Libby1987

Libby1987

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All Content by Libby1987

  1. Tearing my hair out over noncompliant DM2 patients!

    Libby1987 replied to FullGlass's topic in Nurse Practitioners, NP

    Really?

  2. Help...job offers

    Libby1987 replied to rcar397's topic in Home Health

    2 counties is a lot, at least by our geographics, and a SOC though given 2 points by most in the industry will take on average longer than 2 revisits by the time everything is completed. There will be...

  3. Equal work for Equal Pay

    Libby1987 replied to AAC.271's topic in Nurse Practitioners, NP

    If the argument for equal work should equal pay based on the premise that NP skill is commensurate with MD counterpart, why aren't you arguing for reducing MD education instead of raising your pay?...

  4. Tearing my hair out over noncompliant DM2 patients!

    Libby1987 replied to FullGlass's topic in Nurse Practitioners, NP

    I'm never very good at articulating my perspective, at least it's never well received, but the majority of our society is non compliant including within our own tribe. Those of us who haven't hit DM2...

  5. Thinking about accepting HH job-questions

    Libby1987 replied to Lindah52's topic in Home Health

    I'm glad you asked if I read OP's post because I re-read and now see that I mis-read the phone issue. Agencies should provide work phones and those work numbers should not be blocked, my personal...

  6. First RN job- LTC or Home Health?

    Libby1987 replied to loganno31's topic in First Year After Licensure

    Congratulations on your new RN! To be completely straight with you, Home Health is not appropriate for a new grad unless they have a dedicated orientation and education plan specifically for new...

  7. Thinking about accepting HH job-questions

    Libby1987 replied to Lindah52's topic in Home Health

    I don't think it would be a good transition for the following reasons.. No recent patient care experience. Refusing to drive after dark. Already concerned about a vulnerable patient population, who...

  8. Looking for advice

    Libby1987 replied to NurseV123's topic in Home Health

    In that case, short of resigning which I would strongly consider, present a unified process improvement that your team clinicians agree with and will take personal accountability. I would definitely...

  9. Looking for advice

    Libby1987 replied to NurseV123's topic in Home Health

    Quick response from my phone to hopefully give you perspective and make your day go better.. I'd bet the farm you misunderstood. I think think more than likely they instructed the data entry staff...

  10. Unhappy with HH

    Libby1987 replied to deefizzle's topic in Home Health

    One of three underlying problems is that you are "independent", more like tossed out there without a rope, at 1-2 weeks, nearly at full productivity and already doing SOCs. At this point you should...

  11. How did she/he get through nursing school?

    Libby1987 replied to Emergent's topic in General Nursing

    I agree with this. It wasn't until I became a manager of managers that I knew how much people struggle with holding others accountable. In part it's due to the work involved, stacking it on top of an...

  12. Weekend program in home health

    Libby1987 replied to cargalrn's topic in Home Health

    A SOC is expected to include a comprehensive clinical and functional assessment, medication reconciliation, any treatment that is ordered, essential patient/caregiver education, appropriate...

  13. RN Case Manager? What does this mean in Home Health?

    Libby1987 replied to CardiacRNLA's topic in Home Health

    A ride-along (home health shadow) is common and is often encouraged. We wouldn't hire a clinician without home health experience without a

  14. RN Case Manager? What does this mean in Home Health?

    Libby1987 replied to CardiacRNLA's topic in Home Health

    Fantastic

  15. Any Mormon/LDS nurses here? I need help?

    Libby1987 replied to MaryFutureRN's topic in General Nursing

    I was trying to be clear that my question was directed to the general you, does "general you" not have the same meaning on this forum as I'm accustomed on other forums? I understood that the OP was...

  16. What would you do if nursing staff refuses do carry out your request?

    Libby1987 replied to Saflanut's topic in Nurse Practitioners, NP

    If you had a patient come in with a tick, why wasn't at least a cursory skin check done automatically during your initial exam? There are different types of leadership, one will keep you fighting for...

  17. Any Mormon/LDS nurses here? I need help?

    Libby1987 replied to MaryFutureRN's topic in General Nursing

    I'm always curious about this, no offense intended, sheer curiosity of how this would work.. If every nurse had the same religious beliefs and followed the same religious organization with the same...

  18. Practicality or Passion?

    Libby1987 replied to seej's topic in Nursing Career

    Practicality and passion do not need to be mutually exclusive. I don't need the highest pay to be well compensated and what I'm passionate about includes working for an organization that allows me to...

  19. Does anyone ever get tired of people thinking Nursing is easy?

    Libby1987 replied to Nsco2018's topic in General Nursing

    No, I don't tire of it. I'm never regarded that way by patients, families, ancillary team members or providers. And I have a pretty high tolerance of ignorance that doesn't cause harm as well as...

  20. California or Phoenix??

    Libby1987 replied to neurogirl77's topic in General Nursing

    I live and work in Sacramento and my daughter is going to school in San Diego. With the wages to COL in Sacramento, I live pretty comfortably, keep a horse and support my daughter while she goes to...

  21. Working in a small practice, and the employees are rude.

    Libby1987 replied to SoundofMusic's topic in Advanced Practice

    Oh shoot, thanks for reminding me, this place couldn't run without you. I must get on your last nerve, another newbie that you have to deal with. I appreciate all of your help, I'm trying not to be...

  22. Question about documentation!

    Libby1987 replied to shelbychuday26's topic in Home Health

    You can't not pay staff for hours worked but their manager can initiate corrective action for failure to submit documentation and/or time sheet

  23. I don't think I can take it anymore.

    Libby1987 replied to sashaq's topic in General Nursing

    Screamed at? Constantly? People embellish to be heard, be prepared to experience exaggerated accusations from patients, families and coworkers, but it's usually not an objective perspective. First...

  24. Short Term Disablity Question

    Libby1987 replied to Macy311's topic in Home Health

    As I recall, it was based on my quarterly income. I cannot remember the periods that were used, something like 6 mos and 12 mos back. It had nothing to do with my rate of pay, hourly or PPV but my...

  25. School Shootings

    Libby1987 replied to OldDude's topic in General Nursing

    Looking at this from a nurse's interventional mindset.. 1) stop the hemorrhaging first with the quickest means available that doesn't involve lengthy so far futile legislative negotiation: metal...