JennyHHRN

Latest Activity

1. Custodial or Skilled?

   JennyHHRN posted a topic in Home Health

   I hope I don't get banned from asking too many questions! Here's another situation I'm grappling with: Patient has been on service for a year for Foley Cath Maintenance (neurogenic bladder), right sided hemiplegia late effects CVA from 2001. Has vi...

2. Homebound Or Not?

   JennyHHRN replied to JennyHHRN's topic in Home Health

   I really appreciate all the feedback. It makes me feel better to know I'm not being the Grinch of Home Care. People get really upset when we try to explain that they do not meet criteria.

3. Calling All HH Supervisors and Managers

   JennyHHRN replied to JennyHHRN's topic in Home Health

   My thoughts exactly. Intake states the d/c planner told her it was a daily dressing. D/C instructions sent home w/pt stated TID. Will explore wound vac option w/physician.

4. Calling All HH Supervisors and Managers

   JennyHHRN posted a topic in Home Health

   I'm a clinical supervisor for a small hospital-based home health/hospice agency. I find myself having to absorb more and more duties every day and feel frustrated at the lack of resources available. I love this website. I wanted to find out how many ...

5. Homebound Or Not?

   JennyHHRN posted a topic in Home Health

   Here's the situation: Patient attends water aerobics at least 1-3 times per week. Her son states it is a considerable and taxing effort to get her out of the home. 8 months ago patient had skilled HH physical therapy episode, pt/family was taught tra...

6. Mediport Flushes And Hh

   JennyHHRN replied to JennyHHRN's topic in Home Health

   The plot thickens. We ran an insurance check and this patient is not Medicare, she's Blue Cross/Blue Shield (husband works full time). But in our state Blue Cross mirrors Medicare policy. We are required to conduct OASIS assessment on all Blue cross ...

7. Mediport Flushes And Hh

   JennyHHRN posted a topic in Home Health

   Can a patient be admitted for HH visits just so someone can flush her port once per month? The doctor certifies that she is homebound. The port is not currently in use. They keep it r/t her recent (2mos ago) hx of needing transfusions for anemia. ...

8. Any home health manager/Admin/DON/Nurse Super etc

   JennyHHRN replied to renerian's topic in Home Health

   oh ren! What is it you're doing now? I have been a loyal reader of your posts and you have always helped me so much. I'm so sorry the system chewed you up. I just got done with state survey today, a lovely 5 days of torture. I hope you'll still ...

9. Who pays for the Aide????

   JennyHHRN replied to JennyHHRN's topic in Home Health

   Thanks to both of you. Hey Ren, when I first read your message I thought your M-F stood for a profanity, then I realized you meant MONDAY thru FRIDAY...It was funnier the first read thru.... . -jen

10. Anticoagulant Therapy and Home Care

    JennyHHRN replied to JennyHHRN's topic in Home Health

    Thanks Guys...I was thinking along those same lines but needed to hear it from others. I swear sometimes I have so many priorities to juggle that it becomes difficult to solve even the simplest of items.:selfbonk:

11. Who pays for the Aide????

    JennyHHRN posted a topic in Home Health

    I've been in home care for over 6 years and I swear, just when I think I have it all sorted out, I start to second guess myself. Then I ask my boss what her take on the matter is and I end up even more confused. Case in point: Whenever we admit a p...

12. Anticoagulant Therapy and Home Care

    JennyHHRN posted a topic in Home Health

    Okay, I know back in 1997 Medicare said venipuncture is no longer covered as the sole purpose for home care visits. We can continue to draw blood at our visits as long as they have visits for other "skilled reasons". So what do you do with the home...

13. Oasis Confusion

    JennyHHRN posted a topic in Home Health

    Does anyone have advice on this scenario? Nurse visits patient, finds him in respiratory distress and sends him to E.R. Patient dies 6 hours later in CCU. Does the nurse do a transfer oasis assessment (RFA #6 or #7) and discharges the patient? Or do...

14. Question for HHA instructors re Home Health Aide Textbooks

    JennyHHRN replied to NRSKarenRN's topic in Home Health

    I'm such a blonde!!!! I'm glad Renerian is observant. I completely overlooked the date. Sorry. Did you accomplish the project? I'm interested.

15. Question for HHA instructors re Home Health Aide Textbooks

    JennyHHRN replied to NRSKarenRN's topic in Home Health

    Perhaps a chapter on professional boundaries. Home health aides (in some cases)spend the most amount of time with the patient/families. I had a hard time finding education materials that address this important issue in home care. Some examples of ...