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NE_Chris has 33 years experience and specializes in Home Care.

NE_Chris's Latest Activity

  1. Hello, I got laid off as a school nurse after the 2002-2003 school year. Since that time I have been working as a staff and admission nurse in a family long term care business, and the pay has been good. I am the only one in a family of 6 that is working, and 2 family members are in college. I have supported my full-time student husband and college child, along with my other children. I have a chance to take a well paying school nurse job at this time, and it is in the town I live in. My oldest child and husband will be graduating in 2006. I am planning on taking this school nurse postion, but am nervous about telling my bosses (my brothers) because this is a "family business" of long term care facilities. I have talked with my husband about this, we could tough it out finacially for one year- take out a Parent Loan for Undergraduate School education if necessary. I miss being in the school environment, and also have children with disabilities (that's how I got involved with school nursing) that would benefit with me being home more. Any thoughts? This offer is too good to pass up. If I stayed in Long Term Care I would be unhappy, by leaving LTC my brothers will be disappointed. There is no win-win situation possible I am afraid. I know this is long, and thank you for reading to this point. Any words of encouragement or advice? Thank you. Chris
  2. The admissions office will get the call that a patient wants to come to one of our facilities, and from there someone will go out to screen. I look for behaviors, psych. evals, any evidence of restraint use, etc. Another concern is infections, even conditions like scabies. It's our policy for the prospective resident to be seen before offering a bed. I am starting to get some of the department heads to help with marketing. Our dietician talked twice to Councils of Aging this past month on nutrition. Chris
  3. In our admissions department there are 3 people for a total of 182 SNF beds (2 facilities) and 44 Chronic complex LTC (vents, trachs ,etc). There is a full-time person doing the SNF beds (has a bachelor degree in psychology and minor in health care studies), a part-time social worker answering phones, giving tours, and admissions paperwork for one SNF, and me full-time. I do the assessments for the chronic complex LTC since I am the nurse, assist the LTC screener when she gets busy and some marketing. Typically I get a call from a hospital that the patient is going to be ready for discharge, and whether it will be short-term rehabilitation to/or long-term care. I go to the hospital and examine the pts chart, read the discharge summary if it's ready, review lab work, check if any precautions and look for behaviors that might not fit in with our residents. I meet the patient then fax the clinical to the DON (or supervisors), and insurance information to the business office. Once I get the okay from the DON and business office I inform the hospital discharge planner/ social worker we've offered a bed(including how many other patients are in the room) and I call the family to let them know as well and to answer any questions. From there the family will talk with the discharge planner, and I'll get a call from them if the family has accepted the bed or going to another facilty. If you want to get into screening, I would check out what if any chains are in your area, and send a cover letter with a resume to corporate. Especially with summer coming up, the present screeners will be wanting to take vacations and this could be your chance to get in. I know of a facility that just has one screener for a 156 bed LTC facility- but they get fed patients from contracts and their assisted living. When their screener goes on summer vacation the census goes way down because no one takes her place. Good luck, feel free to ask any more questions. Chris
  4. : I have been in this postion since last summer, and I'm not sure that I like it. I am used to assessing the patient, and providing the care. Now I have to get the okay from the business department before I can offer a bed. And I never learned about marketing in nursing school either for that matter. I find myself wanting to go back on the floor, feel that I am losing my skills- but the perks (no weekend, holidays or night shifts) and money is attractive. Does anyone else here have any experience with pre-admissions screenings? chris
  5. NE_Chris

    do schools ever hire LPNs?

    My state requires a Bachelor Degree to be Certified as a School Nurse in a public school. However, in my town there is a Certified School Nurse at the combination middle/ high school, and there is a LPN at the elementary school. There are less than 1,200 students in our school system between the two schools. The LPN is supposed to be working in conjunction with the Certified School Nurse at the other school, but that to me sounds dubious at best. In reality the LPN at the elementary school is autonomous. An interesting fact is this LPN used to be the school nurse at a school in a neighboring district, but was let go and replaced with a RN with a bachelor degree. Just an example of how variations in qualifications can occur from place to place. I know that in special needs classrooms the nurse/ aide can be an LPN (there will also be a RN in the building). Private schools don't have the requirement for certification, so that might be an option. Good luck!!!! Chris
  6. NE_Chris

    Advice for ICU nurse to get into school nursing.

    Do you work in a public or private school setting? Is it a collaborative? I'm curious because I went for an interview last Friday at a special needs collaborative. Chris :roll :roll :roll :roll
  7. NE_Chris

    Advice for ICU nurse to get into school nursing.

    I used to be a school nurse, but unfortunately got laid off just before my oldest son started college (my DH is a full-time, unemployed college student as well). I am at a point where I am able to afford to return to school nursing, send my son and husband for their last year of college and pay the bills. I'll need to do every other week-end and vacation per diem in pediatric homecare- but this is my choice. I have been doing long-term nursing now for nearly two years, and each day is a demoralizing effort. School nursing is something I accidentally fell into and loved, I felt energized at the end of the day- not drained like I do now. I substituted when I was earning my bachelor degree, because that is a requirement in my state for certification. I actually had an interview last Friday for a school nurse position in a special needs collaborative- hopefully I will get an answer tomorrow. I am getting my 2-week notice letter for my present job ready just in case. I did not experience in school nursing any of the back stabbing nursing politics that are in other nursing venus. There was a camaraderie with the other school nurses when we met at our monthy meetings and during professional days. I found nurses in the school nursing profession to basically be a nicer group of people then nurses in some other specialties. FWIW ..... Hope this helps, once someone goes to school nursing they rarely go back to where they were before. Chris :roll :roll :roll :roll :roll :roll :roll :roll :roll :roll
  8. NE_Chris

    Pediatric Nursing

    I think it's easier to work with children than adults in healthcare. For instance it's a lot easier changing a child than an adult. The bathing issue is a lot easier with a child, due to they're just smaller and have less folds of skin. The families of patients in longterm care can be very difficult and unrealistic. I've seen patients not treated for condiitions that were amenable to care, and the opposite in patients that are medically fragile with poor prognosis for any meaningful recovery get the full treatment (tracheostomies, ventilators, TPN) due to the Health Care Proxy's preferences. I've worked with newborns in postpartum all the way through the continuum up to completing death certificates for expected deaths in long-term care. I am actually looking for advice on leaving a well-paying longterm care admissions and marketing position in order to return to school nursing (which I love) with lower pay and supplementing it by returning to pediatric homecare on week-ends. There are perks about pediatric homecare, number one the family is often very involved, the other nurses I've encountered in pediatric homecare are great. My advice (and I need to follow this myself) is follow your dream... Chris