Libby1987

Libby1987

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All Content by Libby1987

  1. medicaid visits

    Libby1987 replied to PurpleDaisy🌸's topic in Home Health

    The Medicare population and documentation requirements for reimbursement are less stringent. What Medicare would consider both a skill and medically necessary is different than MediCal. It would be a...

  2. Why are preceptors negative towards nurses they are teaching?

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

    You can do whatever you want but I would offer, do it with less verbiage and defenseness. No offense but I stopped reading after the first couple of explanations. That's not what you want when you...

  3. As a single nurse were you able to buy a home?

    Libby1987 replied to pixiestudent2's topic in General Nursing

    Yes, but going back to my early years, I bought a very modest home that I was able to afford. I took advantage of the first time home buyers program back then. I could do it now if I bought a modest...

  4. Why are preceptors negative towards nurses they are teaching?

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

    I haven't read most of the posts but just want to shout, NOT ALL NEW NURSES ARE CREATED EQUAL. I'm just going to come out and state the obvious that some are quicker, sharper, more intuitive and...

  5. Returning to HH is this pay per Sit WNL Kc area

    Libby1987 replied to elimayrn's topic in Home Health

    I'm not but I don't know why they would formulate their units any differently. I mean I don't know what region has to do with

  6. I thought we learned that in nursing school!

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

    It is too bad that a high level of demonstrated competency doesn't have a longer shelf

  7. I thought we learned that in nursing school!

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

    Based on recent preceptor experience, we need to ensure that all of our nurses are practicing competently. Based on accounts that I hear, facilities need to do the

  8. Nursing Salary Survey 2014

    Libby1987 replied to TheCommuter's topic in General Nursing

    Where are the results

  9. Returning to HH is this pay per Sit WNL Kc area

    Libby1987 replied to elimayrn's topic in Home Health

    SOC is 1.33? Ours are 2.0, double our revisit rate. Your $25-30 is less than half of our rates for both starting and experienced

  10. Please explain how union hospitals do it.

    Libby1987 replied to Libby1987's topic in Collective Bargaining, Union

    Agree, I think their reputation has greatly improved. I've heard stories, mostly in the past, but personal experience has been

  11. What's to complain about?

    Libby1987 replied to guest449786's topic in General Nursing

    Oh you're a guy? I didn't realize that. My ex and SO are both general contractors, they make more money during good years but have more stress than me, a lot more stress. You're right about value...

  12. Staying comfortable vs. hastening death

    Libby1987 replied to RNMarykay's topic in General Nursing

    I guess I don't remember having this dilemma but somewhere it switched to managing pain and avoiding suffering being just as important as healing. I'm not comfortable with deaths, personally I...

  13. What's to complain about?

    Libby1987 replied to guest449786's topic in General Nursing

    I think you're making a blanket statement about college education and/or people's medical care being a bigger accomplishment and more valuable than a non college degree skill. Why take on the guys in...

  14. What's to complain about?

    Libby1987 replied to guest449786's topic in General Nursing

    What is his sustained annual

  15. What's to complain about?

    Libby1987 replied to guest449786's topic in General Nursing

    Nursing is great, I make good money and enjoy my nursing career, in fact it is extremely satisfying. I have great bosses and loyal coworkers. Wanna come work with us? You will need to be positive,...

  16. Unit nurses...how do you feel about an outsider becoming manager?

    Libby1987 replied to klone's topic in General Nursing

    Outside.

  17. Leave Great Job?

    Libby1987 replied to WhiteBird2's topic in General Nursing

    They say in affiliated fields that geriatrics is where the jobs will be, I would think your experience plus RN will keep doors open. And have you read thread after thread of people who miserable on...

  18. medicaid visits

    Libby1987 replied to PurpleDaisy🌸's topic in Home Health

    Do you have reimbursement problems with your Medicaid patient population? I think you see pretty sick kids? We don't have a problem with a clear skill like IV therapy but most of ours are adult...

  19. Please explain how union hospitals do it.

    Libby1987 replied to Libby1987's topic in Collective Bargaining, Union

    I'm not understanding. I mean how does kaiser stay so solvent while paying higher wages and complying with mandated ratios? And when I say higher wages, I mean compared to other California hospital...

  20. Staying comfortable vs. hastening death

    Libby1987 replied to RNMarykay's topic in General Nursing

    Can you explain why the line is blurred managing agitation for comfort care with a terminal

  21. How can I improve my reputation?

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

    Do you work with any animals? Do you have a dog maybe? Spoiled or obedient? There is a phrase used with horses, "Shank Him!" If a horse is throwing a spoiled or nasty fit while you're handling him,...

  22. medicaid visits

    Libby1987 replied to PurpleDaisy🌸's topic in Home Health

    They're the same but receiving reimbursement is tougher with Medicaid (MediCal here). With Medicare I feel pretty confident that my OASIS and 485 and visits that follow the care plan/changes in tx...

  23. Advice on creepy doctors?

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

    I personally would handle it differently but that doesn't matter a bit. It's the fact that there is Dr in a superior position bumping and grinding a hospital employee.

  24. I got a tour of the unit. Means I'm hired?

    Libby1987 replied to EternalFeather's topic in Job Search, Interview, Resume

    I'm not sure why you thought a tour without the conversation meant you were hired but they're setting you up to meet with the manager. There's that to not be sad

  25. How can I improve my reputation?

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

    They hired you back so they must value you. Have you ever confided in one of the more mature compassionate and respected coworkers? Sometimes just getting one person to really see YOU and not who...