Quote from nurse hobbit
....have a problem is having a new nurse at each visit! 7months and 6 different nurses!
it gets so old to have to answer everything from day one to present day. my pt is only 7.5 months old and when they come for the visit, the typical reply" i never seen baby xyz, so please start from the beggining" drives me insane! i give them a complete report and they say this wasn't changed on the 485, etc, etc, etc, not my problem. talk to the docs or case manager.
any advice or suggestions on how to handle this?:wink2:
if patient is less than 21, oasis is not required.
however, frequency of rn supervisor visits is determined by
a. agency policy,
b. insurance contract regulations.
who is the case manager? our 2 nursing supervisors @ each branch are considered the "case manager" with 500 + new admits/month at each branch. it is nearly impossible to keep all the details together. they've mostly been with the agency over 5 yrs on average. having a 6 different rn do home supervision visits indicative not well run program ---sounds like they are sending just "anybody" to get paperwork done rather than organized programs---rapid staff turnover is a red flag in this area.
1. when you fax order in do you send to a specific person or just to dedicated fax # assigned to case?
when faxing orders in, address to specific office staffer responsible and call to confirm fax received, note on your chart copy who confirmed receipt.
yes there is a fax and sock gremlin who love to munch away on crucial material.
2. update your 485 with current order and attach faxed form to back.
3. call week before scheduled visit to medical records to confirm all your orders in permanent chart just not stuck in inbox on case managers desk.
4. ask mgmt if you can be assigned 2 supervising rn's due to above issues. i found that when you partnered up staff on cases, much easier as both staff know patient so orders a breeze
thanks for being the patient advocate and being concerned about providing high quality patient care.