Calling all HH Nurses, roll call - page 15

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   Joella
    Hello, I'm new to the board.
    LVN of 34 years, last 14 years HH, currently QA/Coder. I review all Oasis and Diagnosis coding. Got too old for the field work, took night courses in medical coding and love it, every case is different and a great challenge to keep
    everyone in compliance.
    Joella
  2. by   Missboot
    Quote from Joella
    Hello, I'm new to the board.
    LVN of 34 years, last 14 years HH, currently QA/Coder. I review all Oasis and Diagnosis coding. Got too old for the field work, took night courses in medical coding and love it, every case is different and a great challenge to keep
    everyone in compliance.
    Joella
    Hello, I'm new here also. I was just moseying along looking for the correct way to assess pitting edema........(still no one seems to know, all the answers are prefaced with 'As far as I can remember...')
    Anyway, I stumbled on this site and it looks real interesting. I've been in HH for 2 years, 16 years before that as an OR nurse.
    Funny that I should read your first letter, Joella, as I'm VERY interested in coding also. (Got me a real bad back that won't be lasting long )

    Could you tell me about the course you took, how much, where, how long it took, etc? I was just talking to my husband about looking into that field.

    Thanks in advance for the info,
    Joanie aka Missboot
  3. by   Joella
    Quote from Missboot
    Hello, I'm new here also. I was just moseying along looking for the correct way to assess pitting edema........(still no one seems to know, all the answers are prefaced with 'As far as I can remember...')
    Anyway, I stumbled on this site and it looks real interesting. I've been in HH for 2 years, 16 years before that as an OR nurse.
    Funny that I should read your first letter, Joella, as I'm VERY interested in coding also. (Got me a real bad back that won't be lasting long )

    Could you tell me about the course you took, how much, where, how long it took, etc? I was just talking to my husband about looking into that field.

    Thanks in advance for the info,
    Joanie aka Missboot
    Hello Joanie;
    Be glad to;
    I took night courses at local junior college, ICD-9-CM coding it took about
    15weeks at 2xwk, then I took CPT coding (mostly for physician's offices), then
    I took medical insurance billing. But for Home Health you will only need the
    ICD-9-CM coding. Online is not the same, you need that experienced teacher
    taking you through it. I had been to several seminars and thought I knew how to code buy just looking up in the code book, wronge double wronge.
    Taking the college course I learned right off the bat I didn't know anything.
    Get enrolled now for fall classes, you will never regret it, it takes all your
    nursing skills and experiences. After you have your IDC-9-CM you can
    specialize in Home Health or Hospital Coding. Give me a fax number and
    I'll send my address to keep in touch, I'm going for Coding Credential Exam
    in two weeks, keep me in your prayers.
    Joella
  4. by   Joella
    Quote from Missboot
    Hello, I'm new here also. I was just moseying along looking for the correct way to assess pitting edema........(still no one seems to know, all the answers are prefaced with 'As far as I can remember...')
    Anyway, I stumbled on this site and it looks real interesting. I've been in HH for 2 years, 16 years before that as an OR nurse.
    Funny that I should read your first letter, Joella, as I'm VERY interested in coding also. (Got me a real bad back that won't be lasting long )

    Could you tell me about the course you took, how much, where, how long it took, etc? I was just talking to my husband about looking into that field.

    Thanks in advance for the info,
    Joanie aka Missboot
    I found the way to assess pitting edema today. Mosby's assessment guide.
    Press your thumb tip firmly for 5 seconds, then measure the depression as
    2mm=1+, 4MM=2+, 6mm=3+, and 8mm=4+.
    Joella
  5. by   Missboot
    Quote from Joella
    I found the way to assess pitting edema today. Mosby's assessment guide.
    Press your thumb tip firmly for 5 seconds, then measure the depression as
    2mm=1+, 4MM=2+, 6mm=3+, and 8mm=4+.
    Joella
    Joella: I just responded to your e mail...thanks for writing...then came here and found more good information!! Thank you Again!

    I finally did find the same info, but not the part about depressing the thumb for 5 seconds. I really appreciate that because I always feel unsure of myself if I don't have good concrete assessment tools that are measurable. I'm going to be pressing every foot and ankle I see for the next month just to get good experience!

