Libby1987

Libby1987

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All Content by Libby1987

  1. My Fibro

    Libby1987 replied to Guest219794's topic in General Nursing

    I have gut issues and have referred to them as "my gut issues". *They're* mine and *they* come with me everywhere I go. Even with careful food selection I always have gut issues, at best *they* are...

  2. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    Libby1987 replied to Jessica Quigley's topic in General Nursing

    It's definitely not a perfect comparison but the only one I could come up with. Parakeet and others will have to speak for themselves but I think they believe that their religious beliefs are best...

  3. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    Libby1987 replied to Jessica Quigley's topic in General Nursing

    I'm trying to think of a comparable scenario and the only one my sleepy brain can come up with is the school nurse who was recently conflicted with giving sugary foods to the diabetic child with...

  4. Cost of your RN degree??

    Libby1987 replied to SML456's topic in General Nursing

    If you could get a job and stick with it (ie deal with the working conditions) 45K is doable in Northern California. The problem is that the chances of a new grad with an ADN finding a job in...

  5. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    Libby1987 replied to Jessica Quigley's topic in General Nursing

    I don't understand the compromise of beliefs. A Christian believes Jesus is their savior, caring for a transgendered person doesn't compromise that. Calling John Jane doesn't compromise one's...

  6. Vacation time being denied

    Libby1987 replied to krenee's topic in General Nursing

    In hind sight was it worth it to

  7. Severe dementia referral

    Libby1987 replied to Anewby's topic in Home Health

    She's had multiple falls in an ALF, getting a PT eval is pretty standard if only to confirm that her mobility being managed properly, it doesn't mean they're going to provide a full POC. She'd...

  8. Severe dementia referral

    Libby1987 replied to Anewby's topic in Home Health

    Because of the falls, I would have admitted and allowed PT and OT to do their evals and make determination for their services. Actually, with a nurse on staff we wouldn't have had made a nursing...

  9. Does this make me really horrible?

    Libby1987 replied to vandiola's topic in General Nursing

    I don't think if nurses had founded the organization that they should need to change their name to be inclusive of all types of volunteers who eventually joined the efforts. I say whoever had the...

  10. advice? asked to go home during shift

    Libby1987 replied to artreid's topic in General Nursing

    I've never heard of such an orientation for an experienced nurse. Makes me think someone/s out a whole lot of time and effort to design it and expect it to be followed. We had a nurse that had to be...

  11. Wound Vac!

    Libby1987 replied to NurseCalamity's topic in General Nursing

    Basic application: Opsite (aka drape) to 2 cm wound periphery Fill wound bed with properly cut black foam Cover black foam with Opsite Cut quarter size hole Apply trac pad Contact layer ie Adaptic to...

  12. Granualized vs epithelialized vs not healing?

    Libby1987 replied to nurse2b013's topic in Home Health

    If you need further explanation, epithelialization is new skin and granulation is the pink/red beefy tissue with buds (sort of like the surface of the tongue). I don't believe granulized is an...

  13. Pay per visit home health

    Libby1987 replied to luv2shopp85's topic in Home Health

    True, especially if they take the distance and acuity into consideration. But if they expect high numbers regardless it may work out better at PPV depending on the salary vs PPV

  14. Respect from patients as a Registered Nurse?

    Libby1987 replied to tiamaria123's topic in General Nursing

    Home Health. Patients and families show a great deal of appreciation, providers and their staff, have upped their courtesy and communication in recent years to the point of remarkable, my managers are...

  15. Another reason to like home health..

    Libby1987 posted a topic in Home Health

    We just had a local branch office party to show appreciation for our efforts made during a recent transition. The tables were set with napkins holders that had patient statements from satisfaction...

  16. Why do nurses seem to have a bad reputation?

    Libby1987 replied to unbrokenx3's topic in General Nursing

    Nurses are made up of a huge cross section of a very broad demographic. Either that or I missed out on my right to have a lot more fun than I

  17. Spin off: what is a reasonable sick call policy?

    Libby1987 posted a topic in General Nursing

    If being written up for calling in sick on 6 different episodes per year is excessively punitive, what is fair or

  18. Pay per visit home health

    Libby1987 replied to luv2shopp85's topic in Home Health

    Your basic PPV rate (for a routine revisit) should be 1.5 X a reasonable hourly rate. An admissions should be 3 X hourly. I prefer PPV for the autonomy and options to make more money that it allows...

  19. Nursing Career After Reprimanding

    Libby1987 replied to 1jacque's topic in General Nursing

    If I had kids at home and a salvageable marriage, i would work around them. I'd probably build a house cleaning/private care clientele while focusing on my personal

  20. Nursing Career After Reprimanding

    Libby1987 replied to 1jacque's topic in General Nursing

    Oh, you have kids at home? That really complicates it. You do need to think about your future and how you will support yourself. Something made you forge a signature despite your husband having an...

  21. Mental math very important in nursing?

    Libby1987 replied to Jayce2k15's topic in General Nursing

    With pulse, that's simple rote memory of your multiplication tables. With BP, I picture the reading while saying it out loud and that helps me remember it until I can record it. I scribble it down if...

  22. Nursing Career After Reprimanding

    Libby1987 replied to 1jacque's topic in General Nursing

    I think I would take the long distance contract, cheap motel it, and keep doing that until someone hired me. After getting past a probationary period, I would relocate and start

  23. Spin off: what is a reasonable sick call policy?

    Libby1987 replied to Libby1987's topic in General Nursing

    Do you think your position is reasonable or

  24. Mental math very important in nursing?

    Libby1987 replied to Jayce2k15's topic in General Nursing

    I would want my nurse, pharmacist, MD, tax preparer or anyone else doing important calculations on my behalf to use a

  25. Importance (or not) of social ties in workplace

    Libby1987 replied to Emergent's topic in General Nursing

    I have both work buddies and close friends at work as well as life outside of work, I can't imagine doing it any other way. When inmoved to to this small community I met a nurse who was 50 to my 25,...