Calling all HH Nurses, roll call - page 2

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   outbackannie
    i loved being a home health nurse and visiting patients and their families. i really felt i made a difference. then when the pps came into effect, all the home health agencies including the one i worked for closed in my area. moving was not an option for me and so i'm stuck back in the hospital setting. what really doesn't make sense is that the people i used to visit have to come into the hospital to receive the care i could have given them in their home for less than the cost of hospitalization.
  2. by   hoolahan
    Hi sammie , hi outback annie (love that name) , welcome!

    Outback, that is unbelieveable! And scary! I will lose it if I had to go back to the hospital FT! How sad for you!! I DO feel your pain!!! I still moonlight in the hospital, working q monday 7p-7a for the next 6 weeks as a matter of fact.

    I'm thinking about going for my wound care cert, if all the HH agencies close up, I'll be screwed! Is this a trend in the southwest? Why did all the agencies close down? They lost that much $$ on PPS? Where is the nearest HH agency? The managed care companies must be having a FIT! It's way more $$ to keep pt's in the hospital, and they recover so much better at home. Again, how very very sad!!

    Hey, start your own agency!! Goodnes knows you'd get all the business!!
  3. by   NRSKarenRN
    500 Home Care agencies closed of the past year. In Texas, estimated that 50% closed. Partially due to Security bond being required; others needed to pay back MC for overcharges after MC 488 review. MC then demaded overchage be deducted direclt from next automatic monthly payment (prior PPS) causign huge cash flow problem. Add in PPS rules & regs, y2k compliance software etc, it broke many newer agencies.

    I've heard from my Director of Patient Services, my agency doing well under PPS cause we've lower utilization than manyin our state and long term wound care patients less that 5 % of total cases.

    I'm sure there has to be SOME agency providing home care, maybe thru a satelite branch??...check with your discharge planning/social work department.
  4. by   MayeRN
    Hi there everyone! I've been working in home health for 7 years in Ontario, Canada. There is nothing like it. I had no idea what to expect when I first started home health nursing but now I wouldn't trade it for the world. I feel that it is certainly not for everyone.

    Home nurses get a bad wrap here. Many of the hospital nurses tell the student nurses that it is useless(?) and that we have abandoned the profession. Home health nursing is very rewarding, despite all the paperwork and all the time spent on the phone.

    Often the relationship that you build with the patient and their family goes beyond the regular nurse-client relationship. Patients end up depending on the nurse more than their doctors! And we get to give that special one-on- one care that we all learnt about. I would never be able to return to the hospital setting now!

    We rule!!!
  5. by   hoolahan
    Hi Maye. I have recieved mail from another Canadian HH nurse, but she said they didn't do OASIS, lucky girl!!

    I am with you all the way on loving HH, just not always loving my administrators!

    Welcome, hope to see you post a lot!
  6. by   nur20
    HI HOOLAHAN, Then you did take the new job?? You didn;t tell us. Good luck at it, but i bet i know where your heart lyes !!!!!!
  7. by   hoolahan
    Yes! I did take it, but I will be making visits all the time to supervise. Less paperwork, still get to have hands on.

    I start Monday!! I'll let you know how it goes.

    PS I can wear jeans!!
  8. by   debj6296
    Hi All,
    I have been a nurse for 21 years. I was an LPN for 10 yrs, 7 years on a med/surg/telemetry floor and 3 doing private duty/staff relief. I have been an RN since then and worked in ICU/CCU for 2 years then went to Home Care. I was a Case Manager for 6 yrs.
    We purchased a new computer program last year and I have been closely working with the implementation team and education, QA... ever since then. I love it! I am also 1/2way through my BSN degree.
    Glad to be a part of this Forum!
  9. by   NRSKarenRN
    Welcome, Deb. Feel free to post anything of interest or any HH questions. We all learn from each other. Karen.
    Last edit by NRSKarenRN on Oct 21, '01
  10. by   nur20
    Welcome debj6296
  11. by   hoolahan
    Welcome Deb!
  12. by   theleader
    Was a acute care nurse (RN) for 13 years and the directors position opened up at my agency. Have now been in Home Health since 1998. Love every minute of it. Like to go the extra mile for my clients and not get made fun of or looked down upon like I did in acute care. PPS took a toll on my agency. Thank god the staff saw what was coming and graciously found other jobs before I had to lay them off. My patients and staff are the most important things to me. I really can't describe my feelings for Home Health. OASIS has been a real pain but we hang on just so we can keep clients out of nursing homes and hospitals.
  13. by   hoolahan
    Welcome leader. Your dedication is inspiring!! THat must have been so hard to have to lay off staff. I think PPS will be abandoned evetually. Even the insurance companies are dropping their Care contracts, so, hcfa better fix it before there are no solvent agencies left!

    Know what you mean about hanging on and hanging in!