4evernrs

4evernrs has 16 years experience and specializes in Home Health,CCM.

Latest Activity

1. Documentation altering/tampering...Is this the norm???

   4evernrs replied to RollerRN's topic in Home Health

   I have been in home health for nearly 20 years, and I have been around the block enough to know that this sort of thing happens in a lot of agencies - but that by no means makes it 'okay' or 'expected'. Nobody is allowed to change one iota of inform...

2. having problems discharging pts

   4evernrs replied to BabaLouRN's topic in Home Health

   You don't want to be on that ship when it sinks....sail away!!!

3. first soc visit disaster

   4evernrs replied to therese0327's topic in Home Health

   The fact that you recognize these first-time shortcomings speaks volumes! You will be fine. It sort of sounds like you were thrown to the wolves, though.. I'm wondering if maybe you were shortchanged on your orientation? Someone should have clear...

4. WGU, RN-BSN

   4evernrs replied to LoveMyBugs's topic in Western Governors

   It took me 18 months, but during that time weathered 2 family crises. I've heard of people completing in 6 months, though probably with little outside demands on their time. I think without the family issues, I could have easily finished in 12 mont...

5. Talk to me about orientation

   4evernrs replied to KateRN1's topic in Home Health

   One thing that I insist on with our orientees, is that their training be initiated on PAPER, rather than the computer. They have to understand all the necessary elements on paper before they know what to look for in the electronic chart. NOT that o...

6. Elevated temp and dehydration

   4evernrs replied to nursesaurus's topic in Home Health

   A slightly elevated temp can be an early symptom of dehydration - I remember this from nursing school....but have also seen it many times in the field.

7. Rant

   4evernrs replied to KateRN1's topic in Home Health

   Kate, I feel your pain!!!! I can't for the life of me understand it. It's not like I'm just being a judgemental "office person"....I HAVE done the field nurse's job. And I did it completely, succinctly and correctly for many years. It's not rocke...

8. New Home Health Agency Contracting

   4evernrs replied to Tender HH RN's topic in Home Health

   I may have misspoken about the staffing contracts - I'm not 100% sure about the licensure requirements for that, but I would think that a home health agency license would also cover licensure as a nurse registry (staffing). Life insurance assessment...

9. New Home Health Agency Contracting

   4evernrs replied to Tender HH RN's topic in Home Health

   What about offering private pay / private duty services? Life insurance assessments? Try CareLink. You might also consider staffing contracts (temp staffing) to get you over the hump. Good luck to you!

10. Face to Face Encounter

    4evernrs replied to momsnurse1's topic in Home Health

    I commiserate with you all! F2F is truly proving to be the stumbling block that CMS intended it to be. What a PIA! Docs simply don't know what to write on the forms - yet we're not allowed to provide standardized language... We've had a variety of...

11. POLL: How many visits/week

    4evernrs replied to twokidsmom,rn's topic in Home Health

    That's entirely too much! 30 to 32 is what our nurses are expected to do - and those are UNITS, not visits (i.e: a SOC = 2 Units).

12. I need suggestions for a lab kit

    4evernrs replied to Cthulhu's topic in Home Health

    I never had a "lab kit", and disliked taking my entire bag into a questionable environment, so I would generally use a smaller tote to take in ONLY the things I thought I would need for that particular visit. (I don't do a lot of visits these days, ...

13. Home Health software

    4evernrs replied to bluesky88's topic in Home Health

    I think our agency has looked at most everything out there, and I've come to the conclusion that there is no 'shining star' amongst HH softwares. It all comes down to what works best for the way your agency does business. Just know this - it's the ...

14. Ortho test

    4evernrs replied to ladiesman's topic in General Nursing

    Torture

15. Best Pre-FNP RN experience

    4evernrs replied to CharmedJ7's topic in NP

    I've been wondering about this too.... I have limited inpatient experience. 1 yr rural hospital, 9 months as charge of an Alzheimer's unit, and a handful of shifts as a temp nurse. I've been primarily in home health for the past 16 years, and the l...