Libby1987

Libby1987

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All Content by Libby1987

  1. Nasty ....

    Libby1987 replied to DiplomaNurseRN's topic in General Nursing

    Are you referring to acute or LTC patents? The acute patients we receive have such short LOS these days that they're barely stable let alone groomed when they're discharged home. That's another...

  2. How often do you do med reconciliation?

    Libby1987 replied to KSU-SN's topic in Home Health

    Our policy is every visit, not that it realistically happens that often but that is the goal. If the meds are truly reconciled, patients are informed as to our state requirements and the need for our...

  3. Overworked Home health RN

    Libby1987 replied to jeepluv818's topic in Home Health

    You're going to need to say no, which will be hard after tolerating those conditions for so long. How are you paid? Salary, hourly, or PPV? ETA 350 patients for 2 nurses to cover? What's going on...

  4. Weight loss for nurses

    Libby1987 replied to tortillaRN17's topic in General Nursing

    I'm curious with the differences I read about in Europe compared to the US, does your family normally eat such foods or is this limited to short periods of time? Do they have weight issues on

  5. Realistic explanation of CPR

    Libby1987 replied to Kteichow's topic in General Nursing

    3 things I include for this population are, (simple layman's term) 1) We treat medically to avoid the need for CPR 2) CPR is not prevention of death but an attempt to bring someone back, if the...

  6. New Job, school, and wedding all in one year? Overwhelmed

    Libby1987 replied to soon2beNP's topic in General Nursing

    If you were my daughter, I would tell her this.. (Cliff notes version) Don't ever sacrifice your future for a party. The party is a year away, hire someone to gather and bring you the details to...

  7. 5 8s or 4 10s???

    Libby1987 replied to BSNbeauty's topic in General Nursing

    I've always liked being home for my younger kids afterschool with minimal use of

  8. Need Career Advice

    Libby1987 replied to arose26's topic in Nursing Career

    I don't mean to sound snarky but how in the world did you obtain any degree in nursing without knowing the answer to differing patient ratios in acute versus LTC? Lay people know this answer. Be...

  9. Is nursing school possible with RA.

    Libby1987 replied to jalexislopez13's topic in Pre-Nursing Students

    Everything is relative. If you work in acute care you have a pretty good perspective of today's nursing and plenty of nurses to ask these questions. If you work in a school environment then you...

  10. On-Call HELL..

    Libby1987 replied to ap_NRN's topic in Home Health

    The theories of the path of least resistance and you teach people how to treat you come to mind. I can't speak to how common, you work for a giant corp and their volume alone can skew the percentages...

  11. Help - Need A Meaningful Job

    Libby1987 replied to pa_rn2012's topic in General Nursing

    It's not always the job itself but the individual's inclination to know how to contribute in a meaningful way. Unless it's all about yourself and serving your own needs, anything can be meaningful to...

  12. Is nursing school possible with RA.

    Libby1987 replied to jalexislopez13's topic in Pre-Nursing Students

    Agree. I haven't met an SLP who wasn't happy in their work, whereas nursing is common,y known to have the potential to be exhausting in all

  13. I have a real problem with ancillary staff and am at my wits end. I need help.

    Libby1987 replied to dec2007's topic in General Nursing

    Mar 19 by Libby1987 Quote from Libby1987 Do I come across as a cut and run type? From Kooky Korky.. Also from Kooky Korky.. I only do direct and I offered that as my approach because it...

  14. casemangers: do you call the md every recert?

    Libby1987 replied to kembers's topic in Home Health

    It depends. A patient who's been on service for years for a monthly catheter change? Probably not, unless there's a change in condition and/or need for change in treatment. In those cases, a fax'd...

  15. Move onto new job or stay at current one?

    Libby1987 replied to RNJV's topic in General Nursing

    Definitely the new one. I'd rather drive 20 min more than be at work hours more when my kids were at home waiting for me. Unpredictable hours can be the worst with kids. And 3 day weekends give you a...

  16. Move onto new job or stay at current one?

    Libby1987 replied to RNJV's topic in General Nursing

    I think I'd take the new

  17. Move onto new job or stay at current one?

    Libby1987 replied to RNJV's topic in General Nursing

    But how many hours are you actually putting in besides the scheduled ones? How many additional hours are you losing with your

  18. Move onto new job or stay at current one?

    Libby1987 replied to RNJV's topic in General Nursing

    I can't tell how many hours you're working for the current job and why you'd need more childcare for the new job than the current one when you're being worked to death now. It seems you'd need less...

  19. Obamacare Repeal - Should we worry about losing our jobs?

    Libby1987 replied to jss1985's topic in General Nursing

    The direction is community based healthcare. There may end up being a reduction in acute care but an increase in out patient and home health. There are and will be jobs. One of the biggest challenges...

  20. other side of the coin. again.

    Libby1987 replied to mmc51264's topic in General Nursing

    I'm sorry for all of it. Hope your boy is doing

  21. Preceptor burnout

    Libby1987 replied to QuarterLife88's topic in Patient, Colleague Relations

    I've precepted a lot, enjoyed it and was still exhausted so I hear you. I always got substantial breaks between new preceptees,

  22. Stress free nursing?

    Libby1987 replied to fezz's topic in General Nursing

    I'm doing something now that I've been preparing for my entire career but I wouldn't call it stress free. I can't honestly think of anything stress free but non stressed out? Rural home health case...

  23. What makes you say/think "it was a good shift?"

    Libby1987 replied to quazar's topic in General Nursing

    I was able to make something happen. That fuels me in the best way and keeps me coming back for

  24. What makes a good nurse?

    Libby1987 replied to Txtotnnurse's topic in General Nursing

    Skills, knowledge, kindness are nice and possessed by the majority but I think the question should be, What makes a nurse remain engaged in his/her work in 5, 10, 20, 30 years? hint.. More than the...

  25. Education Conspiracy

    Libby1987 replied to Avid reader's topic in Diploma, ADN, BSN

    I'm not the one to convince, I'm in the trenches with you. Are you familiar with home health? I'm not sure that reducing the bureaucrats will decrease the egregious amount of fraud and abuse in home...