yayanurse

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1. frequencies of visits

   yayanurse posted a topic in Home Health

   I am working with a start up agency and the average numbers of our visits are much higher than the national average. We had 55 visits on one pt in a cert period. Is there any guidelines I could refer to so this does not happen again?

2. Is it just me, or is this wrong ?

   yayanurse replied to CampbellSoupCan's topic in Home Health

   Take away that the nurse also works in a doctor's office....if the patient is still eligible for the services then I do not see a problem. It's a small world in the medical community and nurses frequently work for more than one employer. It's good th...

3. home health productivity - opinion

   yayanurse replied to PattyRN's topic in Home Health

   I would first talk administration. Where are they getting their case load/ productivity standards from? Maybe suggest someone shadow you for a day to see what you could do different so you can meet the productivity standards that someone who is obvio...

4. sharps disposal in home

   yayanurse posted a topic in Home Health

   Could anyone give me some guidance on where to dispose of sharps in the home? If I draw labs do I carry a sharps container in my bag to dispose of used sharps and then carry sharps from pt to pt? We are a new agency and do not have a clear policy on ...

5. Q for nurses who get paid per visit/admission

   yayanurse replied to wonderbee's topic in Home Health

   My thought is if you don't speak up, you are doing a great injustice to yourself and those who follow you. Is your time worth more that 10 bucks an hour? Agencies are able to negotiate when it is an exception. Speak up...LOUD AND CLEAR. You ARE worth...

6. Q re: Home Care Orientation

   yayanurse replied to New2HomeHealthRN's topic in Home Health

   Sometimes we have to learn by doing....is your agency new?

7. New Home Health Agency Director

   yayanurse replied to PatMO35's topic in Home Health

   Good luck to you. I am also new to home health care in an administrative position. I often wonder what ever possessed me to take on such a challenging job but I have to admit I love it most of the time. If there is anything I can help you with please...

8. incont supplies

   yayanurse posted a topic in Home Health

   Can anyone point me to where I might find what incont supplies are supposed to be supplied to home pts. Is the agency responsible for supplying unlimited supply of briefs to pts?

9. How many pts do you care for?

   yayanurse replied to FrankieJane's topic in Hospice

   I just left a hospice position because of the unreasonable workload with a census of 23, on call 10-12 days/month, if I was on call w/e it was guaranteed I'd be out 10-12 hrs each day. We were also doing all our admissions, no triage for phone calls,...

10. missed visits?

    yayanurse posted a topic in Hospice

    Does anyone ever have missed visits and what do you do about them? Do you know the Medicare regs for snv frequency?

11. need some advice

    yayanurse replied to hospicemom's topic in Hospice

    Some questions to ask are : would you be surprised if this person was dead in 6 months without curative treatment? If the answer is no, then this person is probably eligble for hospice benefit. Also what is the underlying reason she needs amputation?...

12. need some advice

    yayanurse replied to hospicemom's topic in Hospice

    This person may just not want to suffer any longer. I have ALS pts who choose not to be vented even though that could prolong their life. Maybe this person does not want to live life less than whole in their eyes. If the docs won't increase pump, do ...

13. 40 yr old wanting to be a nurse

    yayanurse replied to adamsmom's topic in Pennsylvania

    Go for it. I became an LPN at 43 and RN at 53 (May 2004). Sometimes life gets in the way of our plans but it is never too late to pursue your dreams. If we don't have goals in life, we might as well be dead.

14. How many nurses do their own vitals???

    yayanurse replied to AmyRN1227's topic in General Nursing

    I work in a small 25 bed facility. We do team nursing so we are fortunate to have an aide do our vs. But it requires good communication between all of us on the team to know when the vitals are out of norm, when it's the machine, what is normal for t...