I hope I don't get banned from asking too many questions! Here's another situation I'm grappling with: Patient has been on service for a year for Foley Cath Maintenance (neurogenic bladder), right sided hemiplegia late effects CVA from 2001. Has vi...
JennyHHRN replied to JennyHHRN's topic in Home Health
I really appreciate all the feedback. It makes me feel better to know I'm not being the Grinch of Home Care. People get really upset when we try to explain that they do not meet criteria.
JennyHHRN replied to JennyHHRN's topic in Home Health
My thoughts exactly. Intake states the d/c planner told her it was a daily dressing. D/C instructions sent home w/pt stated TID. Will explore wound vac option w/physician.
I'm a clinical supervisor for a small hospital-based home health/hospice agency. I find myself having to absorb more and more duties every day and feel frustrated at the lack of resources available. I love this website. I wanted to find out how many ...
Here's the situation: Patient attends water aerobics at least 1-3 times per week. Her son states it is a considerable and taxing effort to get her out of the home. 8 months ago patient had skilled HH physical therapy episode, pt/family was taught tra...
JennyHHRN replied to JennyHHRN's topic in Home Health
The plot thickens. We ran an insurance check and this patient is not Medicare, she's Blue Cross/Blue Shield (husband works full time). But in our state Blue Cross mirrors Medicare policy. We are required to conduct OASIS assessment on all Blue cross ...
Can a patient be admitted for HH visits just so someone can flush her port once per month? The doctor certifies that she is homebound. The port is not currently in use. They keep it r/t her recent (2mos ago) hx of needing transfusions for anemia. ...
JennyHHRN replied to renerian's topic in Home Health
oh ren! What is it you're doing now? I have been a loyal reader of your posts and you have always helped me so much. I'm so sorry the system chewed you up. I just got done with state survey today, a lovely 5 days of torture. I hope you'll still ...
JennyHHRN replied to JennyHHRN's topic in Home Health
Thanks to both of you. Hey Ren, when I first read your message I thought your M-F stood for a profanity, then I realized you meant MONDAY thru FRIDAY...It was funnier the first read thru.... . -jen
JennyHHRN replied to JennyHHRN's topic in Home Health
Thanks Guys...I was thinking along those same lines but needed to hear it from others. I swear sometimes I have so many priorities to juggle that it becomes difficult to solve even the simplest of items.:selfbonk:
I've been in home care for over 6 years and I swear, just when I think I have it all sorted out, I start to second guess myself. Then I ask my boss what her take on the matter is and I end up even more confused. Case in point: Whenever we admit a p...
Okay, I know back in 1997 Medicare said venipuncture is no longer covered as the sole purpose for home care visits. We can continue to draw blood at our visits as long as they have visits for other "skilled reasons". So what do you do with the home...
Does anyone have advice on this scenario? Nurse visits patient, finds him in respiratory distress and sends him to E.R. Patient dies 6 hours later in CCU. Does the nurse do a transfer oasis assessment (RFA #6 or #7) and discharges the patient? Or do...
JennyHHRN replied to NRSKarenRN's topic in Home Health
Perhaps a chapter on professional boundaries. Home health aides (in some cases)spend the most amount of time with the patient/families. I had a hard time finding education materials that address this important issue in home care. Some examples of ...