Anonymous666

Is it the norm to not get paid for drive time when working for a home infusion company? The company I'm looking at pay mileage to and from a visit but not drive time. The clock starts at the beginning of the visit. This is a PRN position. I work regular home health also (PRN), and I get paid per hour for drive time.

I'm confused by the amount of stretch need for each layer. Everywhere online seems to say something different regarding the application of these two multilayer compression dressings. My big questions are which layer does Profore Lite omit, the light compression wrap that gets spiraled (#3)? And, out of all the layers for each of the two, which layers are applied at 50% stretch/full stretch/or no stretch? I'm pretty sure Profore, the four layer, is: #1 Padding - no stretch #2 Conformable wrap - no stretch #3 Light compression wrap - 50% stretch in a spiral #4 Coban - no stretch (as it is prestretched) Profore Lite: #1 Padding - no stretch #2 Conformable wrap - no stretch #4 Coban - 50% stretch Anyone know what I'm talking about?

I'm seeing this more and more. I totally understand a patient/patient family wanting to protect themselves and/or their family from incompetence. Im pretty sure our hospital has a policy against this. However, people are sneaky, it's important to build a rapport, and accusing people of filming you after they have denied it could lead to more problems for everyone. Just wandering what everyone else thinks about this. Have you ever seen a nurse show up on a video in social media kind like how we see these videos of teachers?

Will you share your journey on here? Good luck!

Hi, I'm enrolled in the Cleveland clinic WOC program online with virtual clinicals. I was under the impression that virtual clinicals/practicum offered by Cleveland Clinic satisfies the WOCNB's direct patient clinic hours. However, I was just reading some material they just provided that seems to be saying the virtual practicum is temporary and that in order to meet the WOCNB's requirements to test/certify, one must go the experiential route, which is super confusing. Cleveland clinic never said anything about this during the application process. There was no "chose the virtual practicum, but know that you must complete 15,000 direct patient contact hours before being eligible to test." Anyone have any experience with this?

Hi, I’m moving to Baltimore soon and have been looking around at my options. Does anybody work in Baltimore and have any advice? I’m coming from an ICU/IMCU/Medsurg background and have recently been doing wound care. I applied for a home IV infusion job, but I dunno if I’m gonna be expected to visit patients living in any neighborhoods that look like they were featured in the wire… I can always go back to floor nursing, if needed. Thanks for reading.

Hi, I was just curious. When you say a more flexible schedule, are you talking in contrast to your current schedule as PRN? What is your schedule like as a PRN home health nurse? I used to work “PRN” as an LVN and would take a full load and then was even on the call roster. Basically full time without benefits.

Thanks for sharing your story. I’m glad you’re into it. May I ask if you would recommend first doing online Oasis training to someone making a move from the hospital to home health with no Oasis experience?

Are there agencies out there that don’t do Oasis paperwork? I’m aware of the bait and switch reality that exists in this business. The reason why I want to work part time and not full time is because I understand that full time means your life. I want to work 2-3 days/week and maybe increase that to five days/week during the Winter season (I live in Florida, so in healthcare there’s an “on” season and an “off” season—snowbirds). I also wanna be able to travel abroad for at least a couple of months in the Summer (off season), so I need to be pretty marketable. Agencies around me are offering hourly, full time, part time, PRN, salary, so there’s lots of variety as far as that goes. Most of the surrounding hospitals offer seasonal contracts for floor RNs during the Summer. I’m just wandering if anyone knows if what I’m after is doable and/or has any advice. Someone mentioned in another thread it would be best to get Oasis certified after working hands on with Oasis for a while. I was kinda thinking it might help in getting an interview. I’m assuming most agencies give you some kind of orientation, even if you’re part time/PRN.

Howdy, I’ve been a nurse for 13 years, the last 3 of which were ICU. I’m burnt out. I worked as a home health nurse for a couple of years over a decade ago as an LVN. I absolutely loved it. (I’m an RN now). I’d like to make a move back into it now, but I have no Oasis experience. I was thinking about doing some online oasis training before interviewing. Also, I’d like to work part-time. I’d be more than happy being the weekend person. Do you think there’s a chance a local agency will give me a shot and maybe give me some kind of orientation? Is it possible to work part time/PRN doing home health, or does PRN just mean full-time without benefits? Any advice or doses of reality would be much appreciated.

