HmarieD

HmarieD

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About HmarieD

Latest Activity

  1. My poor coworker:(

    HAHAHAHAHA That is hilarious :)
  2. What to do?

    If you are a mandated reporter, you must report this to social services.
  3. What would you consider a bedfast patient?

    Per OASIS guidelines, if a patient can tolerate being up in a chair, even if they must be transferred via hoyer lift, they are chairfast.
  4. Motivating the Nurse in All of Us

    I am so sorry you are going through this, and I totally get it... I felt the same way. I thought I had made the worst mistake of my life by becoming a nurse. Luckily, I was able to move to a specialty area that I love. I started in Home Health and it...
  5. What would you do?

    No, I wouldn't just show up on the off chance that I would be able to work. However, I would think that the nurse or her agency would have been monitoring his status so they would know when he was discharged home. Having said that, did you notify the...
  6. You may not be homebound if....

    You may not be homebound if...you brag to me about the hot babe you bagged when you hit all the bars on your birthday.
  7. Home Care Survey

    My advice to you in working with the surveyors is: 1) remain calm. 2) Do not be afraid to say "I don't know, but I will find out and get back to you", rather than trying to BS your way through an answer. 3) When a pt record is requested for review, ...
  8. Home Health Happy Hour

    I am an Illinoisan as well - maybe we should have our own happy hour, I'm certainly ready for one right now! TGIF!
  9. Fraud or not?

    I would only add one thing to KateRN1's excellent response - if the last OASIS-qualified clinician who saw the patient was still employed there (RN, PT, OT), they would be responsible for the DC OASIS, and would base their responses on the condition ...
  10. Coding question

    KateRN1 - Will you please come work at my agency? You are always right on the money!! I want to steal you away from wherever you are!
  11. Documentation of physician communication

    Medical Director is not required in all states.
  12. Medicare does not consider HHA services medically necessary if there is a "willing and able" c/g in the home, even if that c/g is a family member, as Kate said it's a duplication of services.
  13. Advice needed

    This forum is specific to Home Health, I think there is a Hospice forum you might have better responses from. Good luck.
  14. Butter, ice cream, and baseball

    I always ask the same question! My favorite response was the gentleman who, every morning, drank 2 oz of red wine mixed with OJ. Now that's a health craze I can get behind!
  15. CHARTING AND DOCUMENTATION help!

    Remember that every single clinical note must stand alone; in other words, you should be painting a complete clinical picture every time you document. Your documentation of tasks such as wound care must echo your plan of care and should be in excruci...