GapRN

Latest Activity

1. Wound supplies for patients?

   GapRN replied to lilu678's topic in Home Health

   Get a SOC folder. Call complaint line. In the mean time, follow the chain of command. Notify the MD of supply issues - let your boss's referral source call the office and ask why they need to waste their time with the phone call. ...

2. Home Health RNs: mileage reimbursement?

   GapRN replied to iridium54's topic in Home Health

   Wow. Pharmacies aren't really that connected to home health other than your requirements to do medication reconciliation. FYI: There's a difference between nursing at peoples homes and "Home Health Care" as described by CMS. See Medicare ...

3. Home Health RNs: mileage reimbursement?

   GapRN replied to iridium54's topic in Home Health

   You are describing the federal mileage requirements. I have had several jobs where they say my pts will be near me, but I end up working 20 - 30 miles away and all short distances between pts. This is the norm. HH companies are all owned by penny-pin...

4. charting!!!! I am about to leave home health...

   GapRN replied to principessaGG's topic in Home Health

   I have a lot of issues with HH. I quit a year ago but I miss the pt care. Plus, the industry is so terrible that my 11 years of experience don't seem to be worth much in any other health care field.

5. New Nurse Case Manager

   GapRN replied to syronrs14's topic in Case Management

   I don't mean to hi-jack this thread, but it's old, and I can't Ctrl-f "new", "topic" "post" or find any button for new post. I just had a worker's comp phone interview. We talked for 70 min, they wanted to schedule a zoom call, and my recuiter s...

6. National Standard Productivity

   GapRN replied to mukluk2's topic in Home Health

   There is NO standard. If someone says there is, they're selling you something. Did you read the first link? That garbage was written for the benefit of investors. The pro's/cons of staff payment are all prioritizing profit. Page 2 talks about exempt ...

7. We’re all being “fired”! Is this legal?

   GapRN replied to Taylor22's topic in General Nursing

   I'm no expert, but AFAIK the only difference with union/non-union is that (some) unions negotiate a group contract, while each non-union individual must negotiate alone. BUT, once there's a contract, the employer is bound to it's terms. Read your con...

8. Case Manager Tools and Tips!

   GapRN replied to syoung078's topic in Home Health

   XX y/o F lives with ??? Who assists with ADLs. Referred for ST, & SN from MD office for additional speech therapy as ability improves. We have previously seen Pt after she was hospitalized at SJRMC X/XX/XX- X/X/XX. Pt A&Ox2 & had PEG...

9. Case Manager Tools and Tips!

   GapRN replied to syoung078's topic in Home Health

   Re: burnout. Look up your state's case law on Exempt status of home health clinicians. If applicable go to your county's lawyer referral service and have them write a letter stating that you are not exempt and they need to pay you OT for time over 8/...

10. Case Manager Tools and Tips!

    GapRN replied to syoung078's topic in Home Health

    Do a through SOC with SBAR narrative. List phone numbers in narrative for quick reference. Insist that If you are to follow pt, then you get 1st crack at doing the SOC - otherwise you need to review POC on your own time and need to depend on someone ...

11. Text app rights

    GapRN posted a topic in Home Health

    I had a patient from a SNF who had a unique Dx that I really wanted to follow. I had no experience with this Dx and I could only get orders from nurses memory. The SNF MD said he only transcribed orders from hospital and would not giver orders AND co...

12. Tired of ALFs throwing us trainwreck patients with little to no information on referrals.

    GapRN replied to Patchouli's topic in Home Health

    All the work rolls down hill to the clinician who has no voice in the office, and is barely considered a team member by outside agencies. Most institutions are not even aware that you can satisfy PHI via phone HIPPA requirements with 3 identifying it...

13. Preventing the Looming Public Health Crisis - Nursing Shortage

    GapRN replied to Aetienne's topic in General Nursing

    I graduated as BSN in 2009 & couldn't GIVE my labor away for experience. Pig in a Snake my butt. Nobody cares about anything but this quarter's profits. I ended up in dead-end home health where they openly ignore labor law, make you feel incompet...

14. Do you think nursing pay would decrease if a recession occurs?

    GapRN replied to Googlenurse's topic in General Nursing

    We ARE in a recession. Any propaganda to the contrary is aimed at propping up the market long enough for the ruling class to discretely liquefy assets. And yet corporate profits continue. News said to plan on a pay decrease at a time of record corpor...

15. I'm back!

    GapRN replied to NurseCard's topic in Home Health

    I've been at several agencies looking for somewhere that follows labor law. We need industry wide labor organizing - I see the same people jumping from agency to agency, and everyone short on staff. It wouldn't take much stress on the system to give ...