carwin

carwin

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About carwin

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  1. RN documenting visits not made

    Report it. These actions are the source of billions of dollars in medicare and mdicaid fraud. That nurse is not providing care and is stealing.
  2. Verbal Orders

    Yes have the lab fax to the doctor but you still call to make sure they receive the results and get your orders. if you draw a lab, you are responsible for obtaining and reporting the results to the ordering clinician. Then, CHART it. I always say ...
  3. Unlocked OASIS

    RN 1263,well aware of the subject, just sharing a little extra knowledge picked up from CMS surveyors. Whatever is done on ANY computer can be tracked by the IT person and your software vendor. Some software vendors term is a work log which shows w...
  4. Unlocked OASIS

    I code and I lock the OaSIS. That's a little paranoid. Home care is trust all the way around. Office staff have to trust that visits are really being made on the dates that are stated and that what is being written was actually done. Clinicians have ...
  5. The accrediting bodies charge for their services. Why would they come out and risk not getting paid? Many people do not know that the agencies pay for those surveys. Those surveys are a few thousand dollars even if the census is around 15 patients....
  6. Not sure what happened

    I welcome you to the profession. So sorry this happened to you as a new nurse. This is why I like to see new nurses in facilities first before striking out in home health or private duty. I feel you need to be mentored by the nurses you interact wit...
  7. I knew just knew you were in fla or southeastern michigan. These are two areas that are overrun with home health agencies. Cash flow can be a little goofy at times in home care. I've been at well established agencies and had that happen but they bee...
  8. Are all Group home workers like this?

    Try calling a family member
  9. Are all Group home workers like this?

    Completely agree with txredheadnurse. While many of these workers are not trained along with having limited education, many have some of the biggest hearts. I worked for a home health agency where the owner had 5 group homes. The workers often calle...
  10. Do you "friend" your pts on Facebook???

    Sooooo true Nurse156. My concern is that you are not separating your work and personal times. Nursing is very demanding physically and emotionally. Work on building a strong, positive personal life so that you won't need to rely on your professional...
  11. Do you "friend" your pts on Facebook???

    Keep your relationship with your patients professional. Ditto ArwenEvenstar. I heard of a case where nurse is taking care of Grandma. Nurse and Grandson start to date...then comes an ugly breakup! Grandson calls the state board of nursing and tells h...
  12. Question of legalness

    The legal mess would be creating a visit note or OASIS when no visit was made.
  13. Anything positive about amedysis home health???

    Give it a try. This is a large company that should have an organized orientation process. Contrary to popular belief, home health nursing is not the "easy job" or "in and out". Just because you're sitting in the family room seeing the patient, your...
  14. The "need a paycheck" mind set is one of many reasons we're not a profession. Bottom line, a new nurse requires learning experiences that are interactive and varied before taking on the very independent role as a home health nurse. When you sign u...
  15. Starting a HH Agency?

    It takes about 18-36 months to get a medicare number. You will be paying out of pocket to see patients until you can bill m-care. There are way too many changes that are decreasing payments. Until we see how all these changes come to pass, I would...