    Joanie
  6. by   Joella
    Hello All,
    Joanie AKA Miss Boots and her family experienced Hurrican Charley today,
    please keep her, her family and all the victims in Florida in your prayers.
    Hopefully we will hear from Miss Boots very soon. Many nurses are working
    very hard tonight, our hearts are with them.
    Joella
  7. by   NRSKarenRN
    Wishing a warm welcome to all the new HH forum members.
  8. by   janetpiano
    I'm new to Home Health Care--this week on my first assignment through Pediatric HHC agency in the Philadelphia area---Have 29 years experience in Nursing--in Asthma office care, med-surg(long ago) OB, Skilled in Nursing Home, school nursing of medically fragile kids, residential mh/mr medically complex --nursing has been good to me,by and large, but the increasingly fast-paced running to accomplish more than is humanly possible(if you care about the quality of care as we were trained to be) has prompted my jump to home care doing shift work(8 hours at one home)...I'm very excited to find this forum at this moment in time, and would welcome any words of advice from the seasoned nurses in the field....thanks!!! j.
  9. by   Brita01
    Quote from janetpiano
    I'm new to Home Health Care--this week on my first assignment through Pediatric HHC agency in the Philadelphia area---Have 29 years experience in Nursing--in Asthma office care, med-surg(long ago) OB, Skilled in Nursing Home, school nursing of medically fragile kids, residential mh/mr medically complex --nursing has been good to me,by and large, but the increasingly fast-paced running to accomplish more than is humanly possible(if you care about the quality of care as we were trained to be) has prompted my jump to home care doing shift work(8 hours at one home)...I'm very excited to find this forum at this moment in time, and would welcome any words of advice from the seasoned nurses in the field....thanks!!! j.
    Welcome! I too left the busy floor 18 months ago to do this type of home care. My patient is the loveliest girl who wasn't supposed to see the age of 10. She just turned 19 this month! :hatparty: I'm sure you will find this work very rewarding and satisfying. Having enough time to give quality care is the best part of this job. Good luck to you.
  10. by   janetpiano
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    Quote from brita01
    welcome! i too left the busy floor 18 months ago to do this type of home care. my patient is the loveliest girl who wasn't supposed to see the age of 10. she just turned 19 this month! :hatparty: i'm sure you will find this work very rewarding and satisfying. having enough time to give quality care is the best part of this job. good luck to you.
    brita, thanks for your reply---the camaraderie of on-line sharing of experience to be found on this great website is terrific...one thing about hh nursing i was concerned about was a loss of interaction with other nurses during the shift---knowing there is cyber-connecting available here makes me glad! thanks again for taking the time to reply to this newby to hh!! j
  11. by   barefootlady
    Have just started doing home health. I am overwhelmed and don't that I am getting what I need to know to do the job. The nurse's I am working with are nice, concerned, and knowledgeable. I just feel lost. Any tips on how to do the best job for the clients who will be under my care?
  12. by   CardioTrans
    Have just started doing home health. I am overwhelmed and don't that I am getting what I need to know to do the job. The nurse's I am working with are nice, concerned, and knowledgeable. I just feel lost. Any tips on how to do the best job for the clients who will be under my care?
    __________________



    One of the most important things in home care is to be organized. You have to have good time management skills as well.

    When I was case managing I had a large 3 ring binder that I had all my patients info in. Face/demographic sheet, 485, calendar, and all updated orders. They were all in sheet protectors. As I saw the patients I would take out the info and make changes on the 485 in red (like med changes, exac of diagnosis etc) then when it came time for recert I could look at it and update everything. Make a new calendar and go from there.
    Arrange your day according to the skills that need to be done. I used to work in a circle distance wise. Sometimes I would go to the furtherest one away from the office and work my way back, or start closest to the office. Depending on what needed to be done, or what I had to do personally (like MD appt, things for the kids etc.)

    Hope this helps, and good luck to you.

    Welcome to all the others new to home care! Hope you love it as much as I do.
  13. by   Hairstylingnurse
      • Chello all, I just wanted to ask some of you private duty nurses what a typical day is like???? I'm currently in home health where I do 5-7 visists a day, and wonder how different private duty is. Does your day go really slow after most of your pt. care is done. Do you give the pt. bath and all other ADL's? Does a cna or pct come to the house,or is it just you all day long? Do u usually have a good relationship with the family? Do u assist OT,PT,ST, when they come visit the pt. How much paper work do u have? I hope for your sake it doesn't compare with home health. I love home health, but want to try as many different area's of nursing as I can. I'm a nurse of 3yrs( this is a second career). So could any of u tell me about your typical day, the pros & cons of private duty? I would be most greatful and let me say what a wonderful website this is. I just found it and haven't even been to any of my other nursing websites since I found this one. Thanx in advance:hatparty:

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