spectral_ev

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1. I hate nursing

   spectral_ev replied to Neezy84's topic in General Nursing

   Don't underestimate the value of your experience. When you have handled the skill and responsibility of nursing you are very competent to do something else, either for a change or for a new direction. It took me about 30 years to end up in an office ...

2. New to CM--question about scope

   spectral_ev replied to rachelgp's topic in Case Management

   Good luck. You are right about this. If the employee has carpal tunnel they need a doctor, and if they don't it's a waste of a splint. If the company considers a splint protective equipment for the job they have to write it into policy. How about t...

3. What are MS patients like?

   spectral_ev replied to tokebi's topic in General Nursing

   I've had patients with MS who had extremely difficult personalities. These patients were not demented, but I thought that the disease was affecting them, beyond the stress of having such a condition in the first place. I think your patient's doctor ...

4. No Nurse Supervisor

   spectral_ev replied to spectral_ev's topic in Home Health

   thanks for all the responses. one thing I'm trying to figure out is-- how weird is this situation? I don't have any support right now in trying to make sure all the nursing bases are covered, or support in covering my own base. but it seems like th...

5. No Nurse Supervisor

   spectral_ev replied to spectral_ev's topic in Home Health

   right now there is no one at the office to follow-up. one of the doctors is not willing to answer questions on the phone and won't answer faxes. I like the patients, and I like the job, but I feel out on a limb.

6. No Nurse Supervisor

   spectral_ev replied to spectral_ev's topic in Home Health

   Right now the path is a fax to the doctor which is not answered and no one to back me up. I'm wondering how to protect myself, and whether this job is going to be possible.

7. No Nurse Supervisor

   spectral_ev replied to spectral_ev's topic in Home Health

   LuLu, I never had to work in the field with no one to help when doctor's orders are needed and the doctor does not get back. It sounds like that's what you're dealing with. Can anyone tell me how common this is? Without case management or a supervis...

8. Nervous about Home Health

   spectral_ev replied to pcbnurse's topic in Home Health

   I always thought that the assumption is that patients are homebound-- that's the justification for sending a nurse to the home. I try to accommodate my patients but if it messes up my schedule I tell them it's not possible. I don't think the nurse sh...

9. No Nurse Supervisor

   spectral_ev replied to spectral_ev's topic in Home Health

   yes, it's the lack of help with case management. it's tough to do all of it when you are on the road, any office time I put in is unpaid extra. I wonder how much case management is assumed when you are a per diem making home visits. Am I expecting to...

10. Nervous about Home Health

    spectral_ev replied to pcbnurse's topic in Home Health

    A lot of home care nursing is not that acute. You have great skills and you are way ahead of a lot of nurses in that. In my agency we don't even do the IV's, another agency handles that. You sound very well qualified, most patients and families are r...

11. No Nurse Supervisor

    spectral_ev replied to spectral_ev's topic in Home Health

    In my previous job when the doctor didn't call back I would just note it in my report and the supervisor would take it from there. I worked weekends so the supervisor would call the doctor's office during the week. I'm starting to think I took that f...

12. No Nurse Supervisor

    spectral_ev posted a topic in Home Health

    Working as a per-diem nurse in the field in a home health agency where the nurse supervisor is on sick leave. It's a strain if one of my patients is sick and their doctor is not accessible--if he does not answer requests for orders or clarifications....

13. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    thank you, Hmarie. I'll print this out.

14. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    Thank you. I think it is pretty shaky to have a nurse putting diagnoses into the record when we don't diagnose. Our office staff used to be better about getting the diagnoses and putting them into the program. Now I'm getting pressure about the codin...

15. ICD-9 Codes

    spectral_ev replied to spectral_ev's topic in Home Health

    I've asked for a 'cheat sheet'. I've never yet found COPD in the program. When I started at this agency it was all on paper. I love computers, and being able to see other nurse's notes makes it almost worth the extra time. But we are being asked to c...