njpawarn

I have found most nurses are not stating they do SOC in 2-2.5 visit equivalents but that seems to be the given.I make 56 for a visit. I will get back to you. We also get holiday differentials and $15 if we are stood up for a home appointment. $39/h for continuing ed, $56 for an IDT. Amazing rates, IMO. I live in WA but just moved from PA.

No. How can a person identify a specific patient?

I graduated in 1982, when hospitals competed for nurses. I started with 3 weeks vacation and 6 personal days. I did question physicians and advocate for patients. It was a time in which nurses were becoming more assertive and medical students/residents were working with nurses more as team rather than their subordinates. AIDS was new. My workload included 2-4 ICU patients on the night shift. Everthing was in the same room but we rarely got breaks or lunch. When you started, you were oriented and trained by inservice educators on policies and procedures, IV pumps, dynamaps (BP machine,) etc. One year, in the mid 80's nurses across the board were given an salary increase. Then, it was close to $2 an hour which was a big deal. We prepared our medications. The pharmacy sent the bottles, pills whatever. We calculated IV rates. Our pumps did volume and rate only. Families and patients were not well educated like they are today. There was no internet. Memories...good times!

Start looking for another job unless you need the experience. I would turn my phone off or not answer if it has to be on. I had the same thing happen to me. In this profession, I think we need to go above and beyond on occaision. It's part of being a team and commitment to the patients. Unless you have other obligations like children or another job, I recommend you pick up a shift just once in awhile. You will be sick one day and someone will cover you. Rarely are nurses waiting in the wings to fill vacancies. I had to accept certain realities even though I was lead astray at the interview. Working past the end of a shift is commonplace. In my case, I accepted it then planned for it and moved on. You probably will leave the place eventually. In the meantime, tell them what you can do. "I worked OT last week. I can do 5 shifts this week." I learned how to be flexible and when and how to say no." I always tried to be pleasant, even when I was miserable. Even a bad place can give you a Good reference. Good luck!

Eating stool bothers you? Hmm. I would think that would bother all of us!

Bossy, demanding, like the homecare patient who asked me to transfer laundry, relocate items in her house, make her tea, take out her garbage. I don't mind making tea but she is capable of making it herself and I will take her garbage out but it's always at the end of my visit, when I am leaving. This is a person I dread asking, " is there anything else I can do for you?"

Our company says 2 hours based on statistics. Most of our patients take 2 to 2 1/2. Document what you can in the home, at least the assessment and as much as you can before you move on to the next patient.

You need to be truthful and tell yourself you did a very good job. You are not responsible for what happened, in fact, you made the best effort to have her seen by a physician early on. RSV will progress despite the appropriate treatment.

Homecare Home base is thorough but there are redundancies throughout.