I need to vent!! :

LOL! I once had a pt who sat two feet in front of her TV when TPIR was on with a pen and notepad, she wrote down the prices of everything on the show! You could forget getting a visit accomplished when Bob Barker was on.

The week that Guiding Light went off the air was a doozey. That's all I'm saying.

There is the issue of Homebound status,even if your agency wantsto make the patients happy. As A Florida Home Health nurse has your agency mentioned the new cap starting 1-1-2010 on diabetic payments? It is in response to the Miami -Dade area fraud and sensus problems. Home Health nurse incomes are going to be affected by maybe 50%. I don't live in Florida ,but this new rule that was finalized a couple days ago is across the board and theagenciesI work with are preparing the nurses now. Sometimes our agencies don't always look out for us so just make sure you are looking out for you with your documentation of homebound status. Cms is going to be looking at how many referrals Doctors are giving and the nurses schedule as well.

i enncounter the same issues. i get the response.."i am eating breakfast right now, can you come later?" Then later, its "im eating lunch right now, blah blah". The there are those who totally demand that you schedule yourself around a family member who works and wants to be there when you are, but they wont be home from work until around 6 pm. i have found myself getting firm with them. i had to because i wasnt getting home until 7 or 8 pm and then doing paperwork until 11. but honestly, if they can go to the movies and deny your visit, then they need to be discharged. they are not homebound. they have all week to do things like go to the movies. they need to be home when you are scheduled to be there. just my opinion.