I used to have the link to my web site in my signature, sorry about that.
Here it is www.geocities.com/vnarn_nj
Hope you find some useful info there. Anything else you need to know, you can ask here! We are a helpful and pretty active bunch in this forum!! I have gotten excellent help here from everyone.
Misskeke, with 5 years of m/s expereince, you will be FINE!! All you will need to figure out is the paperwork, and you will just be totally overwhelmed by it in the beginning, so expect that. I suggest when you start in the new job, you ask someone to explain each form used on a new admit, and track the process the forms go through in the agency, so you know what copy goes to where and WHY. Knowing the WHY of the paperwork helps you get the right form filled out for the right thing the first time, and prevents duplication. Be prepared, there is a lot of duplication in the paperwork, and after you get things figured out, if you have a suggestion to make it easier, believe me, I am sure your employer would love to hear about it. My agency always asks for our input about fine-tuning the paperwork. As far as the pt care....you will love it! Try to remember to think, and even ask your pt's, what do they expect to get out of home care? Know where you are going with the cases. Stay focused, and ask your peers how they manage certain problems. I learned a lot from the other nurses, and I still learn from them!
sf5391, you will also be fine!! You already know the P&P of your agency, the notes, how to document to stay in compliance. All you need to learn is to schedule and case manage. You're already halway there! For you it will be easy. And don't panic, every once in a while we all forget to put a pt who needs labs in the schedule. Don't BS about it, call the doc, admit it, and get the visit in asap.
ONe very wonderful little thing I got was a tiny yearly planner. When you open the pages, you can view a week at a time with a few lines in each day to write on. There are also monthly calenders in the front. On the inside covers and first few pages, I write all my most used numbers for DME co's. meals on wheels, pharmacies, quest mobile labs, etc... ON the days, I write stuff like "WHOEVER: Visit before 9am " or OTHER PT: MD appt, see next day Or "BEET BOOP: Needs HHA Sup" so I don't forget important stuff. That way when I am in the pt's home, yes, I can note that in the chart, but when I am doing my schedule, I can't pull out every single chart to remember this stuff, so I have my tiny planner, and I mean this thing is the size of a credit card. I picked it up at Walmart in the stationary section. I love this thing. I also wrote down the numbers for the guard stations at the senior buildings I go to in the city, in case a pt doesn't have a phone, I can call the guard and see if they know if they are home, if I don't have another visit there that day, otherwise I have to make a trip for nothing if the pt isn't home.
One thing we are trying to do at my agency is to eliminate as many lab draws as possible. For our non-homebound medicaid pt's, we make them go to the lab. For our homebound Care and MC co's, we use Quest Miobile Phlebotomy and LabCorp. Yes, they both have mobile services, so why waste your time and gas going to labs? The only ones I am kind of stuck on is my homebound chronic Medicaid pt's, I still have to find out if they will accept that for the mobile labs. For now, those are the only pt's I see, but I plan to have them get done by mobile labs asap too. I will do any labs ordered on initial referral, but the routine PT/INR's, forget that!!! So many docs abuse us by referring those pt's just so they can get labs, when there isn't really a skilled need, it's not worth my wasting my time, or agency resources.
Keep posting guys!!