changeseeker

I'm curious, if she didn't have any allergies, whose Epi Pen did you use?

I am considering switching to a school nurse job. Wondering if there are any school nurses from Oregon here who can tell me what the job is like? Maybe it is different from district to district?

Hello, I'm wondering what the current practice is for low profile g-tubes. I have 1 client with a Mic-key and another with a Bard Button. The Mic-Key booklet says to check tube placement before using the tube each time. It's pretty easy to do because the stomach contents just back up in the extension tube each time we hook it up. For the Bard Button though, it won't work. I've heard it has a one way valve, so does that mean we can't check for stomach contents or even check for residuals? I'm training caregivers to do the tube feeding and I've been telling them to check for placement, but it's impossible with the Bard button. is there something wrong with it or is it not possible? Thanks for any help.

Just wondering how many of you have a PLLC vs. an LLC. I can't really make out the difference between them, except that you have to be a professional to have a PLLC. Can't see what the benefit is though. I want to start a business just doing nurse delegation and some contract skilled nursing for the state.

Can anyone share with me their daily assignment sheets and care directive sheets? For the daily assignment sheet, I'm talking about the sheet that tells the CNAs who their patients are and what they have to do for them during their shift. I feel our current one lacks vital information. For the care directive I'm talking about a sheet that is done on admission and it put in the chart and also inside the patient's closet door. It tells us how the patient ambulates, their diet is etc.... Again, our current tools is lacking vital info. We seem to have a communication problem at my SNF and I'm trying to find ways to improve it. Appreciate any advice or tools you can offer me.

Hi, I'm looking to purchase a black light for handwash training. Can anyone recommend a particular brand that they like (or dislike)? What about the solution to rub onto the hands? Do I really need to buy a special kit or can I get any old black light and some body glitter? Thanks

Yeah, I decided not to go with them. I was disappointed that the job seemed so boring and mindless, plus I got a bad vibe from that company. There are posts from past years of nurses not getting paid by a company in Kansas. Didn't mention the name, but I suspect it might be the same one.

Hello, I'm considering a HEDIS job with Outcomes Inc for the spring 2006. I live in Seattle and have 2 toddlers that I will need to find care for while I do this. Outcomes said they pay $4/chart and expect an average of 6-8 charts done per hour. Apparently all that needs to be done is finding lab results and copying them. Not really anything that requires much skill! I was hoping it would be interesting but it sounds pretty boring. Can anyone tell me how many charts they typically do in an hour for this type of work? They only pay mileage after 40miles. Any idea if the work is steady and reliable? Don't want to pay for daycare and then end up not working. Know of any other companies that are hiring in Seattle area?

It's been a while since you wrote. Sorry you don't have any replies yet. I am in a similar situation in that I don't know what to do with my career. I just left a home health case management job when my husband switched jobs and moved the family. I am feeling the need for change, but there are just too many options and I'm very picky. To answer your question about home health, yes it is very autonomous. You have to have good assessment skills, communication skills and organization skills to survive. There is a lot of paperwork. I typically saw 5 patients/day from about 9am-3pm. After that I did my charting at home and made phone calls to order equipment and contact the doctors. I only went into the office once or twice every two weeks. We had interdisciplinary meetings every 2 weeks with the PTs, OTs and MSWs. I really liked it, but I feel like I need a change. Want more time with my kids and want more predictability. Sometimes I didn't know who my patients were until 9-10am and it's hard to plan your day that way. Sometimes I'd get called at 4pm and asked to go see a pt to replace a blocked foley. That sort of stuff bothered me, plus all the supplies I had to cart around in my trunk. Doing on-call home health is much more unpredicatable than being a case manager with an assigned territory and group of patients. You are at the mercy of the case managers and the schedulers. You sometimes end up getting the patients that live farther from town or are more difficult since the regular nurses want a break from them. We also rotated every 4th weekend. Can you tell me how you got into workers comp? I'm thinking about that or case management for an insurance co, but I'm only seeing full time work. I want part time. I'd love flexible hours that I could do in the evening after the kids went to bed. Also thinking about PRN at a hospital. I'd make more money that way since daycare is $$$$ if I work during the day. It would eat up most of my pay! Good luck to you.