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VegGal BSN, RN

LTC Management, Community Nursing, HHC
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VegGal is a BSN, RN and specializes in LTC Management, Community Nursing, HHC.

Until he extends the circle of his compassion to all living things, man will not himself find peace. —Albert Schweitzer, French philosopher, physician, and musician (Nobel 1952)

VegGal's Latest Activity

  1. VegGal

    MSN- Leadership: will I survive?

    Hi Evea, did you sign up for the WGU program? If you did, do you like it?
  2. Thank you NRSKaren!!
  3. Thank you NRSKarenRN. I understand that all nursing programs have to be approved but I'll give you an example. Grand Canyon University's MSN program for example is approved by California but it's not listed as an approved program by the Tennessee Board of Nursing. It's also approved in its home state. So does that mean that students in other states (Tennessee for example) shouldn't do that MSN program, because GCU is not listed on the TN Board of Nursing's website as an approved school? There are hundreds of MSN programs approved by different boards of nursing, but what about the ones that have not been approved by a state we live / work in? Thanks.
  4. I just have a general question that I'm hoping some will have the answer to. Do MSN programs have to be Board of Nursing approved? There are so many programs out there and I can't imagine that our state Boards of Nursing would know about all of those, and give their seal of approval (or otherwise) for each one. Is it safe to assume that if the program is regionally accredited and is CCNE approved, that it's OK to sign up for it, or is the Board of Nursing approval actually required even for MSN programs? I'm not referring to NP programs but just a general MSN program, or a Leadership / Management one. Thanks.
  5. VegGal

    Home Health LVN vs RN

    I'm very glad to hear that you're considering home health, as an LPN / LVN. You guys are in such great demand right now, and will be for a long, long time. Re experience, it depends on the state you're in. California requires 1 year of experience for RNs but I don't know if they have the same requirements for LVNs, however don't give up for that reason because many agencies will help train you as it is to their benefit to do so The HH LVN can do a lot of what the RN does, but you have different levels of responsibility in some situations. For example, if you're doing wound care, you and the RN would both be doing the same wound care, If you were doing med management, the same there too. You or the RN would be going through the patient's meds, filling in their med boxes, providing patient teaching about meds, etc. You'd be doing the same if you were working on disease management where you'd be seeing a patient because of a specific disease they have. The RN would do the same. What mostly differs is when there is an intake or a discharge. LPNs don't do that. So as you can see from my response, an LPN can do a lot in home health. Also don't be afraid of whether you'd be able to teach the patient, etc. If you take your tablet or laptop etc with you, the software will be in the program you guys use and all the teaching and other info would be there. As for stress, yes it generally is much less stressful, but also keep in mind that you'd be working alone, and there's no one you can call out to if you have a question, or if you need a CNA or another nurse to help you. You do have your agency and access to people you can talk to on the phone though, so it's worth a try. Plus you'd probably make significantly more money, and you'd be able to self schedule, take a day off when you feel like it, etc. Good luck!
  6. VegGal

    Help With Software

    I'll try my best to respond to your questions. I work in HH but I'm mostly in the office doing QA there days, although I do work in the field at times, and I also have a lot of interaction with the nurses in the field on a daily basis. 1. Most of the nurses are our agency do not fill out the paperwork at the patient's home although as the QA person who's also an RN, I try my best to get them to do that. The reason why they don't fill it in at the patient's home is because most of them over-schedule themselves for the day, and they then have to rush on to the next patient, often not with our agency (they work for multiple agencies, seeing various patients daily). Some other reasons are because the patient population we work with generally don't want people hanging around. I've suggested that they stay in their vehicle outside patient's home once the appointment is over, as a second option (the first one being in the patient's home) but that's rarely done either. The main reason though is that most just want to be able to get in more appointments in a short amount of time, and they think that they can get the documentation done at the end of the day, in the comfort of their home 2. Each agency is different. Some have support staff who make calls to remind patients to expect the nurse, others don't. Our agency doesn't because it's more efficient for the nurse to be in touch with the patient, and schedule their own appointments based on theirs and the patient's schedule. Not too such what you mean by "balance of work" but we do the QA when the nurses turn in their docs, that can sometimes take some time depending on how responsive the nurse is to requests sent through QA, then we receive the corrected doc, and we either approve or ask for further changes or clarifications (which is extremely rare). As for inputting notes, our office staff does not do that. We do however help with wound care consults and we follow-up with all wound and medication orders for the nurse (apart from the basic monthly med order refills). We also provide phone support, answer all MD and their office calls, take all patient family calls, we also help our nurses report issues to MDs, VA, etc as required in order to help our nurses. Also we write communication notes so that the nurse and other staff are all on the same page, and the communication notes are in the patient's chart (online) 3. RNs decide the frequency only for Medicaid, not for VA patients, and I'm unsure about Medicare patients. As for the abbreviated terms, I think nurses may find it easier to just click on the number of times a week, or a month, or whether it's bi-weekly, or weekly, etc but it would be great if were easily converted to industry standard short form so that others who also look at the documentation can use it in the form they've been used to having it in. Not sure if that makes sense. 4. Can't help with number 4, sorry.
  7. 1. Stop wearing a mask all the time 2. Get a haircut 3. Join a church choir and not worry about catching anything because of people singing in close quarters 4. Travel, travel and more travel. I really miss traveling.
  8. Have you been anywhere else in there world outside of America? There are people of all races and ethnicities, from dark skinned to light skinned. Not all light skinned people are white, and not all dark skinned people are black (as in of African descent).
  9. It has nothing to do with minding caring for others. We can and do care for many even in a capitalist economy. How are our schools, roads, hospitals and other public services funded today? It's from paying taxes. So Capitalism can and does work. We don't need socialism in order to "care for others." Also, I know of poor people who rise to the top and do well in life. My boss moved to the US from Africa, she was poor, they were refugees, and she now owns a healthcare company. She appears to be a millionaire now. And all that with starting as a nurse while still a refugee. I myself am an immigrant to the US, and I've come a long way from where I was born, raised, etc. If you don't know either of our histories, one could assume that the rich are getting richer and the poor around us are getting poorer, but what if many people are being rewarded based on how hard they work? My boss worked 16-20 hours A DAY, and when she was in nursing school, she had two 24 hour days where she worked at night, went to school during the day and then weren't back to work as night without any sleep at all. Should she lose her millions now? It was her intellect and hard work that took her to where she is in life. Why should her wealth be redistributed? I know you didn't say that, but I'm trying to give you an example of someone who worked hard and it would appear she has everything now, and maybe non-deserving based on the way people view things today, but that's not true at all. Anyway, that's my more than 2 cents.
  10. Why don't you take the agency to small claims court?
  11. VegGal


