homehealth_rn

Latest Activity

1. Home health nurses rights...

   homehealth_rn replied to TaylorMaidRn's topic in Home Health

   I would absolutely REFUSE to go back!!! Your agency should put your safety first! I had a situation in which I suspected a patient's son was running a meth lab in her home. I spoke with management and we reported it to the sheriff's office and did no...

2. How to use map to plot SN visits?

   homehealth_rn replied to tulsanurse1's topic in Home Health

   I used mapquest when I first started. Now I'm pretty familiar with my area and never have to use mapquest. Mapquest will give several different routes and give you the travel times so that you can figure out which will be the most efficient.

3. Minimum length of time for routine visits

   homehealth_rn replied to paddler's topic in Home Health

   We had a meeting last week and our director basically told us that we need to be spending more time in the home because of how it looks when we bill. She said that we need to spend more than 30 minutes in the home, but she didn't say it was a rule. S...

4. Pay cut!

   homehealth_rn replied to paddler's topic in Home Health

   We haven't had pay cuts yet, but we have had layoffs. Last month, a nurse manager and secretary lost their jobs. It's scary. 15% is a huge amount! Sorry to hear that!

5. UA specimens

   homehealth_rn replied to paddler's topic in Home Health

   Never heard of that! I know what you mean though about the "little things that only take a few minutes." Due to job cuts, our secretary was laid off and now we have to do our own faxes and I swear the fax machine hates me. So I spend a good ten minut...

6. Do you get paid for staff meetings/case conference?

   homehealth_rn replied to homehealth_rn's topic in Home Health

   Wow, I can't believe it's been 7 months since I posted that. Several nurses voiced their concern regarding the lengthy meetings and case conference during that time. Management has cut back on the length of time of the meetings. A big problem was tha...

7. You may not be homebound if....

   homehealth_rn replied to itsgr82cre8's topic in Home Health

   If you go to Denny's every morning for breakfast and tell the nurse "thanks for making me late to an appointment to look at a house with my son"

8. New Home care nurse with young child- feel overwhelmed

   homehealth_rn replied to sweetmama81's topic in Home Health

   I have an almost 2 year old who goes to daycare and I try to finish all of my charting while she's at daycare so that I don't have to bring it home with me. If I do chart at home, it's after she goes to bed. It's tough, but it will get easier! I try ...

9. Point of care labs (PT/INR & glucose)

   homehealth_rn replied to paddler's topic in Home Health

   We have 3 physicians who do not allow point of care PT INRs. All of the other doctors are fine with it.

10. What's your policy or protocol for vacs?

    homehealth_rn replied to homehealth_rn's topic in Home Health

    Thank you, indbletrble. This is exactly the point that I made when I went to management. Our supervisor called the patient and caregiver and spoke with them, and they have agreed to apply a wet to dry dressing if this happens again.

11. What's your policy or protocol for vacs?

    homehealth_rn replied to homehealth_rn's topic in Home Health

    Thanks paddler. I can understand why you would have made that visit, and I would have done the same thing. I wouldn't have had a problem if the pt or cg's were physically unable to remove the vac and apply a saline dressing due to vision, dexterity, ...

12. What's your policy or protocol for vacs?

    homehealth_rn posted a topic in Home Health

    Hi all! I want to find out what your agency's policy or protocol is for malfunctioning wound vacs after hours. I'm asking because I was on call last night and had to drive 45 minutes to a patient's home at 2 a.m because his wound vac was leaking. I w...

13. 485 question

    homehealth_rn replied to nurseinmo's topic in Home Health

    Does she not know what standard precautions are??? And I really don't understand how you could teach everything on the 485 in one visit.

14. What do you use?

    homehealth_rn replied to twokidsmom,rn's topic in Home Health

    I use plastic containers. The nurses who drive SUVs have the plastic containers with drawers. I wish they would fit in my trunk.

15. Most Common Patient

    homehealth_rn replied to hank1's topic in Home Health

    I agree with Kate. Sometimes I may have several PICCs and then go for months without having any. Then we seem to get wound vacs in batches too. I live in SC, so we're in diabetic country down here.