[lamazeteacher]

Originally Posted by vicky1964

Well I have been doing Home Health for 6 years here in Texas . I will tell you the paper work kills me , comming up with the teachings is hard.I work for a small company as the only feild LVN and I may see 8 - 11 people a day, so if you find out a better way for the paper work let me know , Thanks Vicky

Do LVNs in Texas do OASIS forms? They're the worst. There is software to help with them, but the HH agencies I've worked at, say that it's unaffordable.

[NRSKarenRN]

Originally Posted by lamazeteacher

Do LVNs in Texas do OASIS forms? They're the worst. There is software to help with them, but the HH agencies I've worked at, say that it's unaffordable.

Federal Medicare and state medicaid regulations permit only RN's to perform OASIS assessments.

[tricia0424]

hi! I need advice. For almost 2 months I'm working in a government hospital as an OR Nurse, also my part time job is Home Health. I'm planning to give my work as an OR nurse and just be full time Homehealth nurse. Is that a good decision?? please advice..what are the advantages and disadvantages of working as a full time homehealth?

Tricia

[lamazeteacher]

Originally Posted by NRSKarenRN

Federal Medicare and state medicaid regulations permit only RN's to perform OASIS assessments.

That's what I thought, but the LPN in Texas wrote that she is swamped with paperwork, and I don't think regular charting of her services given are that copious, compared to that RNs have to do.......

[iluvivt]

I work 3 days in the hospital and 2-3 days doing home health. They are so different and I love them both. I find that i get more attached to my home care pts...and often since I am often doing long infusions I get to really do a good assessment and some fun teaching, It is sometimes shocking to see the gaps in our health care system.

[lamazeteacher]

Originally Posted by iluvivt

I work 3 days in the hospital and 2-3 days doing home health. They are so different and I love them both. I find that i get more attached to my home care pts...and often since I am often doing long infusions I get to really do a good assessment and some fun teaching, It is sometimes shocking to see the gaps in our health care system.

As large as the gap you see in insured/government funded patients, can you imagine what happens to those who have no coverage? Anyone who owns property (including one's own home, which is preserved in bankruptcies), a car, money in a savings account (I forget how much), or earns more than a skimpy amount at poverty level (long outdated by the rise in consumer and business costs) is not eligible for hospitalization or HH care. Whatever happened to "coop" food markets?

When the collection companies and banks dispoense of their assets, those folks are homeless (eligible for assistance and government subsidized healthcare). But they are essentially homeless and hapless as the waiting lists for government housing, are usually endless, and as they wait their diseases become much worse.

They may not know where free clinics are, or are too stubborn/proud to attend them. Their mental health and immunity erodes, until they die a preventable death, given the earlier diagnosis they had; and far earlier in life than others of their ilk, without the pain relief street savvy drug addicts may have.

We must elect officials who are dedicated to the provision of healthcare to all!! The most cost effective, being "single payer" programs, subtracting high cost insurance companies from the scene.

[lamazeteacher]

Originally Posted by tricia0424

hi! I need advice. For almost 2 months I'm working in a government hospital as an OR Nurse, also my part time job is Home Health. I'm planning to give my work as an OR nurse and just be full time Homehealth nurse. Is that a good decision?? please advice..what are the advantages and disadvantages of working as a full time homehealth?

Tricia

I have worked part time for several HH agencies at the same time, and also in hospital. It's exhausting to switch roles and charting regulations of each place. I understand why you'd want to simplify your professional life.

However, in the 20+ years that I've done that, HH agencies have far more unbenefited work for those willing/able to do it. Since I am divorced, I depend on my own healthcare insurance coverage. If you are married to someone who prvides that, HH full time could work, as long as your marriage does. You may have to work for different agencies at the same time to maintain the income you've had, which may be necessary to maintain......... raises are less reliable when you're "per diem", so keep that in mind. (I remember working from 8 AM to 9PM, and trying to get as many cases as I could, to keep my income up).

Best of luck............

[boozenurse]

Just found this site and I am very excited!!! Now when I have questions or needs ya'll may be able to help me. I have been in HH for 1 year now. Its my part-time job. Full time job is Hospice. Prior to that I worked med-surg for 5 yrs. If I want to ask a question, pls refresh my memory, how do I do that?

[annaedRN]

Hello and welcome! To ask a question, just click on the new thread button near the top of whatever forum you would like to post in (of course, my favorite would be HH nursing ) and ask away. It's just about the same as replying to a question. Of course, coming up with a catchy title/subject may help you get people's interest, but I think most of the regulars read all the new posts..especially in their particular specialty

[vicky1964]

I have been working in Home Health for 6 years In Texas , I love it, I love everything about it, Its very rewarding. The freedom is great and the money is even better.