homesrus

Latest Activity

1. Looking for information on heimlich in bed/wheelchair

   homesrus replied to catbillou's topic in Home Health

   we were always taught to do the abdominal thrusts on a bed bound patient who is in a reclining position. The wheelchair patient we try to get our arms around from behind the wheelchair. Neither is perfect.

2. Unsafe situations...Your thoughts please

   homesrus replied to NurseBenz's topic in Home Health

   Very unsafe! Lots of other ways that agency could have handled it and supported you!

3. Can someone explain OASIS to me? Simply what does it mean?

   homesrus replied to DutchgirlRN's topic in Home Health

   There is also a web based training program for it and a book called OASIS in Detail-a Clinicians pocket guide. They may help cut through that OASIS fog!

4. Acute Care Hospitalization

   homesrus replied to amesly15's topic in Home Health

   I think that we continually add to the work and paper load but rarely take anything away. We have an afternoon LPN that has two hours free. We think that with a form that has a set list of questions she may be able to make some of the calls. Then she...

5. Acute Care Hospitalization

   homesrus replied to amesly15's topic in Home Health

   In addition to front loading visits we are also making phone calls to the patients on the days the first week or so after discharge that we aren't in the home. I think you can reduce your rate but everyone, nurse, doc and patient need to agree to ma...

6. Acute Care Hospitalization

   homesrus replied to amesly15's topic in Home Health

   We are starting with a chart audit for a quarter. We will start from there. Some agencies are making more frequent visits in response to calls from patients . We have 24 hour call but do not encourage visits after midnight. Ocassionally we have to go...

7. Psyche RN's being required to do wound care - help!

   homesrus replied to Swanee's topic in Home Health

   Actually, I really value our psych nurse and the work she does. She does not go on routine med-surg visits and probably for the type of wound that you are talking about it would be ideal for another nurse to manage the wound care. your skills are ver...

8. Psyche RN's being required to do wound care - help!

   homesrus replied to Swanee's topic in Home Health

   Our psych nurse does simple med surg assessment skills during her visit No phlebotomy because she works part time for us and doesn't have the opportunity to keep that skill sharp. Our med surg, maternal child or ET nurses do not ever do psych visits ...

9. Care Paths

   homesrus replied to PattiRN's topic in Home Health

   We went back to careplans after carepaths. The paths were bulky to get to the nurses for use and we had trouble keeping on schedule with older population also. However, i cannot say that the care plans that we use are effective either. We do them bec...

10. Home Health Bag Technique

    homesrus replied to JAPERRON's topic in Home Health

    We place a disposable barrier under the bag before we set it on a hard surface. we carry those in an outside pocket of the bag where they are easily reached. we carry the disposable hand wipes in the outside pocket also. always clean hands into the b...

11. Utilization of LPN's at Certified HHA

    homesrus replied to lroche's topic in Home Health

    We use 2-3 LPN's to see parients on a daily basis. They cannot do IV's or central lines or OASIS assessments. They are excellent at lab work, CP assess, wound care and follow up the teaching that the RN has done. They are really valuable to our agenc...

12. considering going back into the field

    homesrus replied to renerian's topic in Home Health

    Our average daily census is 260 and there are at least two other people beside myself to do those jobs(and I feel overworked!!) I think about staff nursing alot. I think all the downsizing has hit you hard and your mental health is so much more impor...

13. Home Health Salary Question

    homesrus replied to jfpruitt's topic in Home Health

    :) i think you will like home health. The rate seems a little low but they may base it on home health experience. So maybe it will go up a little the longer you are there. Good Luck!!

14. case mix diagnosis

    homesrus replied to homesrus's topic in Home Health

    Thank you Thank you Thankyou for all your help!

15. case mix diagnosis

    homesrus posted a topic in Home Health

    Does anyone have a list of the case mix diagnosis for home care?I know the three main are ortho,diabetes and neuro but I would like to see the classifications in each. With the use of the new V codes our agency is struggling to fill out the OASIS cor...