Monthly RN visits.... never the same one...

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. This a a brand new office that just opened last July, still working out the bugs.

Suggestion:
1. When you fax order in do you send to a specific person or just to dedicated fax # assigned to case? I always address it to the DOCS on a cover sheet! Former militay habit called CYA!
Faxing orders in address to specific office staff responsible AND call to confirm fax received, note on
your chart copy who confirmed receipt.Have done that too and I always chart who came for the visit and how long they stayed!
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.
Thanks will do that!
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.
will try that too!
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 new patient so orders a breeze

Thanks for being the patient advocate and being concerned about providing high quality patient care.