Calling all HH Nurses, roll call - page 30

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   AnnemRN
    Quote from Josie1010
    I live in a pretty rural area so it is kind of a hassle. Does the DME company you work with bill Medicare for the patient or does your agency?


    Thanks again!
    The DME company bills Medicare(or other insurances), it should not be you or your agencies responsibility after sending the DME company the doctors order. The only responsibility you have is to make sure the equipment gets to the home and is in working order.
  2. by   jnette
    Quote from AnnemRN
    The DME company bills Medicare(or other insurances), it should not be you or your agencies responsibility after sending the DME company the doctors order. The only responsibility you have is to make sure the equipment gets to the home and is in working order.
    That's exactly how we do it aslo. Fax or call doc for order, have him/her fax it to DME co.

    DME does the rest.
  3. by   ragtopnurse
    Like AnnemRN said, we have a couple of DME companies in our town and we aren't in a large city. We fax the order to the DME company along with Medicare or Ins # , demographics,etc and they handle the rest. They bill Medicare and handle all the paperwork. They even deliver IV meds such as Vanc to the home. Of course some are better than others so it is great when you can establish a good relationship with one and use that one whenever possible.
  4. by   jnette
    Quote from ragtopnurse
    Like AnnemRN said, we have a couple of DME companies in our town and we aren't in a large city. We fax the order to the DME company along with Medicare or Ins # , demographics,etc and they handle the rest. They bill Medicare and handle all the paperwork. They even deliver IV meds such as Vanc to the home. Of course some are better than others so it is great when you can establish a good relationship with one and use that one whenever possible.

    Yep... ditto the above. That's just how it is here with my agency and DME compaines. Exactly as above.
  5. by   annaedRN
    Hi. Thought I'd formally say hi and introduce myself...though I have posted a few times already. I have been in HH since 2001. First as an LPN doing private duty/shift work. Now as an RN with VNA doing visits. I absolutely love it! Though it has it's cons and bad days...I feel that it's pros FAR out weigh them!
  6. by   indbletrble
    Hi all........I am pleased to see other home care nurses posting here. I have been in home care for a little over 17 years now and have watched it evolve tremendously during that time. When I graduated from nursing school 27 years ago I had proclaimed I was going to be the next Florence Nightengale! I never dreamed that nursing would turn into a business, but with the onset of PPS seven years ago.....and now the refinement of 2008 to look forward to, that is exactly what it has done.

    The patients we see today as compared to 17 years ago are much sicker. The elderly want to remain in their homes. Too often the spouse is trying to take care of a sick mate, only to be in almost as bad of shape as the patient....or worse. Home health care is the place to be.....however, there is such a shortage of nurses, it concerns me that too many of this older population will find themselves without the help they need.

    What creative ways can we lure others in our field to the home care realm? I would welcome any suggestions.
  7. by   gelia
    Hi
    Been a while since I've posted anything but here goes. I'd love to have some ideas to interest people in home health too. I've only been in it for 20 years so apparently I love it. We've had some nurses come and go pretty rapidly lately. seems as though when they applied, they thought it was an easy job. They didn't realize just how much autonomy you have when you're out in the community without someone around the corner to ask an opinion of. But to me that is the selling point, I enjoy the challenge of confronting a problem and helping the patient/caregiver find the solution. I really like the ability to go into our patient's homes and not only take care of the person I'm there to see, but also help the caregiver to understand how to provide the care they should as well as take care of themselves. Anyway, I ramble so I'll stop now. Just wanted to say there are lots of good things about home health and a lot of challenges, if you like that sort of thing.
    Gelia
  8. by   kc319
    Hello everyone! I have been in HH for about 7 years. I can honestly say that a team of wild horses could NOT put me back inside a hospital realm to work. I know a lot of hospital based nurses think HH is an easy job, and we "really don't work for a living" but when some of them have tried it, they quickly go running back to the hospital. I love teaching the pts & their families one on one and seeing the pts get better in the comfort of their own home. And yes the OASIS is horrible! But the pros far outweigh the cons. Long live HH!
  9. by   GYPSY1349
    Quote from kc319
    hello everyone! i have been in hh for about 7 years. i can honestly say that a team of wild horses could not put me back inside a hospital realm to work. i know a lot of hospital based nurses think hh is an easy job, and we "really don't work for a living" but when some of them have tried it, they quickly go running back to the hospital. i love teaching the pts & their families one on one and seeing the pts get better in the comfort of their own home. and yes the oasis is horrible! but the pros far outweigh the cons. long live hh!
    [font="comic sans ms"]amen to that!! it's funny, but i was just coming home a while ago from seeing my last patient for the day, a patient who has had 2 cardiac surgeries over the past month, and was in the hospital over 35 days...i am baffled by the lack of teaching this patient got, and the condition of her wounds when she got home...thank goodness she will now have the one on one care she will need to finally recover...

    the oasis forms is just part of the package...the work itself, priceless!:redpinkhe
  10. by   BlueRidgeHomeRN
    Nothing better than Home Care and Hospice, even on the bad weather days when even the postman stays home! Have been in this line of nursing for 10 years off and on, now am Clinical Director for a small agency. Biggest problem is finding qualified staff, or even staff that want to learn Home Care. Seems to be a recurring theme!!
  11. by   jnette
    Quote from BlueRidgeHomeRN
    Nothing better than Home Care and Hospice, even on the bad weather days when even the postman stays home! Have been in this line of nursing for 10 years off and on, now am Clinical Director for a small agency. Biggest problem is finding qualified staff, or even staff that want to learn Home Care. Seems to be a recurring theme!!
    Woohooo ! Welcome BRHomeRN.

    I see you're in my neck of the woods, too !

    Enjoy your stay here at Allnurses.. make yourself at home.. you'll be an Allnurses Addict before you know it ! :typing
  12. by   BlueRidgeHomeRN
    Thanks for the welcome. I'm on the Central VA side of the mountains--shout out to anyone interested in info on a small, nurse run agency!! I'll be back to pick everyone's brain, as i'm new to being a Clinical Director and have lots of questions!
    :icon_hug:
  13. by   bsrn0523
    hi everyone! i have been in home health on and off for 10 years now, nine of those as a lpn. previously, i worked in both a hospital and ltc, but i have always had a soft spot for home health. now as a rn, i do two private duty peds high tech shifts a week, plus several wound care visits. i expect to begin iv therapy within the next month. hh has been wonderful in that it has given me the flexibility to be with my family while at the same time getting to spend quality time with my patients. i truly feel blessed :d

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