taggart84

I know that nobody can know for sure "what's going to happen?" Or give legal advice. However, can a patient in a hospital have a positive toxicology screen and the hospital send that info to the Bon? Use nor hosp had anything to do with a job. Can the hospital, knowing one is a nurse (not at that hosp), take action?

I've learned: Patients, even geriatric with dementia will often wait for a certain family member to visit before they let go. Morphine and Ativan speed up the process and prevents suffering. There is a calm before the storm. Geriatrics usually have a good day, sometimes even lucid moments before their downward spiral. Death can be a relief.

I would start off with your energy before entering the room. You want to be positive and upbeat but not annoyingly cheery. A calm and friendly demeanor will allow others to feel you can be trusted. Shake hands, when appropriate, and look people in the eye. Smile! Introduce yourself and explain what you are able to offer them. Respect their replies, and always always respect their dignity as humans first, Patient XYZ with hip fx last.

We got a bottle of Mountain Dew with a mounds bar attached. A card read "Mounds of thanks for all you Dew". A personal thank you card with $25 gift card. We had breakfast and a poem. Last year was bath and body works gift bags with gift card.

Just keep swimming! 🏊 nursing school, like most bad dreams, doesn't last forever.

I love the health benefits for my family. I love my salary and the flexibility Homecare gives me. I mostly like the day to day work. I have, however, loved jobs before. It's possible!

Oh I don't like that all!

Touch the quote once lightly. Quote is an option.

I'm an LPN with a Homecare company that I love. I've been a nurse for 6 years and this is the first company where I feel belonging to. I do visits (vs shift) for recently hospital discharged or acute flare up adult patients. A lot of hips, knees, CHF, A-Fib and wounds. I'm pretty good at the skills portion of my job and still have a lot to learn with the patient education part. I've been in dementia ltc and then 4 years home health psych. So education about CHF and the like are not my forte. Okay. At 4pm today I walked into a patients house prepared for the visit. I had seen him yesterday so today would be similar. He had an infected wound which led to antibiotics through a PICC. Got everything set up while he took his sweet time drinking coffee while I waited. Finally got him in place. I flushed him, primed my line, and hung the bag. Then I did his intense and awesome wound. Drew my labs via VP, an LPN in my state can't draw through the PICC. Unhooked bag, flushed both lumens. All I had to do was change the dressing. I had my field set up and began removing his old. The tegaderm got tangled up with the bio patch. I used my scissors to give it a nick enough to tear my finger into the tegaderm and remove. Only as I was pulling away my pt "jumped" as he had been falling asleep. It was a split second event. I went on about my way. Almost done and I realized I had cut the PICC. I didn't cut it in half, a hairline nick you had to search for. But enough. What happened? Well two hours, countless phone calls, an RN coming out, and arrangements to go to hospital tomorrow, later....it was over. I haven't charted. I can't just yet. All tonight is about wine. And crime show reruns. And more wine. Happy Nursing! #CantWinEmAll

I would untag myself when necessary and move on. It's their story too. They don't have to follow HIPPA, they are the owners of their information. As such, they are legally allowed to tell their story on social media and mention you. I would tell them that I'm grateful for the recognition but I can't be tagged. Don't comment on any statuses that involve their health care obviously, but it doesn't sound like you could be held accountable under the privacy laws if that's what you're worried about.

I had an abdominal wound pt that had an incision open up. We did a wound vac for a few months then switched to aquacell ag. It's been amazing to see the aquacell work. We aren't packing it per se because it's not tunneled, but lining the wound with moistened aquacell and covering with dry drsg.

The objectives in the front of each chapter are a great starting point, also the end of chapter questions. Use your CD-ROM if your text book came with one. Practice how to answer the questions as much as the content itself.

I have this great thing that I do...when I am alone with a patient I am an encyclopedia of nursing facts! A champion of education! When ANYONE of upper hierarchy is around, I am a total dumbass. Take it in stride. Surgeons aren't known for their bedside manner...don't take anything they say personal.

