Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 I would love to start a new mailing list for OB/Peds home care nurses. I am a manager of a new home care program and would love to learn from your wisdom. Thoughts????????/ Dianne Kemp Michigan -----Original Message-----From: Shaver Sent: Tuesday, August 06, 2002 11:12 AMTo: OBnurses Subject: [OBnurses] questionsI have been following the threads re: home visits, andhave never heard of "oasis" as it is being used..Cansomeone share with me a link or 2 to familiarize mewith it?Also, in regards to task sharing..I work in a combinedmaternity unit, LDR, NBN, and PP, so have a hard timeenvisioning a larger staff than ours!! One of thethings I would focus on, however, if I had theopportunity to actually delegate would be 1) Teaching needs and documentation..a comprehensivereview, every shift of patient needs, along with aperiodic review of staff needs.2) QA,(or PI or TQM, whatever it's called now!) with afocus on getting all the variance "reports"done,including establishing a peer-review NURSINGsystem.Thanx and have a nice day! It's alot cooler now inUpstate NY, so much more getting accomplished on mydays off!! __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 I would love to start a new mailing list for OB/Peds home care nurses. I am a manager of a new home care program and would love to learn from your wisdom. Thoughts????????/ Dianne Kemp Michigan -----Original Message-----From: Shaver Sent: Tuesday, August 06, 2002 11:12 AMTo: OBnurses Subject: [OBnurses] questionsI have been following the threads re: home visits, andhave never heard of "oasis" as it is being used..Cansomeone share with me a link or 2 to familiarize mewith it?Also, in regards to task sharing..I work in a combinedmaternity unit, LDR, NBN, and PP, so have a hard timeenvisioning a larger staff than ours!! One of thethings I would focus on, however, if I had theopportunity to actually delegate would be 1) Teaching needs and documentation..a comprehensivereview, every shift of patient needs, along with aperiodic review of staff needs.2) QA,(or PI or TQM, whatever it's called now!) with afocus on getting all the variance "reports"done,including establishing a peer-review NURSINGsystem.Thanx and have a nice day! It's alot cooler now inUpstate NY, so much more getting accomplished on mydays off!! __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 It's alot cooler now boy am i jealous..the Florida heat and humidity is a killer. A cool day for us is any day that's overcast and 93!!! We do peer chart reviews here in all 3 areas (PP also does gyne so they review a pp and a gyne chart) We have to do 2 a month, and if we do them all we get a point towards our Professional Practice Program (PPP/career ladder)Somehow they tend to "lose" quite a few of them lately. Our PPP gets us 50 cents an hour for 5-9 points, $1.00/hr for 10-14 pts and $2.00 for 15+ points. We get a coaching plan every 6 months that evaluates our points. If your points drop you down to the next level, you lose $$$. Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 It's alot cooler now boy am i jealous..the Florida heat and humidity is a killer. A cool day for us is any day that's overcast and 93!!! We do peer chart reviews here in all 3 areas (PP also does gyne so they review a pp and a gyne chart) We have to do 2 a month, and if we do them all we get a point towards our Professional Practice Program (PPP/career ladder)Somehow they tend to "lose" quite a few of them lately. Our PPP gets us 50 cents an hour for 5-9 points, $1.00/hr for 10-14 pts and $2.00 for 15+ points. We get a coaching plan every 6 months that evaluates our points. If your points drop you down to the next level, you lose $$$. Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 I only do home care prn, with Matria, and that is mostly high risk antepartum patients but would love to get more information from others doing home visits, count me in ohio > I would love to start a new mailing list for OB/Peds home care nurses. I am > a manager of a new home care program and would love to learn from your > wisdom. > Thoughts????????/ > Dianne Kemp > Michigan > > [OBnurses] questions > > > I have been following the threads re: home visits, and > have never heard of " oasis " as it is being used..Can > someone share with me a link or 2 to familiarize me > with it? > Also, in regards to task sharing..I work in a combined > maternity unit, LDR, NBN, and PP, so have a hard time > envisioning a larger staff than ours!! One of the > things I would focus on, however, if I had the > opportunity to actually delegate would be > 1) Teaching needs and documentation..a comprehensive > review, every shift of patient needs, along with a > periodic review of staff needs. > 2) QA,(or PI or TQM, whatever it's called now!) with a > focus on getting all the variance " reports " > done,including establishing a peer-review NURSING > system. > Thanx and have a nice day! It's alot cooler now in > Upstate NY, so much more getting accomplished on my > days off!! > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 6, 2002 Report Share Posted August 6, 2002 I think that would be great! Let me know if you decide to do so....... -- RE: [OBnurses] questions I would love to start a new mailing list for OB/Peds home care nurses. I am a manager of a new home care program and would love to learn from your wisdom. Thoughts????????