I have read articles, stating welcome to the new nursing practice. Insurance driven, of course. We have DOCS in the BOX and now Tele Nurses. Yes, you can do a lot of T/T by phone. My moto: When in doubt...send them out!! TO ER if in crisis!
Tampa121 replied to midnightrose8504's topic in Home Health
Well said and extremely truthful! I just left a FT position with a HC company after 6 wks. I was miserable. call pay every 3rd wkend 30.00 a day and no extra pay for wkend visits. And, always Sat. I had 2-3 SOC,ROC's d/t hospital dcing Friday after ...
Tampa121 replied to chicago_RN's topic in Home Health
I would most definitely called 911, because she could arrest in family car if they drove her. This way here, she has paramedics to provide CPR if needed. Yes, we cannot force pts to go by ambulance-but you can call 911 for them to evaluate her and th...
Tampa121 replied to misselena's topic in Home Health
I agree-always ask for an in person in-service from a trained nurse, NOT YOUTUBE!! Go over it several times, ask questions. I am an RN and have been to IV in-services from pharmacies and IV companies like Coram, including hands on in services in ac...
Hi-yes, I did call MD-and he said he was going to call ER. I documented properly in EMR, including who and when each person was notified, including patient and her brother, who were in agreement with the plan to send her to hospital and that she pro...
Yes, you can refuse to see patient if you are per diem. Seeing that the DON placed pt. on hold-is she attempting to problem solve the case. I agree a SW needs to go in, the MD needs to be called and yes-this pt. is an elder at risk d/t open wounds wi...
Tampa121 replied to Tampa121's topic in Home Health
TY-yes, I agree. Small company in Tampa,FL. One DON, me, and an LPN. Since starting I have squeeked by to get 30, but on my weekend on call, I have seen pts both days, ROC's and SOC's. Plus, no health insurance. plus, I earn below 60k, which my forme...
I am FT salaried HH RN. BUT, Administrator and DON told me after I had been working there 2 weeks if I don't make 30 points q week, I have to see scheduled pts. on weekends. Have you heard of this? I already am on call every other wkend, with no pay...
Tampa121 replied to Tampa121's topic in Home Health
TY NRSKarenRN, Yes, DON told me MCR only gives a lump sum for diagnosis. So, that is why they pay I/2 for both visits-total 35.00 day. She is complicated, confused, lives alone. Her son lives 5 minutes from her and refuses to give insulin.He was taug...
Tampa121 replied to Tampa121's topic in Home Health
page 11 on my agency pt. home care booklet-responsibility to provide safe environment for clinician!Pittbull would not allow owner to put him in another room-OMG I'd entice him with his treat if i was owner.wc bound pt-dog wt-85 lbs. if pt cant restr...