What if we all answered one question and you compiled them as one interview?

Always presume competence. Not competence depending on a diagnosis, but competence because they are people first. If a patient of any diagnosis has a need for education above their competence level, provide resources to ensure health and safety are up to par in the community.

It sounds a little shady to mean and I would leave the position immediately to protect my own license.

Great habits! I try to communicate with other team members as much as possible in the home too. We are electronic so I can report falls, change in condition and so forth via my iPad. For labs I fill out my req sheet prior to the visit. Can't think of anything else but would love to see others responses.

Also today was my day off (I don't get that many). I got a call from the office because I need to be available for my patients needs. I'm done as soon as I can find something. I hate to be a job jumper and the pay is great. But I'm done.

I can walk in, initiate conversation and keep it geared toward the focus area while I do a head to toe assessment. I complete wound care or the skill and sit down to chart while continuing to pull information from them during easy conversation. I recognize the area that education is needed, educate and chart. I can do it all in 30 minutes for stable pts but typically 40-45 min. Rarely an hour. I am an LPN so I don't do starts, recerts, or discharges.

Thanks guys! I went in yesterday and asked what I HAVE to do to be full time. They told me and I said I am available for two more per day than that and no more. I also said I do not answer work calls or texts after 530pm. So let's see if that works...

First off, I LOVE home health. It's my niche. I can't imagine doing anything else. I'm at my second HH company. First was Medicare Psych pts for med management and safety checks. Paper charting, 10-15 pts a day. It was doable because visits were short and to the point. This job is fantastic from the outside. Pay is substantial as is insurance. Computer charting. Acute care visits. My issue is that I'm getting fed up quickly. Upon hiring I was told that I would see 6-8 pts per day. After a few months of constantly being scheduled 10-11 and then getting MORE added on by morning-I stood up for myself. I requested that I see no more than 9 patients a day. They said okay and yet I have 14 tomorrow. I'm an LPN. The RN's won't see more than 3 visits and one start a day. They call all day everyday even up until 9pm. If I am not available I get "talked to". I do my charting in home, check my revised schedule each night and make my calls for the following day. My family is fed up that I'm working 12 hour days and coming home to work more. As well as being available via my cell. I am afraid to say "I cannot see anymore patients today." When is enough enough?!? Maybe a rant, maybe a question. Just fed up. Missing my old company. In another state.

I agree with the other posters. Your word should mean as much as a signed contract. It's important that your word mean something. Even if you don't plan to use that agency again, people talk and recruiters change companies. You really never know who you will come into contact with again. I understand why you don't want it, but it might be less stressful and better for you in the long run to just do the assignment.

My responses. Where do you live- xx county How old are you- old enough to vote Are you married-yes What does your husband do- we are both nurses (the hidden lie is that I don't have a husband, I have a wife. So not going there with pt so I use words like "we", "spouse". I am agnostic but polite and don't need to change the world with my beliefs so I say merry Christmas, what's the harm. I am a liberal with hardcore loud political opinions-all patients believe that I've never watched a political race in all my life. I will share about my animals I will tell them I have a 12 yr old son and we homeschool. That's all they get about him.

You could talk to your boss and tell them you are overwhelmed and what you are comfortable doing. Go from there.

First off, you have to believe that this is normal. Being a new nurse is hard and nothing like school. Anxiety is normal. I tend to handle my stress better when I am organized. Find a report sheet you can write in more info than the experienced nurses would need to. Make check lists of what to do in certain situations such as a fall, new wound, high blood sugar. Most importantly, and I cannot express this enough, ASK FOR HELP! My first job as a nurse was in a nursing home and I honestly don't know how I would have survived the first year without my unit manager. She was an enormous help and a wealth of information. I soaked up anything and everything she was willing to teach me. Reach out to seasoned nurses as well as your fellow school buddies. They may have learned a new tip, trick, or skill that you guys could swap stories on.