tabster224

tabster224 has 24 years experience and specializes in Home health, Cardiac Tele, Doc's office.

Latest Activity

1. Wound care advice please!!!

   tabster224 replied to Mandy LVN's topic in Home Health

   It is possible that the wounds could be a IAD (incontinence associated dermatitis), I am not saying they aren't stage 2's PU but I did have a patient that when she sat in urine and/or feces she would get these small areas that had serosangeous to blo...

2. Documentation of physician communication

   tabster224 replied to nurse955's topic in Home Health

   I thought every agency had to have a Medical Director.

3. Discharge of hospitalized patients

   tabster224 replied to nurse955's topic in Home Health

   I have worked for 3 different agencies. Those 3 agencies have done a transfer to inpatient facility without discharge (Oasis transfer). If they come out of the hospital before the end of episode, then they do resumption of care. If the patient is sti...

4. Providing Home Health Aide services when patient has hired caregiver

   tabster224 replied to swilliams1970's topic in Home Health

   That's is also what I thought. How is it a duplication if the patient is paying for the caregiver. Medicare is only paying once. I guess I just don't understand how it could be considered duplication of services.

5. Providing Home Health Aide services when patient has hired caregiver

   tabster224 replied to swilliams1970's topic in Home Health

   I was told at my old job that Medicare guidelines no matter what you have to offer home health aide care. Even if they are in assisted living where the facility gives showers twice a week. I also (in the old job) had patients that had paid caregivers...

6. Any experience as Manager of Clinical Practice @ Gentiva?

   tabster224 replied to NurseRoRo's topic in Home Health

   I worked for them in Arizona, but not as an MCP, worst home health experience ever. All I can say is the office I worked for (in AZ) has gone through MCP's like crazy in the last 3 years. Last count the office has 2 MCP's and has hired 5 or 6 since a...

7. Is home health good for new Grads

   tabster224 replied to beatrice1's topic in Home Health

   I honestly think you need at the minimum 1 year med/surg experience before doing home health. Your feelings of you not knowing what is going on in the nursing world is the reason why. Without the hospital or at the very least SNF experience, I think ...

8. Venting

   tabster224 replied to twokidsmom,rn's topic in Home Health

   LOL, no I am not. I love my job but I will not wear myself out again for the love of money. The stress isn't worth it. I ended up with shingles last year from the stress of the job (and let me tell you, if you have not ever had shingles, it is the wo...

9. Venting

   tabster224 replied to twokidsmom,rn's topic in Home Health

   Did I read right and you had 4 SOC's and 4 visits on Saturday, 4 visits on Sunday and 8 visits on Monday??? When did you find time to chart? All I can say is WOW!! and I would run fast the other way from that job.

10. Home Health Nursing

    tabster224 replied to lovingtheunloved's topic in Home Health

    You are very welcome! I think you'd do great case managing!

11. Nightingale Home Health..anyone?

    tabster224 replied to Lucky724's topic in Home Health

    I have a friend that worked for Nightingales in Arizona and he likes it. Says it is a good company, but he works PRN and was told he had to start doing call. Not sure if that is office to office or just standard for the company.

12. Home Health Nursing

    tabster224 replied to lovingtheunloved's topic in Home Health

    If you have hospital experience, they will snap you up in a second. Most people that work home care, case manage (esp if you work full time). If you work PRN some agencies don't let you case manage, some do. Good luck!!

13. Face to face MD visits

    tabster224 replied to Antonia RN's topic in Home Health

    If you aren't charging these patients and you aren't billing Medicare, why do you care about the F2F?

14. Face to face MD visits

    tabster224 replied to Antonia RN's topic in Home Health

    Very well said Kate. Unfortunately some cases you have to cut your losses. Getting closed for fraud, the company closes because they can't afford to stay open you lose your job because your patients are not complaint or you (your company) do not rece...

15. Face to face MD visits

    tabster224 replied to Antonia RN's topic in Home Health

    You are not required to recert a patient at the end of the cert period (or at least I've been told that in several different agencies I've worked). Where do you live? I live in Arizona and AZ and CA I know certain areas have Mobile Doctors that go t...