Calling all HH Nurses, roll call - page 40

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   RyanSofie
    One does not need to travel to South Africa to see children suffering in dire poverty and from neglect. I am a school nurse here in the USA who has seen children come to school im sub zero weather without coats or warm clothing. I have seen a child come to school so dirty and smelling so badly one could not get near him. He had to be showered and clean clothes given to him from the school closet ( donations made by teachers and administrators keep a limited supply of needed clothing/coats/shoes etc for these situations). Referrals are often made to help families struggling and in cases of neglect CPS contacted. We as a nation need to first look around us and help our children. There are millions right here who go to bed on Sat and Sun having had no food the entire weekend but who are fed breakfast and lunch Mondays at school.
  2. by   Diane L RN
    My first time in this forum! I'm a registered nurse currently Director of Operations for a proprietary home health care agency. As a working nurse with 34+ years, my focus is to provide support to all our agency nursing personnel! I'll always remember my early days in nursing, including the hospital, and the lack of true caring from our senior management. Now that I am in charge of our agency, the most important thing to me, is the welfare and professional satisfaction of the staff! I think I'm going to enjoy this site!

    My best,
    Diane L
  3. by   Diane L RN
    Our agency uses a specifically "nurse-intuitive" point of care laptop computer system. Although the nurses were pretty intimidated at first, even the more mature nursing staff, not so "computer-savvy" caught on quickly. Documentation is key to success, and our nurses literally form the basis for our home agency business. Our system uses specific teaching tools and check off boxes to streamline OASIS data gathering. I believe, since we left the paper behind, the documentation has improved dramatically! We all try to help each other out, but the government mandates the amount of data required. OASIS-C begins 2010~
  4. by   Diane L RN
    Hello! Sounds very ambitious and dedicated! Home health care is unique in the sense that you are providing direct care within the environment, and as a nurse, it is possible to assist clients to make important life style changes, achieve and maintain ability to manage diseases, but most importantly, allow a client to STAY HOME for care! Like old school public health nursing, home care is really the way of the future! As a nurse with previous experience in an institutional-based practice, nurses can be a lot more autonomous. It's really 1:1 nursing, and, although not for everyone, home care can provide immense satisfaction as patients recover - or, have their needs maintained in their homes! Good luck!

    My best,
    Diane L RN
  5. by   lamazeteacher
    Quote from Diane L RN
    My first time in this forum! I'm a registered nurse currently Director of Operations for a proprietary home health care agency. As a working nurse with 34+ years, my focus is to provide support to all our agency nursing personnel! I'll always remember my early days in nursing, including the hospital, and the lack of true caring from our senior management. Now that I am in charge of our agency, the most important thing to me, is the welfare and professional satisfaction of the staff! I think I'm going to enjoy this site!

    My best,
    Diane L
    Keep that focus, Diane!
  6. by   RyanSofie
    I willl be attending an inservice realllllly soon about Oasis C. The duplicity in documentation is what makes it so difficult. The agency I work with does not use a laptop software program for Oasis. I would venture a guess that with the healthcare reform happening in Washington the paper trail is going to increase with Oasis/Medicare and other insurance requirements.
  7. by   LuLu2008
    Quote from RyanSofie
    I willl be attending an inservice realllllly soon about Oasis C. The duplicity in documentation is what makes it so difficult. The agency I work with does not use a laptop software program for Oasis. I would venture a guess that with the healthcare reform happening in Washington the paper trail is going to increase with Oasis/Medicare and other insurance requirements.
    What do you mean by duplicity?
  8. by   RyanSofie
    Uhhhhhhh...Wrong word...My meaning is double or more documentation of the same facts. Sorry...Need to go back to third grade and learn definitions of words...My brain said "double" sooooooooorrrrrrrrry....Of course any nurse understands repetition....documenting the same on reams of forms... (?sp) Tired nurse here....lolol
  9. by   lamazeteacher
    Quote from RyanSofie
    I willl be attending an inservice realllllly soon about Oasis C. The duplicity in documentation is what makes it so difficult. The agency I work with does not use a laptop software program for Oasis. I would venture a guess that with the healthcare reform happening in Washington the paper trail is going to increase with Oasis/Medicare and other insurance requirements.
    The appropriateness of all "paper" work will need another look, with an "eye" to the use of information provided, I believe.
  10. by   RyanSofie
    I am a peds home care nurse for high risk children and I love it. I have witnessed many children who surpass all expectations. I enjoy supporting the parents in caring for their child . Children are so resilient and amazing. I believe skilled nurses are in need for these kids , that you have so much to contribute towards giving the child and parents a future. It is wonderful to see them thriving in their own enviornment. If I worked inpatient acute I would be depressed too.
  11. by   lamazeteacher
    Quote from RyanSofie
    I am a peds home care nurse for high risk children and I love it. I have witnessed many children who surpass all expectations. I enjoy supporting the parents in caring for their child . Children are so resilient and amazing. I believe skilled nurses are in need for these kids , that you have so much to contribute towards giving the child and parents a future. It is wonderful to see them thriving in their own enviornment. If I worked inpatient acute I would be depressed too.
    Have you found, as I did about 10 years ago when I did home visits for disabled children, that their older siblings were involved in their care, conscientious about coming right home after school, therefore not as likely to get mixed up in the gang scene or take drugs? :wink2:
  12. by   RyanSofie
    I do private duty high tech for infants/toddlers that are recent discharges for issues such as renal transplant/SVT etc. I did private duty last summer for an autistic child and that was an experience I had not yet had. He had a tracheostomy and tube feeds which was not challenging but the behaviors were quite a challenge. He had a sibling who experienced separate emotional issues due to having a brother with autism and requiring so much of parents attention. In home health we can involve the whole family in our care and help them develop coping skills needed for care givers/siblings.It is a challenge but one that can reap benefits when we witness the quality of life improve for client and family. HH is rewarding in that aspect despite paperwork and hours on the road.
  13. by   MBARN
    Quote from RyanSofie
    I am a peds home care nurse for high risk children and I love it. I have witnessed many children who surpass all expectations. I enjoy supporting the parents in caring for their child . Children are so resilient and amazing. I believe skilled nurses are in need for these kids , that you have so much to contribute towards giving the child and parents a future. It is wonderful to see them thriving in their own enviornment. If I worked inpatient acute I would be depressed too.
    Thank you so much ryan for your words of encouragement, I orient next week, I will let you know how it goes!

close