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Search Results Type: Posts; User: I<3H2O

From Date
  1. Pt's home infested with bed bugs, fleas, etc..
    I had a discussion about this topic with one my coworkers. I'm sorry but I do not care how badly someone needs care, if I cannot use a proper bag technique due to filth and bugs then I'm not...
    Nov 20
    Forum: Home Health Nursing
  2. Visit Frequency
    LUPA is low utilization payment adjustment
    Sep 3
    Forum: Home Health Nursing
  3. Am I Allowed to Say "No?"
    Is 25 visits the minimum or the maximum? That should be your first question. Secondly, I would simply approach the scheduler and ask about how assignments are made. My previous scheduler didn't...
    Aug 31
    Forum: Home Health Nursing
  4. Visit Frequency
    KelRN215, I think you may have missed my point. :) Maybe I was not clear. However, if you have someone who takes a BP med and they know the purpose, action, and side effects of that med, the...
    Aug 31
    Forum: Home Health Nursing
  5. Visit Frequency
    Someone who is likely to return to the hospital (CHF, pneumonia, etc) within 30 days should be seen as frequently as your company will agree. Probably at least 3x week for the first week and twice...
    Aug 25
    Forum: Home Health Nursing
  6. Bag Technique
    To me, proper bag technique is: Your bag has separate compartments for clean and dirty. You have something to use for a barrier when you are in a home (plastic bag, wax paper, scale liner,...
    Aug 23
    Forum: Home Health Nursing
  7. New HHA help
    The patient must be given information on their rights and responsibilities, how to get a hold of the state and your accrediting agency, notice of privacy practices, etc. Please review Medicare...
    Aug 22
    Forum: Home Health Nursing
  8. Home Health Pay Per Visit Missouri
    I think even within the state of Missouri, this question is so broad that you are going to have a hard time finding any solid information for your area.
    Aug 20
    Forum: Home Health Nursing
  9. Charting examples for doing iv infusion
    In my state, an LPN can do meds through a picc.
    Aug 20
    Forum: Home Health Nursing
  10. How is a HHA reimbursed for milage?
    I do not believe that agencies are reimbursed specifically for mileage. If they don't pay mileage, then they probably have to pay drive time and it is probably cheaper to pay mileage?
    Aug 18
    Forum: Home Health Nursing
  11. Charting examples for doing iv infusion
    I would chart: PICC line in LUE. Purple lumen with blood return, flushed with 10ml normal saline using push/pause method. Vancomycin 1gm/250ml infused via purple lumen at rate of 250ml/hr per pump....
    Aug 18
    Forum: Home Health Nursing
  12. Case Mix
    Does your agency/company have a goal case mix? I think case mix seems so crazy! Some of the sickest people have a case mix of 0.8 b/c their CHF or whatever doesn't seem to matter b/c they don't...
    Aug 15
    Forum: Home Health Nursing
  13. gfs scrubs are kinda see through
    yeah, tell her what she can wear. Just like a good controlling man should do. :rollseyes: The OP seems like a troll.
    Aug 13
    Forum: Nursing Scrubs / Uniforms / Gear
  14. What is your company policy regarding timeframe for SOCs
    I think asking someone to complete an OASIS,especially a SOC OASIS in the home is a RIDICULOUS expectation! There are no many things that I have to look up the item intent on (even after completing...
    Aug 12
    Forum: Home Health Nursing
  15. Interview salary discussion, how much is over asking?
    Words of wisdom that were given to me: When you are interviewing someone for a position, ask them what they want to be paid. They should know their worth. A person who settles for whatever you...
    Aug 2
    Forum: Nurse Management
  16. When a supervisor forbids you
    Thank you all for your input. Being new to management and not exactly "knowing your role" does pose some difficult situations.
    Jul 21
    Forum: Nurse Management
  17. When a supervisor forbids you
    I created a scenario without very much factual basis. LOL Something happened that made me think of this scenario. How would you handle a situation where you AND your supervisor were blatantly...
    Jul 20
    Forum: Nurse Management
  18. When a supervisor forbids you
    What would you do if your direct supervisor forbid you to ask questions to clarify something. Such as, your supervisors 1 up told you that you had to order supplies from XYZ company because they...
    Jul 19
    Forum: Nurse Management
  19. Offensive?
    I have to first ask if it is possible that she has a psychiatric dx that would make this statement a little more palatable. If not, then I think I would have been offended too.
    Jul 17
    Forum: Home Health Nursing
  20. Had a roach fall out of the cealing..
    I have a concealed carry and I wouldn't hesitate to take it into a home (concealed of course) if I felt unsafe. Now, my 9mm wouldn't help for the roach on my shoulder. ;) Dirty is a WHOLE lot...
    Jul 14
    Forum: Home Health Nursing
  21. Looking into Home health
    You may try the home health forum although it may not get you many answers either. I personally feel like home health is really where great things are happening.
    Jul 9
    Forum: Kansas Nursing
  22. Time spent on charting
    Yes! I try to finish SNV charting in the home. I only take home OASIS visits. When my agency made the rule that snv needs to be completed in home it really helped me. :)
    Jul 8
    Forum: Home Health Nursing
  23. Diabetic foot care
    Does the agency you work for provide diabetic foot care such as callous removal, nail clipping, tensile testing? If so, how often is this provided? Does Medicare pay for this as a skilled stand...
    Jul 6
    Forum: Home Health Nursing
  24. Clinical Director and hating it. . .
    First, you should decide WHY you hate it. If it is because you are not providing patient care and that is your desire then no amount of time will heal that. If it is because you do not understand...
    Jul 5
    Forum: Nurse Management
  25. Contemplating a job in HH
    You could also look on Medicare's website at Home Health Compare. See what kind of scoring they have. That may give you some idea of the kind of company. Find out if they are CHAP, Joint...
    Jul 5
    Forum: Home Health Nursing

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