/ Dianne Kemp Michigan ____________________________________________________ IncrediMail - Email has finally evolved - Click Here Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Diane, I tried to do this, HomecareRNs on Yahoogroups, but for some reason, it never took off like this list did. I'd be glad to join one you start though! ----------Jeanine RE: [OBnurses] questions I would love to start a new mailing list for OB/Peds home care nurses. I am a manager of a new home care program and would love to learn from your wisdom. Thoughts????????/ Dianne Kemp Michigan -----Original Message-----From: Shaver Sent: Tuesday, August 06, 2002 11:12 AMTo: OBnurses Subject: [OBnurses] questionsI have been following the threads re: home visits, andhave never heard of "oasis" as it is being used..Cansomeone share with me a link or 2 to familiarize mewith it?Also, in regards to task sharing..I work in a combinedmaternity unit, LDR, NBN, and PP, so have a hard timeenvisioning a larger staff than ours!! One of thethings I would focus on, however, if I had theopportunity to actually delegate would be 1) Teaching needs and documentation..a comprehensivereview, every shift of patient needs, along with aperiodic review of staff needs.2) QA,(or PI or TQM, whatever it's called now!) with afocus on getting all the variance "reports"done,including establishing a peer-review NURSINGsystem.Thanx and have a nice day! It's alot cooler now inUpstate NY, so much more getting accomplished on mydays off!! __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Diane, I tried to do this, HomecareRNs on Yahoogroups, but for some reason, it never took off like this list did. I'd be glad to join one you start though! ----------Jeanine RE: [OBnurses] questions I would love to start a new mailing list for OB/Peds home care nurses. I am a manager of a new home care program and would love to learn from your wisdom. Thoughts????????/ Dianne Kemp Michigan -----Original Message-----From: Shaver Sent: Tuesday, August 06, 2002 11:12 AMTo: OBnurses Subject: [OBnurses] questionsI have been following the threads re: home visits, andhave never heard of "oasis" as it is being used..Cansomeone share with me a link or 2 to familiarize mewith it?Also, in regards to task sharing..I work in a combinedmaternity unit, LDR, NBN, and PP, so have a hard timeenvisioning a larger staff than ours!! One of thethings I would focus on, however, if I had theopportunity to actually delegate would be 1) Teaching needs and documentation..a comprehensivereview, every shift of patient needs, along with aperiodic review of staff needs.2) QA,(or PI or TQM, whatever it's called now!) with afocus on getting all the variance "reports"done,including establishing a peer-review NURSINGsystem.Thanx and have a nice day! It's alot cooler now inUpstate NY, so much more getting accomplished on mydays off!! __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Ah, nice to see a MAtria nurse here. I used to work for Tokos, before the " merge " with Healthdyne. I had applied to the local office, but while I would have enjoyed it, their requirements for weekends and holidays even for per diem staff made it not worth me taking a position. Too bad--I really wanted to do it. ----------Jeanine [OBnurses] questions > > > > > > I have been following the threads re: home visits, and > > have never heard of " oasis " as it is being used..Can > > someone share with me a link or 2 to familiarize me > > with it? > > Also, in regards to task sharing..I work in a combined > > maternity unit, LDR, NBN, and PP, so have a hard time > > envisioning a larger staff than ours!! One of the > > things I would focus on, however, if I had the > > opportunity to actually delegate would be > > 1) Teaching needs and documentation..a comprehensive > > review, every shift of patient needs, along with a > > periodic review of staff needs. > > 2) QA,(or PI or TQM, whatever it's called now!) with a > > focus on getting all the variance " reports " > > done,including establishing a peer-review NURSING > > system. > > Thanx and have a nice day! It's alot cooler now in > > Upstate NY, so much more getting accomplished on my > > days off!! > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Ah, nice to see a MAtria nurse here. I used to work for Tokos, before the " merge " with Healthdyne. I had applied to the local office, but while I would have enjoyed it, their requirements for weekends and holidays even for per diem staff made it not worth me taking a position. Too bad--I really wanted to do it. ----------Jeanine [OBnurses] questions > > > > > > I have been following the threads re: home visits, and > > have never heard of " oasis " as it is being used..Can > > someone share with me a link or 2 to familiarize me > > with it? > > Also, in regards to task sharing..I work in a combined > > maternity unit, LDR, NBN, and PP, so have a hard time > > envisioning a larger staff than ours!! One of the > > things I would focus on, however, if I had the > > opportunity to actually delegate would be > > 1) Teaching needs and documentation..a comprehensive > > review, every shift of patient needs, along with a > > periodic review of staff needs. > > 2) QA,(or PI or TQM, whatever it's called now!) with a > > focus on getting all the variance " reports " > > done,including establishing a peer-review NURSING > > system. > > Thanx and have a nice day! It's alot cooler now in > > Upstate NY, so much more getting accomplished on my > > days off!! > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Also, in regards to task sharing..I work in a combined maternity unit, LDR, NBN, and PP, so have a hard time envisioning a larger staff than ours!! One of the things I would focus on, however, if I had the opportunity to actually delegate would be my unit is combined LDR, PP Everyone (except usually LPN's) rotate between LDR and PP. I usually spend 4 of 6 days as LDR nurse. Everyone has assigned tasks acording to postiont the #1 LDR nurse is in charge and is the only nurse there if there is just 1 patient or 2 observation with no problems she's responsible for checking crash cart on days and everyshift #1 takes care of census and report to supervisor. #1 PP is in charge there and depending on shift makes sure certain CP's are updated. #2 PP is med nurse, #2 LDR takes care of patients, #3 LDR is for scheduled sections. Then there are cleaning assignments, stocking, putting up scrubs. When I started here I wasn't too crazy about the way we do PP asignments...we don't have an assignment. Everyone just kind of goes together for VS and when it's time for assessments everyone just starts at a point and we do them till they are done then regroup several times during the day and give a little mini report since I've gotten used to it it's not too bad. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Also, in regards to task sharing..I work in a combined maternity unit, LDR, NBN, and PP, so have a hard time envisioning a larger staff than ours!! One of the things I would focus on, however, if I had the opportunity to actually delegate would be my unit is combined LDR, PP Everyone (except usually LPN's) rotate between LDR and PP. I usually spend 4 of 6 days as LDR nurse. Everyone has assigned tasks acording to postiont the #1 LDR nurse is in charge and is the only nurse there if there is just 1 patient or 2 observation with no problems she's responsible for checking crash cart on days and everyshift #1 takes care of census and report to supervisor. #1 PP is in charge there and depending on shift makes sure certain CP's are updated. #2 PP is med nurse, #2 LDR takes care of patients, #3 LDR is for scheduled sections. Then there are cleaning assignments, stocking, putting up scrubs. When I started here I wasn't too crazy about the way we do PP asignments...we don't have an assignment. Everyone just kind of goes together for VS and when it's time for assessments everyone just starts at a point and we do them till they are done then regroup several times during the day and give a little mini report since I've gotten used to it it's not too bad. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 PPP/career ladder there is hardly anyone the does ladder at my whole hospital they make it a pain in the butt to do. They have recently changed the way it's done but it's LOTS of extra work you have to turn in samples of your charting to the committee do inservices that aren't mandatory but have so many attend, attend inservices, hardly any points for more education or certifications, be on committees which may already be full just a general pain in the butt. What do you have to do for ladder at you hospitals? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 PPP/career ladder there is hardly anyone the does ladder at my whole hospital they make it a pain in the butt to do. They have recently changed the way it's done but it's LOTS of extra work you have to turn in samples of your charting to the committee do inservices that aren't mandatory but have so many attend, attend inservices, hardly any points for more education or certifications, be on committees which may already be full just a general pain in the butt. What do you have to do for ladder at you hospitals? