I respectfully disagree for the B/P of 60/40. For a patient who is alert and oriented, whose other vital signs are within normal parameters, and who is otherwise hemodynamically stable, a low blood...
KateRN1 replied to NURSET2007's topic in Home Health
I don't have a life. I worked 56 hours last week, and that's just the hours I counted. That doesn't include the mundane things like going through my car stock and ordering supplies, organizing my...
The best answer for the test is (A). Yes, the B/P is low, but without further assessment information, it is outside of the CNA's scope of practice to notify the physician. Calling 911 may or may not...
It is outside the CNA's scope of practice to call the physician. Standard procedure in any facility or home health agency is that the CNA calls the nurse assigned to the patient or the agency and...
At least for the office where I am, it's overall better for LPNs than RNs because you don't have to worry about starts, recerts, resumptions, discharges, supervisory visits, and all the minutiae of...
I've definitely found information here that I might not have otherwise found, so yes, I think it's made me a better nurse. It always helps to know that I'm not alone with my troubles,
KateRN1 replied to alabamagrad's topic in Home Health
There is a huge learning curve with home health care and most places are not going to be interested in training a PRN person who will only be able to work one or two days per week if they don't...
The agency I work for offers benefits for full-time employees only. I've worked for a handful of other agencies over the years and I don't remember ever having health benefits with any of them,...
KateRN1 replied to chenoaspirit's topic in Home Health
I should've known better than to put it in writing. I'm not on call this weekend, but . . . . At 0730 I get a call from the service saying that the # for the on call nurse is disconnected, they can't...
KateRN1 replied to luvmy2angels's topic in Home Health
I am a case manager with a home health agency and work with a fabulous LPN. I would never question any time that she calls a doc or sends a pt to the hospital. My toes have nothing to do with it....
I agree with above. The first place to go is the agency's social worker. If this patient qualifies for in-home nursing care, s/he may also qualify for a homemaker service that can help with some of...
KateRN1 replied to chenoaspirit's topic in Home Health
I can say that so far, I've been fortunate enough to not have to go out once on any of my call weeks/weekends. I'm sure that will change now that I've put it in
I have a friend at the Mayo clinic and it's very difficult to get hired on there, pretty near impossible for new grads who don't already work there. They have a new grad program, but they have far...
KateRN1 replied to IndianaHH's topic in Home Health
Agree with Luvdaisy to a certain extent. My Director has fought with the higher-ups regarding practices that are not sanctioned by Medicare, she has been in this business for over 30 years and I...
It's settled, I made more as a home health aide almost 20 years ago. My average paycheck is around $1500, including all visits, hourly pay, and mileage reimbursement. My average paycheck as a HHA...
. . . to find a decent home health job? I ask this after the umpteenth time of getting home after 8pm and being so burnt out that I just typed up my letter of resignation. I absolutely *love* home...
KateRN1 replied to Sterlink's topic in Home Health
I can't believe no one said communication. We have to be able to communicate effectively with patients, physicians, nurses, medical assistants, therapists, and everyone in between. I hate to see a...
Thanks, I moved from the middle of nowhere MO a few years ago and made more money there than I do in higher cost of living FL. I think I made more as a home health aide 20 years ago,
KateRN1 replied to hersheynurse's topic in Home Health
I guess I should point out that only RNs take call at my agency. We have one full-time LPN who lets us know when/if she's available for straight visits, but most of our call visits are SOCs and
MC3, I could've written your post! I'm also in FL and my agency insists that we call patients at least the day before to "make an appointment" to see them, but can't understand the havoc it wreaks...