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Typical day for a HH nurse...



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No. 200
Old Sep 30, 2008, 04:45 PM

Default Re: Typical day for a HH nurse...
OK, I am a retired OR nurse and am thinking about going back to work in the home health care field of nursing. It is something I have no training in, but I would think the personal contact would be so much more fulfilling than the OR field. Any opinions from a home health nurse? Thank you.
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No. 201
Old Sep 30, 2008, 04:58 PM

Default Re: Typical day for a HH nurse...
Hi, I am a retired OR nurse thinking about going back to nursing, only this time trying a new career in Homehealth care nursing. Any thoughts from all the nurses who have experience in the homehealth field?
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No. 202
Old Sep 30, 2008, 05:00 PM

Default Re: Typical day for a HH nurse...
Hi, I am a retired OR nurse who is thinking about gong back to work, only this time, in the home healthcare field. Any ideas from those who are experienced in this field? Thank you.
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No. 203
from quiskeya
Old Oct 02, 2008, 05:38 PM

Default Re: Typical day for a HH nurse...
Very good since I just got hired for HHC. I am an LPN and this would be my first HHC experience.
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No. 204
from Tazdoc1
Old Oct 14, 2008, 09:45 PM

Piggy Bank Re: Typical day for a HH nurse...
As a level I Practical Nursing student, I just wanted to say thank you to all of the wonderful HH Nurses who has contributed to this forum. Not only have you given me a deeper insight into the field that inspired my desire to become a Nurse in the first place, but you've also haphazardly helped me to complete my professional development essay on HH Nursing!! I can't believe this thread has been faithfully rolling on since 2003! It literally reads like a book that I just can't put down!! As a past/current client of HH Nursing (for my son), I say keep up the good work, keep striving forward - you are deeply appreciated!!

Eleven years ago my son was Dx w/Hema A severe. It was a HH Nurse that came into my home with gentle hands and enduring patience that taught me sterile technique and how to access a port-a-catheter to infuse a 1 1/2 yr. old child - my child; who taught me how to run an IV machine at home around the clock by myself when his line became infected; who was there for me when I just needed respite. When my son came home from the hospital at age 4 after recovering from a systemic fungal/bacterial infection from his port, it was a HH Nurse that taught me how to palpate and access a peripheral vein. And she didn't rush me or make me feel as though there was some impending deadline by which I had to learn the procedure. And even though my first stick was successful, she continued to stand be my side week to week until my confidence matched my success rate (for I thought it was always a fluke that I got in & didn't blow it).

It was all of the wonderful HomeCare Nurses that complimented me and told that I would make a good Nurse one day. They educated me, and uplifted me so high too the point that I had a most profound epiphany. And now I can't see myself as being anything else but a Nurse! My heart is giddy with anticipation of the day that I can offer expert care, kind words, and a gentle touch to an individual in need (and I don't CARE how mushy that sounds!).

Anyway, just wanted to say Thanks and PLEASE KEEP THIS FORUM GOING!!!
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No. 205
Old Dec 13, 2008, 08:12 AM

Default 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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1 Reader Gave Kudos
 
No. 206
from honeykrown
Old Feb 05, 2009, 07:51 PM

Default Re: Typical day for a HH nurse...
Worked home care right out of nursing school and i have been doing fro a year and half. I could say it has been kind to me so far. It has its best and worst days but i can say that the best days are more than the bad days. I dont do visiting care. I work for an agency and take care of just one patient. I do only one family and they are so nice. The best thing i can say that homecare has done for me is to improve my commnication skills which was at a low even after nursing schools. The nursing skills are not that much so i know i lost most of them
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No. 207
Old Jun 05, 2009, 07:02 AM

Default Re: Typical day for a HH nurse...
I am new to HH. I have been in the O.R. for over 25 years, and have decided to change the course of my life. Anyone know of any online teaching for newbies? I have been winging it for 2 weeks now, but am still still very uncomfortable in my skills. I have been thrown a few curve balls all ready, trying to do things that I have never done. I feel somewhat shaky on assesements. Haven't done admisssions yet, just visits. HELP please!
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No. 208
Old Aug 01, 2009, 08:54 PM

Default Re: Typical day for a HH nurse...
Wow...this has been helpful!!
I am considering moving from a Med-Surg floor (with almost 4 years experience) to HH. My fear is I am also working on my Masters with the intent to teach, and afraid of another change. But if I don't get off my floor soon I will scream!!!

I have been called for an interview, so I guess one foot in front of the other...

Any suggestions??
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No. 209
from msslim
Old Oct 07, 2009, 07:42 PM

Default Re: Typical day for a HH nurse...
Originally Posted by Kayekayrn45 View Post
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.
Gosh I would like to know what company you work for!!! Seriously if you don't mind telling
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