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 wasn't too crazy about the way we do PP asignments...we don't have an assignment. How many patients do you have on postpartum? This sounds kind of confusing.Who is accountable for the patient? We have a 50/50 postpartum gyne mix, and during the day we have outpt gyne surgeries on our unit (procedures are done in the main or) so that staffing probably would not work for us. Do you do couplet care? Just curious =) Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Jeanine wrote: I had applied to the local office, but while I > would have enjoyed it, their requirements for weekends and holidays even for > per diem staff made it not worth me taking a position. Too bad--I really > wanted to do it. What are the requirements there? we have to do one call day a week including one friday and one weekend day. Holidays are only once a year. > Ah, nice to see a MAtria nurse here. I used to work for Tokos, before the > " merge " with Healthdyne. I had applied to the local office, but while I > would have enjoyed it, their requirements for weekends and holidays even for > per diem staff made it not worth me taking a position. Too bad--I really > wanted to do it. > ----------Jeanine > [OBnurses] questions > > > > > > > > > I have been following the threads re: home visits, and > > > have never heard of " oasis " as it is being used..Can > > > someone share with me a link or 2 to familiarize me > > > with it? > > > Also, in regards to task sharing..I work in a combined > > > maternity unit, LDR, NBN, and PP, so have a hard time > > > envisioning a larger staff than ours!! One of the > > > things I would focus on, however, if I had the > > > opportunity to actually delegate would be > > > 1) Teaching needs and documentation..a comprehensive > > > review, every shift of patient needs, along with a > > > periodic review of staff needs. > > > 2) QA,(or PI or TQM, whatever it's called now!) with a > > > focus on getting all the variance " reports " > > > done,including establishing a peer-review NURSING > > > system. > > > Thanx and have a nice day! It's alot cooler now in > > > Upstate NY, so much more getting accomplished on my > > > days off!! > > > > > > > > > __________________________________________________ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Jeanine wrote: I had applied to the local office, but while I > would have enjoyed it, their requirements for weekends and holidays even for > per diem staff made it not worth me taking a position. Too bad--I really > wanted to do it. What are the requirements there? we have to do one call day a week including one friday and one weekend day. Holidays are only once a year. > Ah, nice to see a MAtria nurse here. I used to work for Tokos, before the > " merge " with Healthdyne. I had applied to the local office, but while I > would have enjoyed it, their requirements for weekends and holidays even for > per diem staff made it not worth me taking a position. Too bad--I really > wanted to do it. > ----------Jeanine > [OBnurses] questions > > > > > > > > > I have been following the threads re: home visits, and > > > have never heard of " oasis " as it is being used..Can > > > someone share with me a link or 2 to familiarize me > > > with it? > > > Also, in regards to task sharing..I work in a combined > > > maternity unit, LDR, NBN, and PP, so have a hard time > > > envisioning a larger staff than ours!! One of the > > > things I would focus on, however, if I had the > > > opportunity to actually delegate would be > > > 1) Teaching needs and documentation..a comprehensive > > > review, every shift of patient needs, along with a > > > periodic review of staff needs. > > > 2) QA,(or PI or TQM, whatever it's called now!) with a > > > focus on getting all the variance " reports " > > > done,including establishing a peer-review NURSING > > > system. > > > Thanx and have a nice day! It's alot cooler now in > > > Upstate NY, so much more getting accomplished on my > > > days off!! > > > > > > > > > __________________________________________________ > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 What are the requirements there? we have to do one call day a week including one friday and one weekend day. Holidays are only once a year. we signed up for call here. You would end up with a weekend call about once every 3 months and a weekday call twice a month with every 3rd month either no call or 1 day depending on staffing at the time. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 What are the requirements there? we have to do one call day a week including one friday and one weekend day. Holidays are only once a year. we signed up for call here. You would end up with a weekend call about once every 3 months and a weekday call twice a month with every 3rd month either no call or 1 day depending on staffing at the time. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 How many patients do you have on postpartum PP/GYN has 16 beds. If full of PP gyn has to go to general surgical unit. The person assigned P 1 (postpartum) is responsible to make sure all assessments are done, make rounds with docs (others help too) and give reports and receive new surgeries. We do our own c-sections and post partum tubals. LAVH etc goes to outpt surgery first then we get them post op. Day evening and nights has 2 staff maybe more if LD isn't busy then they come to PP days has more depending on LD but always 2 unless LD is really busy then maybe only 1. Everyonce in a while everyone ends up in LD with someone running back and forth answering the PP light but only if there are just a couple of patients otherwise we call in more help. We have a call nurse from 3p-7a and all day on weekends incase labor gets busy and there is nobody from pp to call for help Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Do you do couplet care? not really have a full nursery staff too. