Been in home health for nearly 2 months now

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and i love it!!! i am stil technically on orientation but i am a case manager with my own caseload. i haven't worked with a wound vac yet but at least now i would know what it was if one tried to crawl over my foot! and my agency has the distinction of being the first health care professionals in california to use the engenex unit, the competitor to kci's wound vac. i like my coworkers and they like me. admin is waiting for me to get off orientation so they can start marketing on the other end of the county, which will be my territory. i'm finally getting a handle on the oasis form, the only part i'm having trouble with now is the diagnoses page.....what comes first, etc.

i'm glad i made the switch instead of going to another er. 19 years is a long time........

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when trying figure out the oasis diagnosis, try and think of it this way---why are we (HH) in there,,,,and that will be the primary diagnosis, which may not be the doctors primary dianosis, not that you are changing diagnosis but you are utilizing HH diagnosis...glad you like HH, !!!!

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Specializes in OB, M/S, HH, Medical Imaging RN.

I'm happy for you Taz! I loved HH and thought it to be nursing best kept secret. I still do. I hope to get back to HH full time someday. Congratulations!!!

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when trying figure out the oasis diagnosis, try and think of it this way---why are we (HH) in there,,,,and that will be the primary diagnosis, which may not be the doctors primary dianosis, not that you are changing diagnosis but you are utilizing HH diagnosis...glad you like HH, !!!!

That's what I thought I was doing, but where I run into problems is when there are multiple disciplines in......even though I'm opening the case, who's the primary discipline going to be? I had been making the primary HH Dx the first one, but I forget that, yes, even though the pt just had a total knee, we're really in there to provide 3x weekly PT, not the twice weekly incision and med management care.

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i would but as the primary diagnosis:: surgical aftercare muscular skeletal system, that would encompass PT for therapy and nursing for labs, you can use abnormality of gait for secondary diagnosis and add abnormal coag

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Specializes in OB, M/S, HH, Medical Imaging RN.
That's what I thought I was doing, but where I run into problems is when there are multiple disciplines in......even though I'm opening the case, who's the primary discipline going to be? I had been making the primary HH Dx the first one, but I forget that, yes, even though the pt just had a total knee, we're really in there to provide 3x weekly PT, not the twice weekly incision and med management care.

When the intake is done, that person, assigns the diagnoses. That's the one's I always used and most of the time they were changed anyway by the Oasis coordinator. I would get an e-mail. "Ok if I change it"?. My reply was always. "no problem-o". I never did sweat that but it may work differently where you work?

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Specializes in Vents, Telemetry, Home Care, Home infusion.

Think:

Which discipline does the patient need the most to move to the highest level of functioning?

Then code first diagnosis that impacts patient needing that discipline

Glad you like home health!

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Specializes in critical care; community health; psych.

How wonderful for you Taz, and encouraging for me as I have just completed my first week of HH. I haven't completed an open yet so OASIS is still something I have yet to tackle.

Congrats to you Taz.

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and i love it!!! i am stil technically on orientation but i am a case manager with my own caseload. i haven't worked with a wound vac yet but at least now i would know what it was if one tried to crawl over my foot! and my agency has the distinction of being the first health care professionals in california to use the engenex unit, the competitor to kci's wound vac. i like my coworkers and they like me. admin is waiting for me to get off orientation so they can start marketing on the other end of the county, which will be my territory. i'm finally getting a handle on the oasis form, the only part i'm having trouble with now is the diagnoses page.....what comes first, etc.

i'm glad i made the switch instead of going to another er. 19 years is a long time........

hello...your enthusiasm about hhc is soo infectious..!! im actually snooping around here as i am trying to get out of my hospital world and hhc is one thing im aiming for..so, being a case manager w your own case load, do you still go visit pts?..how do you end up to be a case manager?

edyrn

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hello...your enthusiasm about hhc is soo infectious..!! im actually snooping around here as i am trying to get out of my hospital world and hhc is one thing im aiming for..so, being a case manager w your own case load, do you still go visit pts?..how do you end up to be a case manager?

edyrn

All the RNs at our place are case managers. The PT's are CM if there is no RN involved. Right now our census is low enough that I can see all my cases myself, but we do have LVNs to delegate to. They're all pretty busy with cases from the other nurses, and I'm still trying to learn the ropes, so I see all my own cases. If I delegate to the LVN I still have to go out myself at least once every two weeks to oversee them.

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Think:

Whch discipline does the patient needed the most to move to the highest level of functioning?

Then code first diagnosis that impacts patient needing that discipline

Glad you like home health!

Thanks! This helps, I didn't think about it this way.

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