need for money won’t take over your desire to live.
  5. KalipsoRed21

    I Was Fired...for Being Abrasive and Having Attitude

    Well as poopy as it must feel to get fired, it is better to be let go than struggle to fit in where you don’t. But for the next year it is SUPER important that you quit telling people what you know or what you think you know and just be greatful for ANY advice you are given.....even if you think it is incorrect. My way around ruffling feathers when I was new and pretty sure a nurse was practicing ‘old school’ but not ‘evidence based’ was to let her show me what she thought I should be doing and let her do it to the patient. Chart that you were assisted by nurse so n’ so for that procedure. And when I had the next one, grab a different senior nurse I may have trusted a little more to watch me do it. If she said I did it correct or showed me something different I would start practicing that way. If the first nurse said something about what I was doing then I could just say, “Well —— told me to do it this way.” Maybe we should all talk together? Most likely no one will want to have a group meeting about whatever it is you are doing and you just continue to do things the way you were shown by the nurse you trusted more. I know it seems like a long way around, and it is, but this is how to be humble.
  6. KalipsoRed21

    Referral Fee/Bonus?

    So my sister in law is harping on me. She works with a lawyer who does Mesothelioma cases. She tells me that this lawyer will give me 100K for every referral that ends up being a case he can do something with. I have tried to tell her that I don’t think I can do that due to Stark Laws. I’ve never been much of a saleswoman anyway. But then I think, is this how those law nurse consultants get rich? Is this legal? Any thoughts?
  7. KalipsoRed21

    Nurses Charged in Deaths of 12 Nursing Home Residents

    More than 100 years ago, state and territorial governments established BONs to protect the public's health and welfare by overseeing and ensuring the safe practice of nursing. BONs achieve this mission by outlining the standards for safe nursing care and issuing licenses to practice nursing. Once a license is issued, the board's job continues by monitoring licensees' compliance to jurisdictional laws and taking action against the licenses of those nurses who have exhibited unsafe nursing practice. Nurse to patient ratios sounds like part of “outlining the standards for safe nursing care” to me. No not all errors are related to ratios. My point is there isn’t a good way to judge the error as a decisive act of the nurse (impaired judgement, unsafe, un ethical) when the ratios are not already in place. If you are going to work and it feels like Russian roulette as opposed to organized chaos, well then how can ANY error be appropriately analyzed if the situation was unsafe to start? And from judgements I’ve read the BON often judges in a manner that goes something like this, “It is the nurse’s duty to protect the patient and s/he should have recognized the unsafe situation and wrote it down on a piece of paper so we could tell that they knew it was dangerous and so that we know they said something to their manager. “ Giant eye roll here. It’s like signing up for karate tournament in one on one combat and then suddenly 5 opponents are in front of you. You say something about it and are told that this is what you signed up for by the coaches and then the judges (BON) tell you that you have poor execution of your skills because otherwise you would have beaten all your opponents when you were suppose to only have one.
  8. KalipsoRed21

    When Should I Retire? My Struggle

    “I lack enthusiasm for the Flavor of the Month. I zone out if someone starts saying they want to “move the needle” or do or don’t have the “bandwidth” to “pick the low-hanging fruit”. Just don’t admonish nurses to be “more resilient” when taking away resources. It’s not an opportunity to “do less with more”, it’s short-staffing” I loved that statement! Anyway, I think retirement is a USA problem. We are an ageist society. Why isn’t it beneficial for employers to allow elderly to work at a slower pace with less expected hours? Why can’t they see the value in their experience as something worthy of the pay even if they aren’t the most ‘efficient’ part of the work force? I feel that experience is something sorely undervalued and the reverence for it has been in steady decline along with union labor and the rise of ‘right to work’ standards in the US. Us younger people need very experienced mentors more than we realize.....not the RN who is your senior by 9 months. Also this problem is more related to work culture in America because we work all the darn time. We do not cultivate ourselves much out of our work identity which leads to such a feeling of loss when you no longer are going to work. We are terrible at realizing how short our time is on this planet and believe that the whole idea of, “If you don’t like the time requirements of the job then get another one.” Instead of a more practical, “This is my life, how do I fit this job into it.” Such a lack of flexibility in US work culture, but I do hope that millennials fix that. Everyone complains about how they don’t want to work. I feel they want to live and do some work, but our work culture isn’t set up that way, although most employers could make it that way if their profit margins were smaller. Good luck to you on your journey.
  9. KalipsoRed21

    Nurses Charged in Deaths of 12 Nursing Home Residents

    I don’t miss understand their mission. Their mission is not accomplishing anything worthy of having them exist in their current state.
  10. KalipsoRed21

