What is a CBA Nurse?

[Hellllllo Nurse, BSN, RN]

I saw an ad in the paper asking for a CBA nurse. I know it has something to do with home health, but what is it?

[RosesrReder, BSN, MSN, RN]

I've never heard of it. Could it have been a typo since the B and N are next to each other?

[Daytonite, BSN, RN]

CBA just doesn't ring a bell. I thought maybe the "C" stood for certified. But certified at what?

[NRSKarenRN, BSN, RN]

cba nurse ???? not a routinely used homecare abbreviation in philly area

googled term, found this:

cm-cba-hb, section 4100, item 4122.1, role of the cba nurse with ...

role of the cba nurse with the tpr nurse when a home and community support services (hcss) registered nurse (rn) and an rn from a third party resource (tpr) ...

www.dads.state.tx.us/handbooks/ cm-cba-hb/4000/4122.1.htm

cba = community based agency,

provide care for individuals in the community: own home, group home, domicile care home rather than hospital or long term care setting.

services for elderly and disabled over age 18 can be considered:

a. acute-for acute /episodic illness:

skilled needs (sn, pt,ot, st and home health aide) provided under primary insurance medicare/medicare managed care/ medicaid, commercuial insurance.

b. custodial or non skilled:

services are provided at home in lieu of nursing home placement to maintain elderly and disabled persons with stable health problems. care paid for by state medical assistance programs/federal funding and usually managed by area agency for aging (aaa) program.

care often provided is home health aide/personal care assistant (personal care), homemaker (meals, light housekeeping) and companion services. if patient unable to get to physician monthly nursing assessment re med compliance, home safety, disease management may be provided. physical therapy often makes an initial safety eval re need bathroom equipment: tub chair, safety rails, adaptive equipment needs. other ot/st/nutrition can be provided for evals --therapy is usually only 1 or 2 visits.

pa programs include:

options

pda waiver

as a community based agency, my homecare agency provides the monthly sn and pt evals as part of our contract with philadelphia corporation on aging .

i'm assuming the cba nurse functions similar to what i've done in the past.

a. supervise non skilled staff: make q 2week or monthly visit (depending on contract) to see if hha/pca/homemaker following plan of care or need update care plan, any patient care issues, inservice staff

b. monthly sn visit: assess systems, vital signs, eval med compliance (check med refills, med side effects), eval home safety, check if food in home, is aide coming routinely, any new health issues, care giver assistance, coping, link to home visit doctor if truely home bound etc.

if patient develops acute illness, we place custodial nursing services on hold, and provide care under primary insurance till acute illness resolved.

very rewarding job that i loved and miss--- lots of paperwork with minimal bending and pulling compared to hospital nursing.

check it out!

area agencies on aging (national)

[see2mee]

I'm not a regular poster here (although I read the boards almost every day), but I thought I'd add my thoughts on this.

Is there such a thing as a cost-benefit analysis nurse? I have a great medical abbreviations book from my former days as a medical transcriptionist, and "cost-benefit analysis" is listed as one definition for the abbreviation CBA.

Just a thought. :)

Catherine

[Hellllllo Nurse, BSN, RN]

NRSKarenRN,

I think you are right- Community Based Agency.

It is an agency, lots of CNAs and "Home Care Providers".

I filled out an ap, the director seemed nice and asked me to come back for an interview on Wed.

What kind of things should I ask her?

So, the job entails lots of driving and home visits?

Do these jobs usually pay mileage?

I've also just been offered a travel contract (killer and and good completion bonus) PLUS I applied online for a job at a GI clinic and they called me today.

It's been a real job famine around here, and now 3 opportunities all at once.

I'm not sure what to do!

[Hellllllo Nurse, BSN, RN]

I interviewed for the job today, terrible pay, no bennies.

Salaried position, 50 hrs per week "typical". Pay is $3200./mo. That works out to $16. per hr, max.

No benefits whatsoever. Very rural areas, my territory would be the entire Texas Panhandle. Mileage pay is 0.35/mi.

Call is for 1 wk per mo,16 hrs per day, per RN. Call pay is $150. for the week.

PTO accrual- 1.5 hrs a month. So, after a year, RNs will have earned 2.5 days of PTO.

The position entails involvment in the hiring/firing/orientaion and inservicing of HHAs, and doing all quarterly reports/summaries on all pts, OASIS charting is used- all care is strictly unskilled- The agency does not provide wound care, IV infusion, or anything like that. All pts are Medicaide or pp. No Medicare.

Texas law has just changed to permit LVNs to do the monthly assessments/summaries.

I'm sure I will be offered the position, but I'm not going to take it.

Typical job offer for this area.

[Kelly_the_Great]

Hellllllo Nurse,

I am so sorry, that's a really crummy deal!

[Trish222]

CBA is Community Based Alternatives nurse. We try to keep the clients / patients in their homes instead of a nursing home. It is a program which gives them a little help in the home to keep them saferand allow them as much freedom and independance as possible. EX: attendents are assigned to them if allowed by the insurance company to help with the ADL's. Attendants can accompany them to MD appointments, do laundry, go shopping for them. Well you get the idea. The CBA program helps supply things such as briefs, ramps for W/C's, helps if they can not navigate in the home safely due to small doorways. It allows small altercations in home to keep them safe and at home. As a nurse, you may prefill medi planners, draw bloodwork, do PT/INR's etc. :redpinkhe