tx2007

I just graduated from UTEP in May and have two kids age 11 & 7 and worked a FT job and a PRN job still graduated with a 3.8

Yes it is Universal City TEXAS on northeast side of SA. I will be joining my hubby as soon as we got our house sold where we live now. I applied at northeast baptist and the next day got a "thanks for applying but unfortunately....blah blah blah" I will look into stone oak methodist any other suggestions?

ok update hubby got a job in Universal City and I am looking for a job anyone know where to look, where not to look any info?

There are so many factors into "how many can you do" are they all in the same town? just been discharged from hospital? trainwrecks? I have done 3 admits in an 8 hour day on paper and 2 admits in an 8 hour day in the computer with each being an hour driving distance apart and an hour away from the office. So total 1 hour to first admits home, admit time, hour to next admits home, admit time and hour drive back to office plus time at office to finish computer charting. 4 could be totally doable depending on conditions.

Thanks for all your great ideas!! I had KCI do a wound vac inservice, wound care center came in and did a different inservice and I am also having a company that does provider services come do an inservice. LOVE the documentation suggestions :) Here in texas nurses must have 20 CEU's every 2 years so I like to throw in a few during the inservices when possible. I think requiring CEU's is a good idea to help mandate up to date care.

what inservices would you as a home health nurse want your job to offer you?

Ok I am looking at moving to SA within the next year or sooner if my husband can find a job first. I have been an RN since 2007 and have my BSN been working as an ADON in home health the past two years and trying to find out what are the best places to work in SA and what to avoid at al costs. any info is MUCH appreciated :)

Yes the $1.50 in town and $5.00 out of town is mileage reimbursement. I am not oppsed to pt care so thats fine with me. They did tell me its ALOT of teaching. It sounds good to me I just didnt know if that was the norm for HH and wanted to make sure it sounds right to those of you who know HH. Thanks for the reply!

I am new to home health, just accepted my first FT position. They said they will train me until I feel comfortable enough to be on my own. Rate of pay is $25/hour hourly rate. I will not do pt care as I am a case manager and will do the OASIS paperwork and supervisory visits. Call once a month for an additional $150 if I actually have to go to a pt's house while on call its hourly at time and a half. They pay $1.50 per stop when visiting pts homes here in town (small town) and $5.00 per stop when visiting pts homes in the next town over (20 miles away). Company provides your cell phone. 401K, insurance and all that. They said approximately 14-20 pt visits per week. Does that sound like a normal HH job?

We just started using the power PICC's and we would be doing over the wire exchanges in the event that we didnt trim the catheter long enough or short enough. Also we had an incident the other day of a nurse pulling the PICC out about 6CM while doing a dressing change, this PICC was 48 hours old, and since it was pulled out of the SVC we had to go do a whole new PICC. Of course we would NOT do a cath exchange for suspected infection, occlussion, ect. Just wanted to know about these instances that I stated above.

What is your facilities policy on an over the wire PICC exchange??

LMAO loricatus I can picture it now, falling over from exhastion and someone yelling "quick go clock her out until she wakes up!" We have a joke at work that you MUST remember to fall backwards if you pass out from exhastion or holding your pee so long you might die, that way you wont 1) fall on a pt and 2) if your in the OR at least you wont ruin the case by falling on the sterile field. I am taking cheese crackers and fruit juice as my grab and go "lunch" so at least I wont pass out. We have 25 surgeries on Tuesday and 27 on Wednesday this week. Monday we have 5 retina cases so that will be about a 10 hour day as well....UGH just thinking about it makes me tired! I hope you have a good week and thanks for the laugh!

I know thats alot of pt's for one person and I do the 20 or so required drops per pt plus all the IV's by myself, so at least I have become super quick and effeciant at starting IV's LOL! I really hope I like infusion services, I need a decent job. You are so right GIRN that management makes all the difference, if I was treated like a person and not a machine I would probably have stayed at my job. The Dr's are even worse than the management they could care less as long as we get the pt's in and out like sheep. Like I said it's all about the $$. I could not believe that even for Christmas we got NOTHING not one thing from our surgery center or from any of the Dr's. We busted our butts at the end of the year doing approx. 100 surgeries per week!! Loricatus I hope you find a new job soon too, we all DESERVE better than that. Can you believe my DON said to me on Friday that we shouldn't be upset about how we are treated, but that we should just be grateful to have jobs. @@

I know I am quite upset about leaving (the hours were pretty good!) thats the only reason I have lasted this long. But the attitude of the people I work with, plus my boss and the CEO were just too much. I am planning on telling them (in a nice way) why I am leaving, but it wont change a thing, this place has been run off and on by the same people for the past 15 years and the bottom line is $$. We do about 300 surgeries a month and only have 2 other full time nurses other than myself. On a typical day I am the only nurse in preop getting 20-30 people ready (we do mostly eye surgery like retina and cataracts.) So there is me in preop, one nurse in postop, and one nurse in each OR (2 total). We have one srub tech who goes back and forth between rooms. On days like tommorrow when we have only 5 surgeries I will be pre and post op and only 1 other nurse will be there for the OR. But yet our CEO says we are OVER staffed. @@ I plan to give my notice tommorrow and I expect the Sh*t will hit the fan, I figure they will let me work this week (only cause they need me since we have over 50 surgeries scheduled.) But the week after is spring break and we only have one day of surgeries and I am sure they will just tell me not to bother coming in that week. I would like to finish out my two weeks so I can get paid, but whatever, I just need to get away from this toxic enviornment before I decide I dont want to be a nurse anymore

Well I have accepted a job at the hospital where I first worked but this is as an infusion nurse (8hour shifts, every other weekend) it is part of the hospital but it is mostly outpatient type stuff like antibiotics, remicade, chemo. I start in two weeks and I am nervous about going back to the hospital type setting but I am also excited as this will be something new and hopefully I will like it much better. I figure anything has got to be better than where I am and if I try it and dont like it I can always look again for something else. I hope this job works out though.