Libby1987

Libby1987

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All Content by Libby1987

  1. Schools push APRN immediately-$$

    Libby1987 replied to Jules A's topic in General Nursing

    This will sound terribly ignorant, but based on what I read is going on in bedside care, I don't understand how bedside experience is all that relevant to diagnosing, prescribing and disease mgmt....

  2. Childhood Obesity: Breaking the Cycle

    Libby1987 replied to cynboys's topic in Patient Education

    Waiting for tobacco to fail... still waiting.. dammit, all of my moral self inflation not even working. Speaking of moral self inflation and wanting to control others, how's the passing of the same...

  3. Childhood Obesity: Breaking the Cycle

    Libby1987 replied to cynboys's topic in Patient Education

    What is the govt supposed to do? Re childhood abuse and neglect in general, I don't know. Re nutrition, come down hard on the crap food industry, treat them like tobacco and tax the hell out of it and...

  4. "I don't want to die"

    Libby1987 replied to anh06005's topic in Patient, Colleague Relations

    I used to have these thoughts but somewhere along the line they've turned to some form of less frustrated compassion. I'm glad too because I hated feeling that way towards someone who obviously paid...

  5. Hate Home health job

    Libby1987 replied to sistasoul's topic in Home Health

    It gets better with experience and if you work for a professional organized agency. I average 8 hrs/day, make an average of 104K/yr with approx 20K miles/year, most reimbursed at .45/hr. What nursing...

  6. What is the latest a note can be submitted?

    Libby1987 replied to CaringInColton's topic in Home Health

    I could never be weeks behind, just days behind is chaotic and stressful

  7. Childhood Obesity: Breaking the Cycle

    Libby1987 replied to cynboys's topic in Patient Education

    Despite what I think in general, I can't ignore what my niece just told me about her daughter's little friend. Obese at 10 yrs old, stay at home devoted mom who gives her obese young daughter soda and...

  8. Do patients know a "good nurse"?

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

    I have the gift to gab but it's the sincerity that gets them. The old basics of a few moments of eye contact and active listening. I will never understand how nurses who c/o hotel expectations with...

  9. Do patients know a "good nurse"?

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

    I sure hope this was years ago and before Darvon was taken off the

  10. Do patients know a "good nurse"?

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

    The feedback I get from patients relates to skill, follow through, reliability, communication, advocacy, or lack

  11. What is the latest a note can be submitted?

    Libby1987 replied to CaringInColton's topic in Home Health

    Our agency requires notes within 24 hrs and oasis within 48 hrs, I can't find any state or CMS documentation deadline regulations in this

  12. Is it really worth it... So Miserable!! So Insecure!!

    Libby1987 replied to nursy1's topic in Patient, Colleague Relations

    icuRNmaggie gives a good suggestion. I would add a little more to make it as genuine as possible and include recognition of my

  13. What is the worst case of bullying you've seen in your nursing career?

    Libby1987 replied to Guest878640's topic in Patient, Colleague Relations

    One time by the owner of a HH agency. She was pretty twisted and bullied and MF'd everyone at one point or another, bounced payroll checks as well. She preyed on the single parent offering more money...

  14. Is it really worth it... So Miserable!! So Insecure!!

    Libby1987 replied to nursy1's topic in Patient, Colleague Relations

    I agree with above posters. I would add, if you want to make it in nursing, you have to become very good at the essential aspects of it. You won't get there by pushing back against the precepting...

  15. New job updates?

    Libby1987 replied to Libby1987's topic in Home Health

    That's so odd how they start you out as PPV. I wonder if it's a strategy to promote higher productivity from the start? I've known nurses who started out hourly that became resentful when their load...

  16. What not to say to patients

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

    It's amazing how emotionally immature some people are deep into their adult years. Or maybe it's a form of narcissism? I've had to kick out my own mother a few times as she was the opposite of...

  17. a new grad (sorta) opinion of HH.

    Libby1987 replied to cat1235's topic in Private Duty

    I had to go and look it up. From an insurer's POV, re licensed reimbursible nursing care, Home Health is intermittent skilled nursing services and Private Duty is hourly skilled nursing services....

  18. a new grad (sorta) opinion of HH.

    Libby1987 replied to cat1235's topic in Private Duty

    The down time sounds like a great opportunity for studying if you're advancing your

  19. preceptor questions?

    Libby1987 replied to strive2Bbetter's topic in First Year After Licensure

    If there is such a glaring difference between preceptor behavior on your unit with your preceptor being the stand out of neglect, that seems a simple clear cut thing to bring up, starting with the...

  20. What do you wish you had known?

    Libby1987 replied to MallysMama's topic in General Nursing

    I can't say I would do anything much different as I really like being a nurse and the duties involved in patient care but I wish I had known how the therapies would be treated differently. I actually...

  21. rock and hard place

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

    Scheduling miscommunication AND malaria? I'd choose the malaria as the reason why you can't return on the

  22. a new grad (sorta) opinion of HH.

    Libby1987 replied to cat1235's topic in Private Duty

    For all I know that is the name used in other areas, it was really just a silly vent. I think you might like intermittent visits where you would have a more varied

  23. Quit great job to stay home with baby?

    Libby1987 replied to Sangrita RN's topic in Nursing Career

    I don't know where I got the 5 yrs from, I mut be combining different

  24. Quit great job to stay home with baby?

    Libby1987 replied to Sangrita RN's topic in Nursing Career

    How is this anti family? OP isn't talking about maternity leave, she is talking about 5 yrs until her child is ready for school. And her position was previously established as full time

  25. a new grad (sorta) opinion of HH.

    Libby1987 replied to cat1235's topic in Private Duty

    Can I vent that it drives a little crazy to have private duty called home health? We don't call ICU the ER. No one would criticize you for not liking the job or that PDN is not the best place for a...