'm in a BSN program and need to interview home health nurses. Here is the info I need from any and all of you: Types of clients you see. Coordination of patient care (who, how etc). The roles of other team members. How you handle patient education and document it.
i have been a nurse for over a decade, in home health for 5 yrs.
i see clients from ~13-104...payment source medicaid, medicare, private insurance, no fault, workers comp, indigent care.
we document all instruction...not documented=not done. wehave teaching guides for the major diagnoses, they are in need of updating. but they work ok..have a check off sheet in the back that the nurses and client/caregiver sign off, it goes in the chart upon discharge from agency. coordination of care in our agency is done by the case manager for the particular client, and also by the nurse on any particaulr day that something warrents a call to the md. physical therapy on occasion may call md if it is a pain control issue for example.
team members directly invomved in care of John Doe, a s/p hip replacement:
--case manager, always an RN
--other team nurse, lpn and rn that do visits
--physcial therapist (we contract out with our PTs...they are not direct employees of our agency.)
--HHA (home health aide) to assist with personal care first,then may assist with other things as time allows...
we also have
MSW (employees of our agency)
Occupational therapist(also contracted)
we have a home health aide coordinator who is repsonsible for scheduling th eHHA that are emeployed y our agency, adn for canvassing out for aide service from other agencies for clients of our agency.
we of course have clerical staff and supervisors also
we also have a PCA program through social services, it is for medicaid clients that are disabled (in one way or another) they get someone to come into help with erpsonal care, or errands, or cleaning. tehy are not maids, they are not to be used for like spring cleaning adn that typ eof thing....
we also have a home based hospice
and a long term home health care program...."nursing homes without walls" allows people to stay at home a little longer before needing to be placed....it is a joint program with dss...
hope i have helped rather than complicating things more...