spitfire93

Latest Activity

1. Pediatric patients...parents are KILLING me!

   spitfire93 replied to lovelane78's topic in Private Duty

   Sorry to hear about your *** position. I was a manager at a home health care agency and found some of the parents had attitude. I am now with a pediatric patient that I have been with since she was discharged at 5 months old and the family is wonderf...

2. No 485, just discharge orders?

   spitfire93 replied to James613's topic in Private Duty

   James, you need to compile a 485 and have the pcp sign it, these are your orders you have initiated from the discharge orders and your assessment of the client.

3. Independent private duty nurse New Hampshire

   spitfire93 replied to Ruth Hynes's topic in Private Duty

   The people at the state department of human services can help you, Apply for a NPI number and send an email to the folks that cover PDN services. They can walk you through the steps and help with billing and coding questions.

4. ICU to Home Dialysis, eek!

   spitfire93 replied to snorabora's topic in Urology

   At Fresenius, they are training patients to complete hemo or peritoneal dialysis to be completed at their home by the patient after training in a Fresenius clinic by a nurse. The hemo patient needs to have another adult in the home that is also train...

5. Does your agency still use paper charting?

   spitfire93 replied to Crystal-Wings's topic in Private Duty

   Yes, I live in Maine and most of the agencies here use paper charts in the home. There are 100 or more nurses and perdeims that would need a computer, I just dont see that as being affordable for the agencies. My charting is one sided duplicate and o...

6. Private duty nursing-travel position

   spitfire93 replied to spitfire93's topic in Travel

   Thank you Ned. I do have a NPI number. I will contact a few of the larger travel companies and if I do not have any leads will contact local agencies. I am currently working for Maxim Healthcare and they do have a travel component to their company, j...

7. Private duty nursing-travel position

   spitfire93 posted a topic in Travel

   Has anyone here taken a position a PDN travel assignment. I work currently for a few agencies with children that have a skilled need such as a vent, g tube, seizure disorder, in their homes and schools. I typically staff 12 hours either day or nights...

8. ICU to Home Dialysis, eek!

   spitfire93 replied to snorabora's topic in Urology

   Hi, I have recently started as a home therapies nurse. It is basically an office position with lots of teaching and follow up with clients. We teach hemo or peritoneal dialysis over a course of about 5 weeks or so depending on the client and their su...

9. Pediatric patients...parents are KILLING me!

   spitfire93 replied to lovelane78's topic in Private Duty

   I am a nurse manager for a PDN agency, we are there to provide skilled nursing care in the home or school. Most of our clients are pediatric and are on medicaid because most insurances do not cover PDN service. A few have private insurance that cover...