powernurse

what do you mean fake MD supervisor? are you in home health? :welcome:

i LIKE you..... thx for the encouragement....i needed to talk to someone that would back me up.... after literally being cornered and badgered all day..... :angryfire

no i havent signed anything for this nurse....but i was pressured all day to get her visits verified.... she skimped on all of the notes b/c how in the world would anyone remember what they did yesterday never mind a month or more ago..... all but one nurse in this relatively small agency is allowed to get that far behind...they say they are afraid to address it too harshly b/c the field staff will leave but the admin is putting pressure on me to "close for the 15th of the month and it is your job to verify those notes and sign off on them" .... when i mentioned that i would not do this and i would resign first i was threatened with "2 wk notice or we will report you for job abandonment!"

not giving 2 weeks notice???? would the board take any action for that? especially if the reason you want to leave is because you fear losing your license if you stay and sign off on nurses paperwork for visits done over 4 weeks ago but the notes were done yesterday?!?!? Uggh! how DO i get myself into these situations?????:uhoh21:

what do they pay for shift diffs? does anyone know? how about a weekend diff?

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this happened to me the day my grandmother died.... they made me schedule my pts around the funeral b/c they had no one to cover me and i was still in my 90 day probation period after being a new hire.... basically i was told if you can't do it, you can be terminated b/c you are not technically a permanent employee yet.... when I questioned the supervisor on call about the definition of compassion and mercy, she asked me if that meant i was advising her that i was refusing to come in even after she had "read the policy" to me .... i went in.... fool i am ~ i know..... welcome printed on the back of my scrubs.... but you live and learn...i don't take anything from anyone any more.... :uhoh3: hope you start feeling better soon, rachel

RN CASE MNGR -- needed ASAP for Fortune 500 company. Must have 3 yrs case mngt. Exp. Clinical exp and CCM is preferred. Call xxxxxxxx aside from the 3 yrs experience.... what skills are required for a case management position like the one described above..... are there an educational resources to learn this specialty... also is case management the same as home health case management? if not how do they differ? thanks in advance :monkeydance: :monkeydance: :monkeydance:

what does this mean when you see it in an ad for an rn supervisor position in an ltc? does anyone know what these guidelines are or have a resource on where to study up? also what do they mean when they say must be familiar with mds? is that making reference to the same guidelines or is that something related to case management and if so .... how do you learn more about case managing in ltc's? last question is case management in ltcs the same concept as case management in home care? if not, how do they differ? thanks in advance.... :monkeydance: :monkeydance: :monkeydance:

wow...i work for a HHA and we are adding insulin et al to the TPN in the home.... no other nurses to double check for us ..... never knew it was done differently in the hospital

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ooops duplicate thread, sorry

My first question would be ... is the patient or family teachable? If so TEACH, TEACH, TEACH..... and no, not every agency is soooo greedy that they will jeopardize their license or their nurses licenses for more $$$$...... the agency i work for now would but when i worked in connecticut, we would close to admissions if we were short on nurses.... at least until we examined the pt population we had and d/c'd those who were ready, etc... my guess though is that in the real world most places are like who we are stuck with right now.... Ugghhh!

o ouch..... those words are ringing in my ears !o grrrrrr!!!!!! :angryfire

Let's start a CLUB !!! :argue: :cheers:

haven't been paid fortnightly in a fortnight weekly and biweekly are the norm

not many diploma schools left....most programs offered are degree programs.....

you don't take the test in each state..... you take NCLEX once..... then you apply for reciprocity in each state..... unrestricted means that you have not done anything wrong and that the state you are licensed in has not limited your license as a penalty

Right to work = Right to have 3 jobs to pay your bills Right to work = Right to work major holidays without getting holiday pay Right to work = Right to take holidays off IF you use your SICK TIME Should be called "Right to Struggle to pay your Mortgage and Right to Starve to death state"...... Unions, weather we like them or not do drive up wages....it is really pathetic that some states in this country have nurses earning $10-$20 more than others simply b/c they are NOT "Right to work"...believe me when i tell you that there is still a HUGE nursing shortage in these low salary states but the employers are getting away with enslaving nurses.... time to take a stand and advocate for those states to get rid of "right to work"......

i think this is good advice....especially mailing yourself the letter....interesting idea, never thought of it before but it does sound like a good way to send yourself copies of your documentation

Call him out on the CARPET! Yes talk to your manager, find out what the chain of command is in your facility.....then follow through to be sure it is addressed and not just dropped. I am a home care nurse working weekends and get this type of treatment from docs every weekend....once i had the doc on speaker b/c it took them so long to page him to the phone ...as soon as he came on he started yelling about how he had "better things to do that to take calls for problems with patients that should be sent to the ER"!!!!! the details are even more brutal than I can describe here. the patient swore they were changing docs ...... i reported him to my agency....from now on i am going to report to the hospitals as well.... it is uncalled for.... they knew becoming doctors involved after hours and call.... they need to show some professional curtesy to those of us who are working on the "front lines". :angryfire

sign on bonuses can vary greatly for new grads...but can also depend on shift preference..... shopping for the best sign on was what many of my classmates did....some got 12,000 over 15 months !!! opting for the best eduation/experience is invaluable though....don't underestimate that....the pay eventually catches up to you if you can hold out a year or 2..... GOOD LUCK !!!

what has been bothering me is that where i work we are on laptops and if you do an admission you are not allowed to lock your oasis.... this is so the OMs can go into the note and "fix" it if necessary....scares me to death.... also i am getting calls all the time from the office that i need to go back into an oasis and "change" my answers to a MO questions especially when it comes to COPDers that become SOB with minimal exertion but refuse HHA services b/c they are still performing their own adls and want to remain independent with it..... they tell me that i cannot have it both ways....fact of the matter is that some COPDers DO ALL THEIR OWN ADLs..... AND smoke.... and are not homebound AND are very SOB with very minimal exertion....may not be the answer they want to hear....but it is the fact...and i will refuse to change my documentation based on their concerns which i believe are more focused on "did we score enough points for a big payment?" it is a constant battle :smiley_ab

me too 2 bsn school in 2 weeks !!!! good luck to you...... :pumpiron:

:smackingf ...............