sandra p. R.N.

Latest Activity

1. Agency Getting Rid of Case Managers

   sandra p. R.N. replied to rn9090's topic in Home Health

   In my experience, it's best to hire case managers or train all nurses to case manage. Some agencies, very few, use LPN's to do field nursing and all RN's are trained to manage their own cases, i.e. Oasis SOC, ROC, and DC Oasis as well as Recerts. Ho...

2. DON, Supervisor Medicare Certified Agency

   sandra p. R.N. replied to erroridiot's topic in Home Health

   Sounds like you guys are talking about a pretty big operation. The smaller agencies are mostly owned by another decipline other than RN or MD and don't know the first thing about whether the DON is doing her job until the surveyers march in. They ...

3. Not sure if hh is right for me

   sandra p. R.N. replied to wannab1's topic in Home Health

   What, exactly, don't you like about it? Is it the paperwork? Is it that the client's are overwhelming? Is it the feeling of wanting to be in the company of co-workers? Is it the driving? Let us know because you sound as though you want to avoid c...

4. M1910 Oasis

   sandra p. R.N. replied to Papercutz's topic in Home Health

   Your nurses assesment IS the multifactorial fall risk assessment! Fact #1. Meds that can cause light-headedness or other s/e's causing risk for falling #2. Confusion....Mental deficits... #3. Physical Therapy referral #4. Use of an assistive device ...

5. M1910 Oasis

   sandra p. R.N. replied to Papercutz's topic in Home Health

   The answer to that question M1910 is always "yes". My patients are always at risk for falls and have always been assessed for that.

6. Teaching and When to get out

   sandra p. R.N. replied to nurse42long's topic in Home Health

   How long to stay can vary, depending on the POC which is suppoed to be individualized with agreed upon and obtainable goals. You would already know the goal(s) for the wound. 1. When the pt/cg is able to demonstrate wound care, correctly. 2. When...