Home health nursing Puns

Going for FNP. I’m currently a mother-baby nurse at busy, urban hospital that sees a good amount of high-risk cases. Not super happy being bedside, as our ratios kind of suck sometimes, and the pay isn’t what it should be. But I like the population I work with and my coworkers. I work your typical 3 12s. 70% days, 30% nights

My hospital organization has an OB/Peds home health gig with multiple openings. It would be Monday-Friday, 8-4 with no holidays and no nights. I’m considering a switch to that. However, I’m 95% done with my NP application(just waiting on a recommendation). If I do well in the interview and get admission to the program, I’m now wondering if a Monday-Friday job would make studying and doing clinical rotations harder. Also wondering if home health is valuable experience during NP school. Thoughts?

Not worried about pay or benefits, as those wouldn’t change/ would barely change. Just the schedule, and if the experience I’d be getting in home health would help with my FNP degree like being in a hospital would.

https://www.latimes.com/california/story/2021-08-05/california-healthcare-workers-vaccine-mandate

>In what officials characterized as the first requirement of its kind in the nation, California ordered Thursday that healthcare workers statewide must be fully vaccinated against COVID-19 come early fall.
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>The new mandate applies to employees in hospitals, skilled nursing facilities, clinics, doctor’s offices, hospice facilities, dialysis centers and most other healthcare settings, and stipulates that they complete their inoculation regimen by Sept. 30.
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>“As we continue to see an increase in cases and hospitalizations due to the Delta variant of COVID-19, it’s important that we protect the vulnerable patients in these settings,” Dr. Tomás Aragón, state public health officer and director of the California Department of Public Health, said in a statement. “Today’s action will also ensure that healthcare workers themselves are protected. Vaccines are how we end this pandemic.”
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>The state also ordered that hospitals, skilled nursing centers and intermediate care facilities must verify that visitors indoors are either fully vaccinated or have tested negative for the coronavirus within 72 hours of their arrival.

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>It was just last week that Gov. Gavin Newsom announced that California healthcare employees would soon either have to show proof of their vaccination status or be subjected to regular testing.
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>The new order largely removes the testing option and allows only limited religious or medical exemptions from the vaccine requirement.
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>Employees who are exempted would have to be tested regularly — twice a week if they work in acute or long-term care facilities and once a week in other healthcare settings.
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>Unvaccinated employees would also have to wear a surgical mask or respirator, such as an N95, while inside a facility.

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>Thursday’s announcement is the latest in a spate of decisions by public agencies and private employers [

URL: https://www.nytimes.com/2021/08/14/us/covid-vaccine-third-shot-booster.html (limited paywall -- relevant snippets below)

Biden Administration Plans for Vaccine Boosters, Perhaps by Fall: A policy has not been set. But nursing home residents and health care workers would most likely be first in line.

> [...] Biden administration officials are developing a plan to start offering coronavirus booster shots to some Americans as early as this fall even as researchers continue to hotly debate whether extra shots are needed [...]

> The first boosters are likely to go to nursing home residents and health care workers, followed by other older people who were near the front of the line when vaccinations began late last year. Officials envision giving people the same vaccine they originally received. They have discussed starting the effort in October but have not settled on a timetable.

> [...] there is no proof yet that the vaccines’ protection against severe disease and hospitalization is waning in the United States, administration officials say they cannot afford to put off figuring out the logistics of providing boosters to millions of people until that tipping point is reached. [...]

> [...]

> Among other indicators, officials say, the administration is carefully watching Israel, where some data suggests an uptick in severe disease among older adults who received the Pfizer-BioNTech vaccine early in that nation’s campaign, according to people who have reviewed it. [...]

> [...] the administration does not want to undermine public confidence in what have proved to be powerfully effective vaccines. Nor does it want to overvaccinate Americans when many other countries have yet to even begin vaccination campaigns in earnest, increasing the threat of dangerous new variants that could spread to the United States and evade the vaccines.

OP's note: In the past, Massachusetts has often modified the U.S. plan. Decisions at the national level may influence the State's plan, but the State may ultimately act differently.

As mentioned by u/KamadoJonathan in a different post I made, many people end up in nursing homes because of their lifestyle. We have to be accountable right now for how we treat our bodies (and therefore minds, never ever disconnect the two!).

[story redacted because a month later rereading it sorta makes me feel like an asshat. basically, living a blatantly unhealthy lifestyle and then expecting doctors to clean up your mess is unreasonable. it's obvious yes, but it's also so easy to lie to yourself, I'm guilty of it myself]

A doctor can't fix years of unchecked self abuse. And we all know damn well, neither can the inadequate care provided at a nursing home.

You have to be accountable for your own health. If you reject ending up in a nursing home or even mild assistance (I am assisting her on some level by cleaning up an assignment she can't physically clean up), you need to think about how you live your life now.

Here's 86 year old Appalachian homesteader Ruby Baker with some life wisdom, and even touches on nursing homes and people eating themselves to disability https://youtu.be/JEz8IXWOdi8

Yes it's a disorder that requires EMPATHY - I went to weight loss camp myself in high school which is its own can of worms. Don't think I'm out here to judge. I just believe anyone who doesn't think in terms of accountability needs a huge wakeup call.

This post isn't really about disordered eating as much as it is -- act as independently as you can WHILE you still can, and remember, for many health issues, doctors should be plan C.