ttouslee

Latest Activity

1. mileage

   ttouslee replied to nursehoagie's topic in Home Health

   We are reimbursed .55 per mile. We are licensed in 4 counties, basically if the agency accepts the client, we are expected to drive there.

2. Medicare Charting Guidelines for HH

   ttouslee replied to roach930's topic in Home Health

   I agree with the others here, documentation should be completed by end of day. I tell my staff if they do not want to chart at the visit, they have to have it written on paper (we do computer charting) no way you can remember specifics after a long ...

3. Dr. orders for OTC meds

   ttouslee replied to ttouslee's topic in Home Health

   thank you for the input!

4. Dr. orders for OTC meds

   ttouslee posted a topic in Home Health

   I feel very incompetent in even asking this question but had little to no training to home health. Is it required to have dr. orders for items such as tylenol or stool softener in the home health field? Please provide me the regulations that require...

5. Fall protocol

   ttouslee replied to ttouslee's topic in Home Health

   The client did fall at home, lives alone. We always do a fall risk, which he is/was a significant risk. Safety measures educated with all visits. client has frequent falls, needed to be in a NH, but refused. PT visits 3 days a week and OT 5 days a...

6. Fall protocol

   ttouslee posted a topic in Home Health

   Hi everyone, does anyone have a fall protocol that they wouldn't mind sharing? We had an incident of an aide discovering a client had fallen with injury. I did not like how it was handled, but we have nothing in place for an incident like this. If ...

7. What will electronic charting do to all our man hours

   ttouslee replied to HHN2472's topic in Home Health

   We do electronic charting and about the only thing it saves, is your hand from cramping from all that writing. It might be some faster but not much.

8. Nurse to patient ratio in ED

   ttouslee replied to 1fastRN's topic in Emergency

   I work in a small hospital, in ER we work with one RN and one EMT. At about 4-5 pts I will call the supervisor who then will come to help out. When a true cardiac comes in it is one on one, besides the code team.

9. Start up of a free clinic

   ttouslee replied to ttouslee's topic in Ambulatory

   Thank you for the ideas, I will certainly add those ideas to my list. I am still interested in additional thoughts on how to actually run the clinic. We have the main building and one nurse, with second one considering the offer.

10. Start up of a free clinic

    ttouslee replied to ttouslee's topic in Ambulatory

    I do have our attorney working on the disclaimer for nurse protection. Quess I was really hoping for some ideas on setting up the clinic. Must not be a topic of interest though.

11. Start up of a free clinic

    ttouslee posted a topic in Ambulatory

    I hope someone can help me with this. I am the administrator of a Home Health agency. However, my CEO has asked me to research and start the process of opening a free outreach clinic. This would only be V/S and simple nursing assessment. Lots of ...

12. breaking down charts

    ttouslee replied to jbellard03's topic in Home Health

    We do computer charting, but its amazing how much paperwork is still in the office charts. When we breakdown the chart, all Dr. orders, including referrals, F2F, signed 485's, are kept. Pretty much anything with someones signature is kept. H & ...

13. When is Dr. order required?

    ttouslee posted a topic in Home Health

    I am needing to verify when a dr. order is required in home health and when its not. We have a client that requested our aide put ace wraps on her LE. the aide placed them and notified the primary nurse that she did this. We have had discussions at l...

14. Bag barrier paper

    ttouslee replied to ttouslee's topic in Home Health

    Thanks everyone, appreciate the input

15. Bag barrier paper

    ttouslee replied to ttouslee's topic in Home Health

    I don't know the state reg on a rolling bag but would think the same principale would apply, that there needs to be a barrier between bag and surface in the home.