mommazac

Latest Activity

1. Use of an Oxymetor

   mommazac replied to Mazzi's topic in Hospice

   It is a Medicare regulation to have a physician order for an O2 sat, at least in the CHHA, the agency I worked for underwent a Medicare survey and were cited for performing O2 sats on pts without an order. You must also have parameters requiring MD ...

2. How many pts do you care for?

   mommazac replied to FrankieJane's topic in Hospice

   Our agency made the decision last year to incorporate CHHA and Hospice case loads. Unfortunately the productivity expectations remain 5 patients per day. The average case load is 27 patients, of which 2-4 are hospice patients per nurse. Unfortunat...

3. Managing my time :-(

   mommazac replied to weetziebat's topic in Hospice

   My agency has just gone to a computer system, I find that getting as much information as possible on the computer at visit time is useful, however, I do find it difficult at times, especially on admission when trying to get to know the patiet and fam...

4. OASIS in home care

   mommazac replied to susannyc's topic in Home Health

   I would agree that the best way to answer the OASIS questions is thru your observation and assessment, one needs to observe the patient in their environment and answer the ADL questions appropriately, without these observations a correct answer is im...

5. in crisis mode...

   mommazac replied to tennesseeRN's topic in Home Health

   At our agency our productivity for RN's is 5 patients per day, LPN's is 6. Caseloads vary from 25 to 50, some of our part time nurses pair up and co case manage a larger case load. Unfortunately, our agency productivity is at 4.9, with some of the ...

6. Haunted

   mommazac replied to saribeth's topic in Hospice

   Sounds like she was in flash pulmonary edema, suctioning would not have helped. You did the right thing getting a Roxinal and Levsin order. Seeing to her comfort and providing her with the care you did was all you could do.

7. How to handle this?

   mommazac replied to newflgrad's topic in Home Health

   In order to fulfill your responsibilities, it doesn't matter if the parents have heard the smoking lecture multilple times, reinstruct, provide supportive evidence of the danger of second hand smoke for healthy individuals, as well as the negative ef...

8. Admission Assesment RN for a Nursing Agency

   mommazac replied to FreshRN05's topic in Home Health

   At our agency we pay a per diem rate of $75 per admission on the weekend. An admission is a lengthy visit 1-1 1/2 hrs long, then follow up paper work and phone calls. Depending if the agency is computerized or not will also effect the amount of tim...

9. Hours worked? Just curious....

   mommazac replied to HomeofLove4Him's topic in Home Health

   At our agency we offer an evening position to cover the pm drsg changes, IV cases, overflow from the day, and/or admissions for those q 12 hr injections or IV cases. Typically normal visits done by 10 pm, then on call until 8 am the following mornin...