jeanneb1

Latest Activity

1. "visit" nurse ?

   jeanneb1 replied to RN@34's topic in Home Health

   It just means you're being interviewed for a field position, as opposed to an office position. It could also mean that you will be paid "per visit" as opposed to salaried or hourly. And, this usually means no benefits, but the per visit pay rate is...

2. Don't think I want this job anymore.

   jeanneb1 replied to Jo Dirt's topic in Home Health

   I wouldn't jump ship right now. The company took appropriate action at the appropriate time -- if they believed you weren't an asset, they would have "sweeped you out" with the others, I believe. Just my opinion, of course.....

3. How to document SN visit frequency

   jeanneb1 replied to TINKER968's topic in Home Health

   Wouldn't it be lovely if all state surveyors simply followed the Medicare guidelines and didn't lend their own interpretations to determine "findings"? Tinker, good luck on your survey -- We've been expecting ours since December........ running jus...

4. How to document SN visit frequency

   jeanneb1 replied to TINKER968's topic in Home Health

   A lot depends on your surveyors -- surveyors in Texas (San Antonio, anyway) instruct to use 0 as a "placeholder". Illogical to me, but I've had them insist that all weeks in the episode are included -- therefore, there are instances, (particularly a...

5. On Call?

   jeanneb1 replied to Jonesy's topic in Home Health

   I would be honest with your manager. Ask that when you are on call, an experienced staff member be also assigned to work that weekend; and if the clinical director will be available to field questions, offer advice, etc., after hours/weekends. If y...

6. Home Health Fiasco!

   jeanneb1 replied to DutchgirlRN's topic in Home Health

   OK, I've looked at this for days now, and can't believe no one has taken the bait. So, I will....... I cannot conceive of any reason on God's Green Earth that a person or entity would name their hospice "Alive Hospice". Yes, a tad tacky, to my way ...

7. What do I negotiate?

   jeanneb1 replied to loricatus's topic in Home Health

   $22 flat fee per visit, without mileage, and not paid until 6 - 8 weeks after the visit is a joke, in my opinion. Good that you had sense enough to say "no, thank you"! I hope your hospital position works out well for you. I don't hire anyone without...

8. What do I negotiate?

   jeanneb1 replied to loricatus's topic in Home Health

   So, Loricatus, how'd the interview go? They were probably "salivating" because there have been lots of "bad" agencies around, teaching nurses/other staff "incorrectly". They're glad to get someone "green" that they can teach correctly, not having t...

9. Need Help With Care Plans

   jeanneb1 replied to amesly15's topic in Home Health

   Hi, Fellow Home Health Folks. The 485 is the plan of care, and I've always used as the careplan. How you track what's been taught is by placing a teaching log in the home folder -- as a med/procedure/etc. is taught, it is documented on the log, so ...

10. I lost my HHA job already

    jeanneb1 replied to following_faith's topic in Home Health

    Your agency management was derelict.... at minimum, the patient's physician should have been contacted and an MSW consult should have been ordered........and, based on what you have reported, an APS (Adult Protective Services) report should, in all p...