Re: Typical day for a HH nurse...
I've worked in HH as a Staff Relief Nurse. I see patients when a nurse is sick or on vacation, or just when the office is booming... needless to say this is a fulltime job with all the benefits. About the OASIS... thank goodness we have Coders at our office who fill in the OASIS code stuff.. we tell them what we think is the primary diagnosis and so on, and they fill in the code #'s for us (thank God...we just dont have time for this). Also, when it comes to the insurance, Medicare, Medicaid stuff... do like I do... ask which OASIS to use. After 4 years of HH nursing, this gets my goat. Fortunately, I work at a company who has staff that calls the insurance co's and Medicaid so they can tell us how many visits we can make. I used to work for an agency that the HH nurse had to do all of this...I got burned out and quit. With my co. we have wonderful LPN's who have desk jobs to help out the RN's in the field. If we need to contact a doctor, we call the PCC (LPN), give them all our info on the pt, they contact the MD and get orders for us and let us know. This is great because we can make our call to the PCC, leave and go see another pt.....no waiting around on HOLD for an MD's nurse to run down the MD and get orders....our PCC's do that for us.... It is awesome and it saves us HH nurses so much time. I am spoiled. Since I don't have my own case load... I usually have no info on the pt except diagnosis and meds... the LPN's are up to speed with the pt's and really help me out quite a lot. I must say that I actually LIKE my job, and that's a first for me after 11 years of nursing.
About the OASIS... people make it out to be harder than it really is. Just read the question and go with what mostly fits the patient. If there is a gray area I usually pick the "most worse" answer and hope that on discharge or recert that the same question would show some improvement.
On a last note... with the OASIS, just do the best you can and if you have a good QA person, they will help you correct any mistakes... don't take offense at QA... they have taught me so much just by all the mistakes I've made on HH paperwork. Your QA person is a good resource along with your Clinical Supervisor.
Home Health is very rewarding and most patients are greatful for what you do for them.
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