    Nurses Charged in Deaths of 12 Nursing Home Residents

    That’s just a lot of excuses not to act if you ask me. Very basic things will get missed and I highly doubt as retarded as judgments that I have read by several BONs are that they would rule in the nurses favor if she had to many patients and missed something ‘simple’. Which, to me, defeats the purpose of protecting the public from a ‘bad nurse”. It reminds me of a Facebook page post I recently read stating something like, “Nurses aren’t running around like crazy because they are competing against each other for the Daisy award. They are doing it in hopes of not being “the one” who missed something important.” I feel this is a pretty common feeling, especially in facility and hospital nursing. There is nothing professional about playing hit potato with people’s lives then having a BON judge those who dropped it as incompetent. That is just stupid. So respectfully, I don’t feel that any BON is doing their job to protect the public appropriately. I get that they aren’t here to boost nurses, or be political, or protect nurses, but they aren’t protecting the public either.
  11. KalipsoRed21

    Legal obligation for disaster relief

    Interesting paper I just read:https://www.law.berkeley.edu/library/resources/disasters/Anderson.pdf But it is about officers during Hurricane Katrina (as nursing is most definitely not the only career that suffers this issue). Here are some excerpts. ”In any disaster situation, the first three hours are the most critical for response, and can determine the extent of life and property lost.2 After Hurricane Katrina made landfall this past August and the winds dropped below fifty-five miles per hour, the New Orleans Police Department (NOPD) spent its first few hours of search and rescue retrieving almost 300 of own officers from rooftops and attics.” So the “crucial 3 hour” window the police spent most of that time finding their own officers. A benefit of being of the force for sure....or not. How many would have evacuated themselves and their families instead of staying due to their job obligations? ”3 After the storm sixty officers resigned, forty-five were fired,and two committed suicide. Nearly 70% of the police force lost their homes.4 All together the NOPD lost approximately 7% of its officers.5 The failure to plan adequately for police response takes it toll on the community, on the police department, and on individual officers themselves.” ”Yet low pay and under-funding are consistent problems for the city’s eight police districts. As of July 2004, entry level New Orleans police officers made $27,508 ($37,363 in 2019 money)in base salary, with an additional approximately $5000 ($6791 in 2019) of benefits that included a uniform allowance and payment for mileage. A police sergeant made $38,119 ($51,774 in 2019) in base salary and an assistant superintendent $62,096.13 ($84,341 in 2019) The only current standard issue equipment for police officers are their gun, badge, radio & nightstick – individuals are responsible for their own uniforms, gun belts, raincoats, and handcuffs. Many officers work second jobs to make ends meet.14 *in 2019 was just me using an inflation calculator to get the same salaries in today’s money. I don’t feel like those wages differ to much from nursing salaries. It is like all of USA is wanting those in public services to sacrifice their lives for free. Not to mention the second part of the contract ( I feel) is self accountability. Citizens fall so far below the realm of taking responsibility for themselves and their families that it is really hard for public servants to keep up our end of the ‘ethical’ code. I never disliked people as much as I have learned to since I’ve become a nurse, which just makes me care less to put my life in peril for one of them.
  12. KalipsoRed21

    What city do you work in and how much do you get paid hourly?

    Home Heath - 11 yrs experience - closest big city is Saint Louis, MO but the job is in Illinois. $29.71/ hour (I do not get mileage as they provide the car and the gas.) Required to work every 3rd weekend with one of the 2 days on call and also on call 2-3 other days a month. On Call you get $2 an hour unless called out then you get time and a half for as long as it takes to do the call. Weekend differential is $5.
  13. KalipsoRed21

    Legal obligation for disaster relief

    Agree with you wholeheartedly. Nursing is not more important than my life, my family, and my needs. I would need A WHOLE lot more pay and/or benefits for me to consider it to be. Also I don’t think that EMS/police/electric crews should be putting their lives on the line either for Hurricanes. You know they are coming get out or take your chances, don’t call 911.
  14. KalipsoRed21

    Legal obligation for disaster relief

    Wow, so insightful. Thank you for posting your experience. I agree that so much needs to be done to strengthen a nurses’ power to say no and to force hospitals to be more appropriately prepared for disasters. So much legislation needed. Thank you.
  15. KalipsoRed21

    Nurses Charged in Deaths of 12 Nursing Home Residents

    Because if their mission is to make sure the public is safe, and their is like a TON of evidence based articles demonstrating the poor out comes for patients when nurses ratios get to high, AND there is a recommendation from the ANA on what the ratios should be, then all of their judgments on nurses should first be based on if the ratios are appropriate. If there are articles upon articles demonstrating how nurses fail when ratios are high, then any nurse complaint brought to the board should be nulled if the nurse to patient ratio was not at the recommended level. We have scientific proof that increased misses and death occur in patients when the ratios are to high, how can they possibly make an accurate judgement as to if that nurse was practicing poorly or if s/he was overwhelmed and it was a slip through if the ratios are not at the recommended levels to keep the patients safe?
  16. KalipsoRed21

    They almost had me fooled

    Yeah, I like IV teams too. I love PICCs though. It would be best to have both, but maybe ask to float to the ER once in a while....or just go down there 2 full shifts and do nothing but start IVs and draw blood. It’s a real skill booster.
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