Libby1987

Libby1987

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All Content by Libby1987

  1. Seasoned Nurses VS Newbie Nurses

    Libby1987 replied to Alexx_xox's topic in General Nursing

    If only nursing school taught and prepared new grads to be proficient and ready to apply comprehensive EBP I would be thrilled. I would welcome a batch of them to come school me and I'd put them right...

  2. changing oasis date on therapy only cases

    Libby1987 replied to Sunset17's topic in Home Health

    I'm not exactly sure the question so don't know if this will help but.. The assessment date is the date all info has been collected including MD approval of the POC. There is a 5 day window from SOC...

  3. Code Green (mass casualty)

    Libby1987 replied to Neuro_ICU_Nurse's topic in General Nursing

    I couldn't even watch the news for a few days, I can't imagine being there.

  4. Opinion about a nurse's erros

    Libby1987 replied to PNPss's topic in Advanced Practice

    14 lbs in 4 mos? If I lost 14 lbs even at my adult size I'd have to go buy all new clothes, my pants would literally fall off. 14 lbs is so dramatic, especially in such a short period, that if I...

  5. Thoughts on Covering Own Shift

    Libby1987 replied to J.Adderton's topic in General Nursing

    Exactly. I have had people call in and I'm thinking oh crap this is going to be a rough day (there is no agency that provides trained staff ready to go on short notice in my field and perdiem staff...

  6. How do I get out of the home?

    Libby1987 replied to Kaisu's topic in Home Health

    If you aren't already, and granted there are visits that are difficult to keep on track, try setting up front what the patient can expect from the visit. AIDET is a tool but this is the general...

  7. Thoughts on Covering Own Shift

    Libby1987 replied to J.Adderton's topic in General Nursing

    Coming from a mgmt perspective the only thing I can come up with is that since the schedule is out, 1 week notice will still be considered unscheduled time off aka calling off unless she finds her...

  8. Medicare Fraud?

    Libby1987 replied to jlynn2303's topic in Home Health

    It is common and legal practice for the coding department to make recommendations and then the clinician either accepts or declines them. If OP's agency is truly changing her answers without her...

  9. Medicare Fraud?

    Libby1987 replied to jlynn2303's topic in Home Health

    My point is OP is implying fraud when there is a clear lack in her and her coworker's understanding of

  10. Medicare Fraud?

    Libby1987 replied to jlynn2303's topic in Home Health

    That must be some pretty mild dementia if the patient is independent in all ADLS, which would mean another person isn't even needed to be anywhere on premises. And no endurance issues with CHF and...

  11. Mileage & Taxes

    Libby1987 replied to hmvassar's topic in Home Health

    Yes, you come out ahead initially if you have a modest car but car loses longevity and maintenance schedule rolls around quickly. I always drove a Mazda 3, at that price point (18K) the mileage...

  12. RN with GI condition

    Libby1987 replied to runner502's topic in Home Health

    I have a GI condition and microscopic bladder. I worked in the field for years, through pregnancies and super heavy menstral flow in mid life in a rural to semi rural area. I managed. I knew every...

  13. Homelessness

    Libby1987 replied to Beldar_the_Cenobite's topic in General Nursing

    I think you're way ahead of yourself and if you were my kid I would say 1) save your money but wait til you're closer to graduation (you're 3 yrs out?) before over thinking it and closing off other...

  14. Are NPs expected to be happy and cheerful?

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

    It's an over correction that nurses as a whole missed makimg on their own. Hundreds (thousands?) of pages on this site describing some pretty lousy behaviors of co workers and MDs wrecking the...

  15. Are NPs expected to be happy and cheerful?

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

    We've heard for decades the impact of the bedside manner of MDs, many entitled to lousy ones up until recently. I'm sure they justified it and push back now, too. I'm sure everyone remembers a...

  16. Former drug addicts becoming nurses?

    Libby1987 replied to Emergent's topic in General Nursing

    Are you able to do both, or even more? Hope for the best, be mindful of the struggle and realize that neither need, nor would be productive, to be more than a fleeting thought with plenty on your own...

  17. Should I accept a SNF position as a new grad even though this is not the field I want?

    Libby1987 replied to FishBones's topic in Nursing Career

    1:16? That's not LTC. You're going to be getting 2 day post ops, exacerbations and infusions. $44/HR is not good pay for the Bay Area, Sacramento and other affordable areas of Northern Ca start their...

  18. Help! I don't want to get burned out! Thinking of switching my specialty

    Libby1987 replied to turntport's topic in General Specialties

    Exactly. There are small wins to be had, if not with the patient then with the caregiver. If not there, then in the advocacy. And if you still can't find it, then it's in their knowing that you gave...

  19. Relationship problems

    Libby1987 replied to Beldar_the_Cenobite's topic in General Nursing

    I wouldn't stay with someone who wasn't supportive nor would I stay with someone who vented frequently. Situationally, of course, but not months on end. I had an in law who frequently ranted and...

  20. Preparing for home care / home health

    Libby1987 replied to Leyblayymarie's topic in Home Health

    I didn't deduct it, I suppose I could have. It was about the equivalent of one visit and I'm not good about

  21. Preparing for home care / home health

    Libby1987 replied to Leyblayymarie's topic in Home Health

    All of my injuries were avoidable with planning. I just got so desensitized and comfortable after so many years in it that I got careless. I learned respect for dogs and icy/snow covered roads. One...

  22. Male Nurse Disgusted by Female Nurses

    Libby1987 replied to Nurse Beth's topic in General Nursing

    I can't speak to the infighting as that hasn't been my experience but it's an industry that draws single parents which puts it at a disadvantage for risking your job on

  23. Beyond Bedside? Advanced Practice? Really?

    Libby1987 replied to EGspirit's topic in General Nursing

    No one, no thing, and certainly no one else's journey takes away from who I am as a nurse. Just be the best you and shape the perception of your practice by your

  24. My Body Is Not My Resume: Exploring Nursing Dress Codes

    Libby1987 replied to Melissa Mills's topic in General Nursing

    My company is very tolerant of the things that matter and also tolerant of tattoos with limitations of inappropriate messaging. I don't think *my* opinion matters. Whose opinions do matter are our...

  25. Help! Baffled by 'pay per visit' offer

    Libby1987 replied to elimayrn's topic in Home Health

    No. Because I was what is called highly productive (not excessively where it impacted my practice). 5 revisits at per visit pay was close to the equivalent of 8 hrs. Actually 5.13 revisits was the...