Libby1987

Libby1987

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All Content by Libby1987

  1. Obesity; The "Second Hand Smoke" of Modern American Society

    Thank you for the article. I think that the focus on obesity is classic * the horse is already out of the barn*. Just because one is thin doesn't mean the same damage isn't occurring. We want to...
  2. Bags?

    I'd prefer to pay $25-35 but would pay $50 if I loved it. That said, we provide basic HH bags that meet most of my criteria except not completely non porous, soft wide shoulder strap, and pretty...
  3. Bags?

    Non porous. Outsides pockets to hold pens/phone, hand sanitizer, dirty pocket, small sharps, barriers. Ideally large flat pocket for laptop. Inside large enough to hold box of gloves standing...
  4. Completely agree. I'm seeing more of how nursing school does not prepare grads for the acuity levels seen in Home Health these days. We have more referrals pushing us to take patients on Inotropic...
  5. With the who's going to be primary/secondary question in mind, can I piggy back a couple of questions? What about having/using prepaid legal for those, "you should check with your attorney" type...
  6. I have experience with a software program where the writers and whoever reviewed the program clearly had no experience in the clinical settings it was intended for. I'm not sure when Medicare plans to...
  7. I heard an analogy recently and wonder how it may apply to you.. Going through orientation is like a wheel rolling down a path littered with the skills and knowledge needed to perform the job....
  8. Commonly used icd10 diagnosis codes?

    I don't have one (we just have to add the best guess diagnosis not the ICD code) but couldn't you build your own rather quickly by taking the commons ones off of existing 485s? What are your coworkers...
  9. BP freak out

    You sound intelligent and fully able to understand a clear rationale. The fact that the nurse isn't giving you one speaks to her own lack of knowledge and why she's possibly not wanting to cover for a...
  10. "Do Nots" New to Administrative Role

    I just recently learned not to start something I can't maintain. Fortunately it was a small lesson and involved providing courtesy reminders that some staff quickly came to depend on. You can imagine...
  11. Paracentesis on hospice

    Would you mind explaining how a pleurx catheter would be contraindicated in this
  12. Forced transfer

    I'd probably make sure that the manager on the unit where I most wanted to stay would fight over me. I might be agreeable to be the experienced float used to benefit the unit most in need if my...
  13. Anonymous surveys and impact on nursing

    Anonymous wasn't the accurate term but I couldn't come up with what I meant. There's anonymous nursing surveys and then there's anonymous online surveys where you can't qualify your respondents as...
  14. How much do you think these surveys of online communities that aren't even verified as licensed nurses, or even adults, by student nurse leaders have an impact in the real world? There's a current...
  15. Anonymous surveys and impact on nursing

    I thought about
  16. This post made me go back and re-read the OP. I first read it as looking for a management position without any experience but see now that OP is struggling to find a clinical position without...
  17. Regular hours?

    Not sure the folks on this site consider Home health bed side or not, but when I was doing patient care Monday through Friday I liked it to and now that I'm not performing patient care I still do....
  18. Who loves their job? Any shout outs?

    Home health. Love
  19. Least stressful nursing specialty

    My least stressful experiences have always been after staying in a stressful position long enough to gain proficiency ethat layers of stress melt away just because I don't have to think as hard, I'm...
  20. Is home health that bad?

    If it's not working for you, it's not working, but with all due respect, you've been in HH only about 6 mos. if you were to stick with it another 6-12 mos, I'm sure you would see that time shave off....
  21. Nurses, do you feel respected by NPs

    I do. I've read many posts on this site lamenting entire units being comprised of no RNs with more than 2 yrs experience. I wonder how much that might affecting both perception and underlying cause....
  22. It's just a ******* straight cath!!!

    Our local ALF's take their patients to out patient services, she could have been seen as an out patient for a cath UA without getting to the point of needing ER and IV abx. There's definitely...
  23. Advice?

    I would look at how tired I was working 12 hr shifts on the floor, how I felt on my days off, if my body was showing signs of decreasing tolerance. There's something to be said about transitioning to...
  24. Yes, that's pretty much what I mean. No matter what you know or don't, there's still an adjustment to how we react and what measures we have. The most experienced nurses can be surprised at what we...
  25. Perdiem is a different animal than case mgmt where we follow our own patients and revisits are predictable and often