Libby1987

Libby1987

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All Content by Libby1987

  1. Focus Care Inc. anyone work as an RN Care Manager

    Libby1987 replied to MomRNof2's topic in Home Health

    Is this the same Focus Care that puts everyone in the blue Ford Focus' ? I thought they were a home health rehab

  2. Patient's family requesting pain medication

    Libby1987 replied to quirkystar's topic in Patient Safety Issues

    I didn't get that op was talking about a specific case, I understood it as a few diiferent patients some A&O. Maybe she clarified on a later post that I missed? If someone is A&O then yes...

  3. Family member hurt my somewhat fragile new grad confidence

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

    For some reason I'm usually chosen as the *repalcement* nurse. My manager always tells me the reason for the patient/family request (so I know how to avoid it and make them happy as punch). There has...

  4. I feel uncomfortable doing this

    Libby1987 replied to BSNbeauty's topic in Nursing Professionalism

    You didn't specify whether it was a professional or personal reference. Is there any gray here? Do you know her at all? Met her once and that was that? Or kept in contact over Facebook and are...

  5. I feel uncomfortable doing this

    Libby1987 replied to BSNbeauty's topic in Nursing Professionalism

    I had a similar situation with a friend's son who I hadn't been around since he was younger. I'm positive his mother suggested he list me as a reference. He didn't even give me a heads up when I...

  6. Patient's family requesting pain medication

    Libby1987 replied to quirkystar's topic in Patient Safety Issues

    If the patient is actively dying and the request is well within the MD orders, where is the safety, legal or even ethical issue? My dad was not coming back, his fluids were depleted, his skin was...

  7. Pick my "poison"

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    I would choose either cardiac or neuro versus the catch all medical, it's easier to learn specialized care. Cardiac would be my first choice, I prefer the age of the general cardiac

  8. Reconsidering Nursing

    Libby1987 replied to mestiza98's topic in First Year After Licensure

    If given enough time you can be thorough and know when to ask questions, home health might be your thing. As a revisit nurse you can be more task oriented while having more time with patients. If...

  9. How many hours do you spend....

    Libby1987 replied to Lev's topic in General Nursing

    Other: home health 60% patient care including communication to coordinate and collaborate their care (I consider that case mgmt, not clerical.) I don't work shifts and clock out which means the...

  10. Patient Load

    Libby1987 replied to pnkgirl25's topic in Home Health

    My average is 30/week but that includes admits and Recerts as well as case mgmt so not very helpful. If you're getting repeat patients I'd say you could do 36-40week to my 30 where I

  11. Is this a VALID reason to terminate someone?

    Libby1987 replied to lllenjolll's topic in Nursing Professionalism

    What soft term do you want to call charting that you did something that you did

  12. What to do when your manager is the bully.....

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

    You've listed two types of things that she does.. She gossips to undermine team relationships. She back pedals on her instructions. On the first one, first don't absorb anything she says, second you...

  13. Dear Doctor

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

    That letter is annoying like oh I don't know..a whiney

  14. Is this a VALID reason to terminate someone?

    Libby1987 replied to lllenjolll's topic in Nursing Professionalism

    I am not without sympathy for nurses who are stuck working in a LTC with 50 patients. I've said multiple times I would clean houses before I would be worked like that in unsafe conditions. Or PDN. Or...

  15. Could an RN answer these 4 questions I need for a class paper?

    Libby1987 replied to ambernicole0202's topic in Nursing Student Assistance

    The straight forward honesty is at least

  16. I want to be an RN, but I am getting divorced, single mom and need to work right away.HELP

    Libby1987 replied to annaliz04's topic in General Nursing

    As a new grad? Then what's all the fuss been

  17. Pay rate for visiting (home health) RN in Massachusetts?

    Libby1987 replied to Oliver1234's topic in Home Health

    Here's what I suggested to my admin when considering the high quality nurses that we wanted, put them at the top of the pay scale. (Per visit rate) They're going to have to bust their butts to do what...

  18. For AAA patients

    Libby1987 replied to Sam. W's topic in General Nursing

    How do you confim a ruptured AAA in the first couple of minutes in LTC? Because I think that might be a question by the family behind the full code status if you don't initiate CPR. (Don't we wish...

  19. I want to be an RN, but I am getting divorced, single mom and need to work right away.HELP

    Libby1987 replied to annaliz04's topic in General Nursing

    Is the over supply of nursing not concerning? It's a lot of time and money for a single mom to not have high likelihood of employment upon graduation. Is the job market different in

  20. Different perspectives, same job

    Libby1987 posted a topic in General Nursing

    Do you see your coworkers at opposite ends of job satisfaction and/or performance for the same position? To what degree? What do you think are the main factors? If feasible, what measures might...

  21. FLAME ON!

    Libby1987 replied to trinitymaster's topic in General Nursing

    I'm not sure the emotion it causes exactly, but when college educated licensed nurses speak with less sophistication than my average teen boy and post work scenarios my early.20.something.just...

  22. Orientation + OT

    Libby1987 replied to Nurse_Lily's topic in General Nursing

    I send them home. If you thought it warranted both of you staying OT, then it goes without saying that you needed to stay over. Whether the orientee had to go off the clock or not. It's not only...

  23. Is this a VALID reason to terminate someone?

    Libby1987 replied to lllenjolll's topic in Nursing Professionalism

    The other nurses didn't take proper action. You didn't take proper action and lied about it. You even said on the other thread that you were fired without warning for not changing a dressing but...

  24. Forced to resign, new grad with only 1 year of experinece.

    Libby1987 replied to Elan84's topic in General Nursing

    Taking this at face value, you were fired strictly for a one time IV dressing change that was missed, discovered 3 weeks later? i really can't believe that, not meaning to be argumentative, but it...

  25. People really need to stop coming into nursing

    Libby1987 replied to DUDERNGUY's topic in General Nursing

    Expressed