dmdrn73

dmdrn73 specializes in Home health, Ortho.

Latest Activity

1. Surgeries listed on 485?

   dmdrn73 posted a topic in Home Health

   I have been in Home Health since 1995 and I have always been under the impression that you were supposed to put surgeries that the patient had on the 485, in that Box 12. We have an outside company that does our coding for us and I have had the harde...

2. On Call rate

   dmdrn73 replied to jyhn's topic in Hospice

   At my current job we have on call supervisors (one it is her full time job and one is part time) who take the actual calls and then the case managers and on call nurses (there are a few of us) rotate the on call days. Us on call nurses are so the cas...

3. Pay per visit rates....what is the usual

   dmdrn73 replied to IndianaHH's topic in Home Health

   I live in Western NY (Rochester/Finger Lakes area) and I am Salary but Per Diem's get $30-$40 for a regular visit and then it is more for an admission and then if it is on call or a weekend or weekday. It can be about $70-$90. A recert or D/C OASIS v...

4. Help with dressing choice

   dmdrn73 replied to bell104's topic in Wound

   I also question if it is a Kennedy Terminal Ulcer. But in any case the alginates are good for the drainage:Kaltostat, algisite, aquacel, Sorbsan, etc. The Ag would be better if infected. Can use an Allevyn adhesive foam dressing, it comes in a sacral...

5. Is starting out your nursing career with HH a good idea?

   dmdrn73 replied to Riverhopper's topic in Home Health

   I started out in Home Health as well. When I graduated in 94 in Philly there were actually very few jobs for new grads even in nursing homes, I was out of work for almost a year after I passed my Boards so I took a job as a HHA at a newly forming age...

6. shift differentials not as common as i thought?

   dmdrn73 replied to lalalalexi's topic in General Nursing

   When I worked in Virginia the shift differential started at 7pm and it was about $3.50/hr, then when I moved to NY the differential was for the whole shift but was only $1/hr.

7. how many on computers

   dmdrn73 replied to cookie102's topic in Home Health

   We started with computers in late 2006. They gradually worked us all in a few at a time with the computer training classes and we were all "Live" by end Nov, early Dec. We use Cerner's HomeWorks/RoadNotes system. It works OK, I am used to it now but...

8. Falsification of records?

   dmdrn73 replied to Super Nurse JoshuA's topic in Home Health

   I think in this situation if it has to be done by the RN who saw on 2/10 (our agency has the case manager do it if that 2/30 phone call is an LPN) that nurse should make a phone call so that the d/c OASIS info reflects what is going on now rather tha...

9. Weekends

   dmdrn73 replied to Ruth1201's topic in Home Health

   We are on about every 3rd weekend, alternating "working" and "on call". When we are "workers" we usually get a day off in the following week, (depending on how staffing is) usually we see 3-4 visits each day (Sat and Sun). When we are "on call" it is...

10. Pediatric HH Nursing

    dmdrn73 replied to ittybittybabynurse's topic in Home Health

    It depends on the agency you work for. I am home Health nurse and we see patients of all ages, I currently have 2 patients who are infants, preemies, one who was failure to thrive and one who is getting monthly Synegis injections. We do coordinate/su...

11. Interview for Home Health on Monday. Considering transition from hospital to home hea

    dmdrn73 replied to oohnurse's topic in Home Health

    hope this helps.

12. What To Do When Family and LTC Facility NOT On Same Page.....

    dmdrn73 replied to tencat's topic in Hospice

    Is it feasable for the daughter to take him home? Are there any Hospice Comfort Care homes in the area that he could be transferred to or is his condition not good for transport?I agree with a PP who said that your Hospice Med director needs to have...

13. I need Information

    dmdrn73 replied to lane_2008's topic in Home Health

    A small plastic tackle box is good for lab supplies. the different size sections are good to separate Alcohol preps, needles, vaccutainers, butterflies, etc. You can get them at K-Mart, Target, etc and they come in all different sizes.

14. Do you care if they want you to remove your shoes?

    dmdrn73 replied to nurseby07's topic in Home Health

    I generally don't mind. I live/work in Western NY and a lot of people live in areas where you have to walk up gravel or dirt driveways and the way the weather is here (lots of rain and snow) we may track in a lot of snow and mud so out of considerat...

15. Home Care in NY

    dmdrn73 replied to rn9090's topic in New York

    I started in Home Health as essentially a new Grad, I had graduated from nursing school and passed Boards and there were no jobs to be found. Finally after a year I took a job as a HHA and did that for 8 months, they gradually worked me in doing priv...