RoAbreu

Latest Activity

1. Sharing A Caseload

   RoAbreu replied to RoAbreu's topic in Home Health

   :kiss Thanks, I like something that fits in my pocket or waist bag! They gave me a planner but it's notebook sized and I was wondering if I would use it, realistically. I've bookmarked the page, prolly will order the smallest one in weekly format....

2. Sharing A Caseload

   RoAbreu posted a topic in Home Health

   Hey... I wanted to know if anyone else has done this. The team I'm on has several "pairs", usually an RN and an LPN, who share a caseload. The RN case manages, and the LPN does mostly revisits during the episode. I've started doing this, now that ...

3. What's your caseload number and daily quota?

   RoAbreu replied to PattiRN's topic in Home Health

   Our caseloads are in the upper 20s, generally, and we are expected to see around 7 patients a day. On days I do more than 30 miles I can take one patient off and see 6 for productivity. Some days I see 5, but those are high mileage days when I'm doi...

4. Mileage

   RoAbreu replied to RoAbreu's topic in Home Health

   They have us put it in our DAR; I'm a full time person, rather than per case, so I guess, yes, it works out that way. They count my road time as part of my eight hours, to a degree... as I said, 30 miles is considered an hour; sometimes that may not...

5. Mileage

   RoAbreu replied to RoAbreu's topic in Home Health

   I think there is a foul weather policy, and I'll need to look it up. I have already run into what you are talking about, with the patients trying to defer me on yucky days... it'll probably increase when the weather is worse. I know they typically t...

6. Mileage

   RoAbreu replied to RoAbreu's topic in Home Health

   I haven't been at this long, so I've only worked one weekend (we work a weekend every six weeks). My next weekend is the w/e before Christmas, and I work that this year, so I expect a strange week as the hospitals dump everyone out for the holiday. ...

7. Mileage

   RoAbreu replied to RoAbreu's topic in Home Health

   Wowsa... where do you live, that you'd do 200 miles to see that many patients? I am seeing from 5-7, usually.

8. Mileage

   RoAbreu posted a topic in Home Health

   Out of curiosity, what is your average daily mileage that you report on your DAR? We have to report mileage and count it as time, as well (so 30 miles is considered an hour of time on the DAR, for instance). I've been running an average of 30 to 60 m...

9. NY Times Editorial on Nursing Shortage

   RoAbreu replied to RoAbreu's topic in Home Health

   Oh, no (LOL) that was back when I was living and working in Louisiana. I'm glad not all managers have that regressive attitude, but I have to say I'm surprised to hear there are so many of them. Whee. Had a few of them in nursing school that would c...

10. changing lanes, home health?

    RoAbreu replied to duli03's topic in Home Health

    I think there were a couple of reasons I decided, when going back to work, to try HH rather than going back to the floor. First off, I desired more autonomy; as a case manager, there is a lot of that... for a newbie, it's like flying without a wire, ...

11. NY Times Editorial on Nursing Shortage

    RoAbreu replied to RoAbreu's topic in Home Health

    I still don't know what that was about... apparently, for her, it was not enough to be clean scrubbed and wearing a uniform (we wore whites there, too). I don't know that it was a requirement, but in that place, at that time, with that supervisor, t...

12. NY Times Editorial on Nursing Shortage

    RoAbreu replied to RoAbreu's topic in Home Health

    LOL... yes, G-d forbid. I had visions of makeup running down my neck when she was talking to me; I might be able to wear it now, I'm not doing "sweaty work" in HH... but I'd have been a general mess trying to wear it while doing floor work. Wonder ho...

13. NY Times Editorial on Nursing Shortage

    RoAbreu replied to RoAbreu's topic in Home Health

    *groan* Don't I know it. I worked several years as an 11-7 Med Surg charge nurse and it was wicked difficult being responsible for the admissions, blood, pushes and PCA's on the LPNs' patients, in addition to having to run the floor, motivate the N...

14. NY Times Editorial on Nursing Shortage

    RoAbreu posted a topic in Home Health

    ~*~*~*~*~*~ Dying for Lack of Nurses A report in this week's Journal of the American Medical Association says that when hospital nurses are given too many patients to care for, the patients have a much greater risk of dying. That may seem self-eviden...

15. Als

    RoAbreu replied to RoAbreu's topic in Home Health

    Thank you for the info; I just found today that HCFA has lowered the wait time for ALS patients getting on Medicare, and that is something I can pass along to my patient and his wife. I am learning along with them; it looks to be a sad journey. We ...