KarenJordan

KarenJordan

Oncology, Med-Surg, Home Health

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All Content by KarenJordan

  1. New to chemotherapy...concerned about exposure risk...

    Use your PPE. On most units I've worked on, when you start trying to conceive or become pregnant, unit manager will change your assignment so you aren't administering chemo.
  2. Hospital access to full text online journal articles

    We only have "UP to Date" and Mosby's Nursing Skills. I love "up to date"!! the doctors like it a lot too.
  3. Pressure ulcer staging

    IN most settings, it's now considered a surgical wound.
  4. 3 most important things to know for an oncology nurse

    Know the oncology emergencies - pulmonary edema, spinal cord compression, sepsis, pneumo, superior vena cava syndrome.
  5. Pediatric Home Health Supplies

    I find everything on amazon - the best prices too and good selection of bags!
  6. House Resource Officer

    I had that position for a while but went back to the unit because it paid less than bedside nursing. They want to see that you are well-rounded with med-surg background and have great IV skills. They want do know that you can resolve disputes and co...
  7. Help!! Nursing management salaries...

    We use salary.com to determine what to pay people in my agency.
  8. New Grads Training in HHC

    Thank you all.
  9. New Grads Training in HHC

    I am a DON at a HHA that has never used new grads before. As a favor to the administrator, I must hire a new grad RN. I am used to training/orientation, but the nurses always have some experience. My question is - what does a new grad orientee nee...
  10. Most of the facilities I've worked at had the noc shift nurse transcribe all the orders to the appropriate place. The last two facilities I worked at, the rule was if you received the order, you transcribed it. Most facilities here now only have on...
  11. Turned down due to nursing probation

    Try applying to home health care. I have taken nurses on probation. I just don't have them on hospice cases. Do understand that your supervisor has to submit reports to the state every 3 months (at least in my state) AND the supervisor signs with t...
  12. I got my first job!!! But I am worried...

    That seems low, especially for California, but I hear it's hard for new grads to get jobs there, so you might have to take what you can get.
  13. Excited and Scared!!

    Well it is tough. You have to wear a lot of hats! Infection control, QA/QI, orientation, hiring/firing, practice models, wound care consultant, policy nd procedure development, care planning, risk management, etc, etc. The best scenario would be if...
  14. Working for 2 agencies at the same time

    About half of our nurses work for other agencies as well. Your manager may not like it, but she really can't keep you from doing it. My administrator doesn't like it because nurses then choose another agency and take their clients with them! That'...
  15. OASIS questions

    In my agency, we do OASIS for all clients over 18 y/o. OP - OASIS for Mcr PPS are complex and there isn't a lot of training out there, so I have newer nurses just complete an assessment and I do the OASIS to make sure it's done right. As other post...
  16. understanding my new position

    I feel your pain! There's not a lot out there as far as info on our positions. I was a CM at my company for about a year and was then made DON. I was given a key to my office, a password for the computer, and asked if I needed anything from the o...
  17. What are the benefits and disadvantages of home health nursing?

    Downsides: you do a lot of paperwork and quite a bit of it comes home with you. Try to work for an agency that gives you a laptop and has EMR. If you work for a large agency, you won't have to rotate to weekends and holidays as often.
  18. Teaching Case Managers Role In Home Health

    I have been putting an "article of the week" in their boxes. Subjects have been fall risk assessment, mini-nutritional assessment, signs that your patient could benefit from therapy, documentation with examples, medication review and polypharmacy in...
  19. Psychiatric home care notes

    Document if mood is stable, presence of mania or depression. free of hallucination, delusions, suicidal ideation. why do they need services - h/o non-compliance, cognitive defecits. how does their illness affect their ADL performance? Do they req...
  20. New nurse / new to HH / tons of questions

    I am a DON of a small mom and pop agency and we are not much of hand-holding when it comes to orientation because we lack the time and resources most of the time. But sheesh! I would never put a new grad in the position you are in!! But I also conf...
  21. ADN or BSN

    I also hire RN Case Managers, and we require them to have a BSN if they only have a few years experience, If they have many years of experience in a clinical area, we will take an ADN. You will not get a job in case management as a new grad. By the...
  22. How do experienced nurses do it to memorize everything?

    I carry a clipboard with me with my patients reports on them. I've devised my own reports sheets over the years and at the end column I have a little room for notes for my charting and the next shift report. I also have some cheatsheets on equipment...
  23. Someone please help me, new to LTC!!!

    I went to LTC after 17 years of acute care. Your experience sounds just like mine. They've cut the RN's in LTC to just a supervisor. I moved to a small town where there was only that nursing home. they all were related and grew up with each other t...