KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Feel like part of my identity is gone

    You don't have to go with VNA, they're not the only game on town. I worked for a VNA years ago and it was a great experience, but there's plenty of other agencies in most places. You can do shift...
  2. BAD Preceptor, HELP!

    Consider the nursing process. Always start with assessment. And always start with yourself. What is *your* assessment of *your* knowledge and skill level? Are you asking questions about treatment...
  3. Feel like part of my identity is gone

    Have you considered home health care? It's not quite as high-adrenaline as ICU, but it has its own set of stressors and it's much more family-friendly than institutional
  4. Jacksonville FL area wage base

    With psych certification, you may fare better in home
  5. TB RESULT HELLPPPP!!!

    I tested positive in 1982 or 83, took the meds for 18 months, no problems ever with being accepted into nursing or throughout my nursing
  6. Nurse Opinion

    Also consider mother-baby. Less lifting, overall generally physically easier, but tough to get into. Back in the day when I was a CNA, we all hated to float--unless it was mother-baby and then we...
  7. Maybe I'm cynical, but didn't you get some bells and warnings that as a new grad you were being offered a supervisory
  8. Wound care advice please!!!

    See here for wound staging descriptions, sounds like a stage 2 to me. I like hydrocolloid dressings (duoderm or duoderm thin) for stage 2s but let it stay for 3-5 days before removal. I would...
  9. Question about HH job offer and Advice

    Much of the pay scale depends on what area of the country you're in. I'm in NE Florida, LPN rates are around $35/visit, RN $40 per visit, $45 for high-tech (IVs, wound VACs, etc), I think $55 for...
  10. Question about HH job offer and Advice

    Are you an LPN or RN? The visit rate is probably okay for an LPN but not for an RN. Find out what your productivity will be, i.e., how many visits do you have to do to be full time? What happens...
  11. If you had to complete a level 2 background screen, and/or drug test then it can take quite a while, but you should still have a return to your phone call. In my experience, this does not bode well...
  12. Made a change

    Congrats! I know it was such a tough decision for you to make. I hope that you will be much happier with the new position.
  13. Advice for a new grad-Case Management vs. Private Duty

    Please don't make the new grad mistake that "skills" are those procedures that you get checked-off on in school. There are a variety of other, more subtle skills that come into play in Medicare home...
  14. Quit or keep on going?

    Home health documentation is not going to change in the foreseeable future, and is actually like to get worse. If that is what the problem really is, reconsider if home health care is the right field...
  15. HHC in JAX, FL

    Brooks is a major player in the home care market in Jax, one of the top three in terms of census. They are HUGE, which brings with it all the benefits and risks that a large agency has--little...
  16. Is Home Health nursing dangerous??

    In a way, I think the bigger danger is that we have no witnesses to our care, so if a patient wants to make a complaint, it's our word against theirs. I was very fortunate over the weekend that I had...
  17. Who refers to home health? marketing

    Try home health agencies that only offer skilled care. Their patients often need non-medical care (sitters, homemaker help, etc) and need to have a list of places to refer out. Our agency collects...
  18. All of these questions are specific to your agency, please ask your
  19. Is it me or is this too much?

    How long are you going to continue to post about the same thing? You've asked this same question, in various ways, multiple times over several months. If you don't like your job, find something...
  20. Is Home Health nursing dangerous??

    How long is a piece of string? Getting out of bed in the morning can be dangerous, but most of us still do it. Just like everything else, you minimize your risk as best you can and get on with
  21. Need reassurance

    Please take care of your back, you're young and have many years ahead of you. If the mom wants you to injure yourself to care for her child, perhaps you should ask for a different case. I injured my...
  22. Odd SOC

    I went to do a SOC with a new-ish RN for a ride-along. We had a referral for a pt at an ALF who needed PT, OT, and nursing. I'll spare you the uncomfortable details of the whole process, but let's...
  23. Odd SOC

    Yeah, I did the right thing. No sweat there (or tears). I left out a lot of details for brevity's sake, but expect to hear from the marketer on Monday and will most likely get reamed for losing that...
  24. At many agencies, the *nurses* are paid per visit. How the agency chooses to pay the nurses--whether hourly, salary, or per visit--is irrespective of the home health PPS system which pays per...
  25. Every agency is different, just like every hospital is different. Some agencies are more lenient than others, and some nurses are more flexible than others. The only nurses I've seen lose their jobs...