AmPmRnoncall

Latest Activity

1. Banned from facility need advice

   AmPmRnoncall replied to Leah R's topic in Home Health

   Maintaining professional boundaries is very hard but very important to protect yourself and your license. I'm sorry this happened to you but for the sack of you livelihood..stay away... Sometimes the worst professionals are the worst reporters the th...

2. Pediatric HH Nursing

   AmPmRnoncall replied to ittybittybabynurse's topic in Home Health

   I worked 12 years for a children's hospital based home health agency. i was a case manager for 8 of those years and did alot of driving(covering 11 counties) and absolutely loved it. the agency put alot of money into my training and certified all of ...

3. Home Health agencies paying nurses per visit

   AmPmRnoncall replied to AnnemRN's topic in Home Health

   LPN's can always make out. they just had a big shift where I use to work. Past tense. I quit. They hired another nurse with no home care experience and I was in charge of training her. She told me what she starting making an hour (4 dollars an hour m...

4. Remicade / Immunoglobulin IV in home health setting?

   AmPmRnoncall replied to becca-roo's topic in Home Health

   I have administered blood, cerezyme, IVIG, IV steroids, Remacaid, in the home. Sometimes the closest hospital was 40 minutes away with a rural volunteer fire ems. Clients should always have had there first dose in the hospital and not be a high canid...

5. Pediatric Recertification

   AmPmRnoncall replied to AmPmRnoncall's topic in Home Health

   Can anyone cite the CMS's requirment on pedicatric certification and also clarifying missed cert periods....

6. Could a recent graduate do home health?

   AmPmRnoncall replied to csiln's topic in Home Health

   2 things to ask on your interview. "how long is orientation?" (which should be no shorter that 4 weeks) and up to a year with a mentor. #2 "what is the service area I am expected to cover?" (you sould only be expected to do 4-5 visits per day. EXPEC...

7. Stressed out & Fuming

   AmPmRnoncall replied to BubbleRN's topic in Home Health

   I know what you are going thru. I won't bore you with my own account. BUT, what comes around goes around. My old supervisor who kept putting all the pressure to do visits on me was terminated after I made an anonomys call to our compliance officer an...

8. Home Health agencies paying nurses per visit

   AmPmRnoncall replied to AnnemRN's topic in Home Health

   My agency payes all of us nurses by the hour. I make 25.00/ hour with a 0.43$/mile. I am responsible for up to 3 counties but if I am oncall, I'm responsible for up to 10 counties. I get 25$/ night week night for carrying pager and get my hourly rat...

9. PM visits and admissions and safety

   AmPmRnoncall replied to meagansmom's topic in Home Health

   My home care only does admissions up to 9 o'clock at night. Anything after that needs to have a good reason why we are sending a nurse out. I am the charge nurse every other week and I won't go out if I can handle it over the phone. I can't say that ...

10. Missed certification visits.

    AmPmRnoncall posted a topic in Home Health

    Can anyone tell me how their agency handles missed cert visits. Right now, our director is mandating that if our cert visits are missed, we have to discharge then re-admit that patient into our agency. It is creating way to much work if we are too ea...

11. Pediatric Recertification

    AmPmRnoncall posted a topic in Home Health

    Can anyone help me. I have worked for my pediatric home care agency for 7 year now. We had a medicare auditor do an onsite visit for our medicare licensure. She is telling my director that even long term pedicatric patients need to be recerted every...

12. "visit" nurse ?

    AmPmRnoncall replied to RN@34's topic in Home Health

    Our PRN's do case management (which I think is a joke). And they get paid more than me and I have a much larger case load. Anyway... Just venting.. I wish you the best on your interview and it will be the best job you ever had.:chuckle :caduceus:

13. On Call On Call.. Who Hates Oncall???

    AmPmRnoncall posted a topic in Home Health

    Hey everyone.... Who hates those long hours of on call... Tell me what oncall is like at your agency.. Where I work, the PRN's pick up as little as possible and get away with it... It's up to us 1 full time and 1 half-timer(ME) to pick up at least 4-...

14. corrections are driving me mad

    AmPmRnoncall replied to reddellrn's topic in Home Health

    Hang in there.... It takes a long time. I worked for a small hh agency once that bragged about being all computerized. WHAT A JOKE... I was constantly going back and reentering and reprinting... And I had 6 years of home care experience to boot.. The...

15. 485 whoo's

    AmPmRnoncall posted a topic in Home Health

    To all you experienced home care nurses. We just started something new. Our 485's are entered into our data system by a data processer, then reviewed by one of our RN coordinators for accuracy, then signed by the coordinator. As an example:: J.Smith ...