cathrn64

cathrn64

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About cathrn64

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  1. What do HH RN Case Managers do?

    It depends on the type/steup of the agency. At the agency I work for, almost all of the RN's are case managers. I am responsible for my patient visits, coordinating the therapy visits. All of the therapist on the case (PT, OT, ST) are supposed t...
  2. What do you love/hate about home health nursing?

    I Love homecare! I have been in homecare for 22 yrs. Yes, there is a lot of paperwork! There is also flexibility. If I choose to, I can see a patient and complete the charting at home or in my car afterward (My agency does electronic charting), ...
  3. Lets talk about $$$

    Suburbs of Chicago SOC =80.00 57.00 = RECERT 45.00 = REGULAR VISIT 50.00= High Tech Full, (but expensive) benifits (INS, Dental, Vision), PTO/SICK Full time employees can lease a company car- which at first sounds expensive, but works out well...
  4. Start of care documentation

    Depending on your documentation system, it should get better! At my agency, I often hear new nurses complain that it takes them hours to finish a SOC. I can usually get out of the house in about an hour and a half. I finish the documentation in ab...
  5. ICU nurse to Home Health?

    Depending on the agency you work for, HH may be the right thing for you. Private duty is not the same as home health in my opinion. In medicare homehealth agencies you see "X" number of patients a day (the number varies depending on the agency, min...
  6. I start HH tomorrow!

    My children are no longer small (15 and 18!). I have worked homecare throughout their lives. Depending on the agency requirements work can be very flexible. The 2 agencies I have worked for, both full time, did not mind if I scheduled my patients ...
  7. Liability of teaching an outside nurse

    I am a HomeHealth RN. We teach family members to give injections/IV's all of the time! It is expected that a family member will learn certain injections like Lovenox. I have many patient's who have family members giving them B12 injections. There...
  8. PICC line dressing change: am I in trouble?

    Susan317, I have never worked for any company where the IV company did anything other than drop off supplies. They have pharmacist's who do manage the dosing etc, but not anything in the home! OP, I have run into this situation and the main thing...
  9. How physical is home health?

    I do a lot of home health tasks on my knees (no dirty minds here!). I take a lot of blood pressures on my knees because it is easier on my back than bending down. I draw labs this way as well. I also can do wound care this way. I was once "marked...
  10. Have you ever done this

    This is not quite the same, but I recently went to an MD office to get a DNR signed. The patient was a cancer patient and the Dr wrote an RX with DNR on it. This is not the correct way to have a DNR and the patient was not doing well. I went there...
  11. 5-day recertification window

    I misspoke (or mis-typed) The therapists actually do a re-eval prior to the end of the cert and than another eval after the next certification period starts.
  12. Pay Per Visit RN

    The agency I work for pays one price per visit. There are different rates for regular visits, and high tech visits. Also for SOC'S Recerts and ROC's. I agree that it is not fair for those of us who have been working for a long time. Supposedly, th...
  13. 5-day recertification window

    They do not have to do theirs until after the new certification period starts
  14. Leaving After 10 Months

    I agree with the other posters here. I work in Home Care and my company requires at least a year experience. You will maintain a lot of your skills plus do a lot of teaching if you try Home Care. Be forewarned, there is a lot of paper/computer wo...
  15. Hourly per diem pay?

    I don't know about Illinois LPN's. The Scheduling coordinator in my office is an LPN and I know they do not have her taking orders. A lot of nurses come to home care and MANY of them leave because of the paperwork. Also because of the after hours f...