    I agree with the other person who posted before me. I would find that totally unacceptable too. I work in HH, actually I do scheduling and QA for HH on a part time basis, and I ALWAYS have the schedule ready a week in advance. I do have some last minute admissions though and for those times I contact several nurses and tell them what I have, where the patient is and pick whoever is able to go first to do the SOC. Also, maybe your agency has mostly LPNs, in which case they'd send them to do the care and send you to do all the SOCs and recerts because LPNs can't do either. If your clients are VA patients, then they have to open the SOC within 72 hours of receiving the referral, so that could be why they send it to you overnight or the same day, but you always have the option of asking if you could the following day or 2 days later. With any admission, we want to see our clients ASAP or patients and families will think we're not that interested in providing care, so I do understand to a certain extent why the cases are pushed out to you at the last minute it seems, but you can still discuss it with them and try to make things better for yourself. Also at the agency where I work, we give our RNs access to change their schedule a little. So they can go a day earlier or a day later, and they can see all their clients and the days the clients have, but they can't access any other clients. You just have to ask for a little more flexibility and maybe even talk about possibly self-scheduling if that's an option, but know ahead of time that not all agencies allow that.
  12. "White dominated capitalism"?? Really? Asia is a capitalist continent. Most Asians are not white. In fact none are. That was an ignorant statement. Also please keep in mind that capitalist principles are why you and I are able to work as nurses and make as much money as we want, and also work as much as we want. If we don't like a certain job, we can leave it and get another that pays more, if we choose to do so. We also get to keep a lot of what we make in a capitalist economy. In a socialist society, you'll still be working a lot but giving the government most of what you make to take care of others. If you like that system then great, but most of us who have lived in other countries and other societies know what it's like to work hard and long hours but not get to keep much of what we make. I personally would leave America if we became a socialist country. I like being in charge of my own destiny, what I make, what I can spend my money on, and not wait for government permission to spend what I make, or to tell me what days I can buy a pair of shoes, and then have to have a wide choice of four designs at the local shoe store. No thank you!
  13. How about all the AIDS treatment and cocktails that the US has provided for free to help with the AIDS epidemic in Africa, with Americans having to pay for those same medications? South Africa is probably the most diverse of all African nations / regions. While it's not a high percentage of diversity, about 30% of the population is White, Asian and other ethnicities. Also, they do not test on the population for free. I'm not saying that it's OK to test on them if they are paid, because many of the world's poorest people not just in Africa, but also in Asia including India will probably agree to testing for some money. So of course the richer countries have to be ethical when subjecting these poor people to any kind of testing, and not just wave a bunch of money in front of that. I'm glad you can too, however you seem to miss the part that racism is not just perpetuated against people of color. I'm a woman of color, dark skinned, and often mistaken for being black (which is fine by me) however let's realize that racism affects ALL races. I've had black friends who were racist against white friends, and white friends who were racist against black friends. The same with aAsians, Hispanics, and others. Unfortunately, all humans can experience racism, and all humans can be racist. We ALL need to be educated about respecting each other and caring about each other no matter what race / color we are, or where in the world we live.
  14. VegGal

    WGU vs Aspen University

    FutureNP357932, WOW!! You did your MSN in 4 months? Congratulations!! I hope you won't mind a couple questions about the MSN program. I too am interested in the Leadership and Management option. 1. You mentioned tests. Are those timed, on video, with proctors, etc? Or are they open book, and / or taken on your own time? 2. I read that there is a Capstone. Did you do that at a clinical site? If so, were you allowed to pick your own site, or did they give you a list? 3. Are there ANY group projects at all? 4. Do you feel that people (employers mostly) value your MSN? Any issues at all with it? Thank you so much!
  15. Thank you. I appreciate your response. Just trying to figure out how it differs with say Western Governor's or others that are similar.
  16. Hi, how do you like the program? Would you mind telling me what the MSN program is like? I'm interested in the Admin track. Just not sure if the 2 years is reasonable. Most programs that I've checked out are about a year long. Are you able to take 2 courses at a time, and also work full time? Thanks!