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2002 Report Share Posted August 7, 2002 Do you do couplet care? not really have a full nursery staff too. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 2002 Report Share Posted August 8, 2002 This was about 2 years ago, and at that time from what I remember, the requirement was 1 weekend a month and 1 day a week and 2 winter and 2 summer holidays. I have a full time job, so any secondary one I take really can't take up the rest of my freee time. ----------Jeanine [OBnurses] questions > > > > > > > > > > > > I have been following the threads re: home visits, and > > > > have never heard of " oasis " as it is being used..Can > > > > someone share with me a link or 2 to familiarize me > > > > with it? > > > > Also, in regards to task sharing..I work in a combined > > > > maternity unit, LDR, NBN, and PP, so have a hard time > > > > envisioning a larger staff than ours!! One of the > > > > things I would focus on, however, if I had the > > > > opportunity to actually delegate would be > > > > 1) Teaching needs and documentation..a comprehensive > > > > review, every shift of patient needs, along with a > > > > periodic review of staff needs. > > > > 2) QA,(or PI or TQM, whatever it's called now!) with a > > > > focus on getting all the variance " reports " > > > > done,including establishing a peer-review NURSING > > > > system. > > > > Thanx and have a nice day! It's alot cooler now in > > > > Upstate NY, so much more getting accomplished on my > > > > days off!! > > > > > > > > > > > > __________________________________________________ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2003 Report Share Posted November 22, 2003 Hi, At 03:23 PM 11/22/2003 +0000, you wrote: >Hi all I have 2 questions, first of all what was the event that >happened that caused you to be tested for hepC was it just a rotine >Drs visit or were you sick or something that caused you to go to the >Dr. I think I acquired HCV while in the hospital last December, but that's a whole other story. The " official " version is that 6 months after my hospital stay, my doctor " suddenly discovered an old test " taken in December that revealed I had HCV. (By then, I had been on Lipitor for months, not the best situation.) I never once felt any of the symptoms normally associated with HCV, not then, not now. >second question after you were diagnosed with hepC did you start >noticing any particular pains or anything . for instance I had my >biopsy Tues. I didn't go to work wed. and thursday I was just >downright depressed I was depressed friday as well and my tolerance >for stupidity ( my supervisor ) was non existant I was snapping at >him etc. was really sad all day long. also this morning Sat. as has >happened many times before I was stretching my legs in bed and got >very painful cramps this happens a lot and I'm wondering does it >have anything to do with our sickness. I don't know about this one either. My biopsy really HURT and they didn't want to give me much for it, which is probably the best thing for my liver. But once I got home, the pain was gone--poof--all I felt was relief that something I dreaded was over with. In fact, once they let me sit up, I was pain-free. I wonder if your current feelings might have more to do with concern for your health and your future? I know that for probably a couple of weeks after my diagnosis, I kind of sat on the couch in a state of dazed depression. I'm not sure for how long, but I don't think I got out of my sweats and into street clothes for awhile. I know I personally had thoughts of, " it's all over, I'm done, stick a fork in me, woe is me " etc., etc. If you allow it to, it will pass, and you can begin taking some positive steps that might or might not include taking the treatment, or seeking alternative treatments--whatever you do, you should know that a lot of people are here to support you. These are terrific folks here on this list. (By the way, I'm not saying it's wrong to be depressed over what's happened--in a way, we're grieving for a way of life that is probably changed forever. Even so, it's probably best not to let that process drag on over-long. And it's better to know, than not to know. Think of it this way: life from here on can be what we make of it, so there's no point in wasting time on regrets. ) Jeanne ===--* My stars! http://www.icon.net/~jeanneg/ http://groups.yahoo.com/group/healingcircle2/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 22, 2003 Report Share Posted November 22, 2003 Thanks Jeanne Feeling a lot better since I got out of bed and showered Jud 1:24 Now to Him who is able to keep you from stumbling, and to make you stand in the presence of His glory blameless with great joy, Jud 1:25 to the only God our Savior, through Jesus Christ our Lord, be glory, majesty, dominion and authority, before all time and now and forever. Amen. D Ellison Quote Link to comment Share on other sites More sharing options...
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