I’m currently doing a contract in a COVID unit. I float PCU, ICU. After this contract I want to try something else. My big options are home health, wound care, or infusion. I’ve been a nurse for 13 years, I’ve done medsurg, LTAC, ICU, and home health as an LVN/LPN. I only want to work a couple of days a week, and I wanna be able to travel for a few months in the Summer. I was thinking of doing some online training for Oasis paperwork and even getting oasis “certified.” I know home health can consume your life, and that’s not what I’m looking for. I figured I could do part time or PRN. Infusion nursing, especially at home seems like it would be a good fit for my needs, but I have no experience. I mean, I can put in PIVs and hang blood, etc. but I don’t know anything about IVIG or rheumatology or chemo. I looked at the training/certification for infusion, but it needs 1600 hrs experience with infusion therapy, which I don’t have. Anyone have any ideas or advice or notice something I’m missing? I just can’t handle floor nursing anymore. It’s seems like since COVID, everything has just gotten so much worse. I’m out

I just watched some Youtube videos on how to get this set up. I’m assuming all crash cart monitors come with the 3 ecg lines.

Thanks, MunoRN. That makes a lot of sense. So with a rate sustained in the 40’s and even 30’s, your best intervention would be to grab the crash cart and try some transcutaneous pacing. How would one go about doing this? Feel free to just tell me to Google whatever. Hook the pt up to the crash cart with the two pads, select “pacing” and your rate, and just increase the current until it captures? Do you need to connect other leads? Do all crash carts have these other leads? And I’m assuming a situation where this is being set up while someone else is paging a doc for orders.

Would you start a dopamine drip?

What's the rationale for this? To stop nurses spreading COVID among themselves?

I'm sure this has been posted here before. I'm too computer illiterate to figure out how to post an article let alone search for one. I'm just wondering if anyone has any input on this systematic review and how you think it affects PPE policy in the hospital. (Don't worry, I'm not a conspiracy theorist. I'm just a little rusty with my meta-analysis versus everything else kinda stuff). Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-Personal Protective and Environmental Measures

Because if we don't, he's going to set us on fire and let us burn for eternity? And, you're going to worship him for doing so. If one is attempting to ponder the affect of Coronavirus on the future of human society, such an undertaking is impossible from within the confines of not only one nation's perspective but also from deep within one's own narrow interpretation of a specific sect of an offshoot of one the many world religions. In other words, closed-mindedness is what is going to bring society to its knees, not a virus.

I think ole DannyBoy really rustled some jimmies. Not hard to do around here ?

How much is a reasonable amount? How much is too much? What about some kind of pay scale that is dependent on experience, specialty, willingness to travel, or risk to one's life? How much should nurses who work on helicopters, like LifeFlight, make? Should they be entitled to hazard pay? I'm sorry. As wonderful as it is you live within your means, unless someone (maybe your parents or a rich uncle) is paying your rent, your bills, buying your groceries, paying your medical bills, and putting gas in your Ford Focus, you are "strapped into working to make a certain amount of money just to survive..." Especially because it doesn't seem like you are familiar with the concept of saving money... We're all stuck making money to survive. You just have to come to terms with the fact that some people are willing to do more than you to get more than you. Don't get me wrong. I'm pretty sure you're coming from a good place. The system is broken. And when I say that, I'm talking about the whole thing--society in general. We are doing it wrong. However, the holier than thou method is not the way to go about changing it.

We all get paid thanks to sickness...

I’ve worked all over, and this does not surprise me at all. As a side note, I have worked in a training hospital, and those young docs were extremely hands on and respectful. Nurses were seen as colleagues. Most places, though, are as described by Patrice. “Follow the chain of command” is all well and good, but without starting a ******* revolution, she’s just gonna find herself without a job and more than likely reprimanded by the board for any act of strike, etc. during this pandemic

“...pay packages of over $10,000 per week or $100,000 for a 13-week assignment. But, be prepared to enter a war zone.” NY license in 1 dayFree flightsFree hotel Free rental car PPE... you’re on your own ?? https://nurse.org/articles/new-york-travel-nurse-jobs-covid19-incentives/

You have to share if this true ?

I’m with you OP. Tampa, FL is offering $5k/week for ER nurses, as is Austin Texas; Jacksonville, FL, and so on. Thats $20k/month! We are so ****ed.

Cool. I’ve really been considering doing this. Apart from the OP, anyone else in?