certwndnrs

Latest Activity

1. Wound Vac Company and Issues

   certwndnrs replied to rhizopus's topic in Wound

   i've used the venturi negative pressure by invacare and I'm getting ready to try the medella machine. I've had great results with the venturi.

2. venous stasis ulcer...it doesnt look like its healing

   certwndnrs replied to chenoaspirit's topic in Wound

   Ok, Stop the foam dressing. Try an old school duoderm so the scab can gel up. You may see some maceration for a little while but that'll have to be ok for now.

3. venous stasis ulcer...it doesnt look like its healing

   certwndnrs replied to chenoaspirit's topic in Wound

   Are you sure this wound doesn't have an arterial component?

4. Wound care program for home health

   certwndnrs posted a topic in Wound

   Does anyone have a policy and procedure for photo-documentation? I am heading up a wound care program for my home health agency and would love any insight. I am starting from the bottom so I need ideas. HELP

5. Thinking about leaving field work

   certwndnrs replied to NurseRoRo's topic in Home Health

   I recently left the field to do office work, recert review, note proofing, and all the scheduling. I sure miss the field. The only upside is the fact that my pay is guaranteed whereas in the field, sometimes big, sometimes small depending on the ce...

6. Can HH Nursing be a fulltime job?

   certwndnrs replied to utrocks84's topic in Home Health

   There are ups and downs in homecare, you may very well get 30 pts a week but during the summer months, the census could fall and you could drop down to less. thats a risk you take but if your new, you can usually ask other nurses to let you see some...

7. Intimidation By Supervisor

   certwndnrs replied to Aviationurse's topic in Home Health

   The patient has the right to refuse care. If he refuses the visit when you call him then do a missed visit, this is proper nursing practice. It seems your agency wants you to harrass this patient. I would call the doctor myself and tell him that t...

8. Questions for the experienced: HH start up.

   certwndnrs replied to alkaleidi's topic in Home Health

   Hi, I'll offer what I can!! 1. Most home care skilled nursing notes are mainly a head to toe assessment, a check off with the typical stuff, like last BM, GU status, Pulmonary status, etc. , with a small area for a narrative to record skilled teachi...

9. How many hours do you work per week for 21 visits?

   certwndnrs replied to heartlover07's topic in Home Health

   That would be 4 patients a day for a 5 day work week, or 7 visits a day for a 3 day work week. Visits alone, I would estimate no more than 24 hrs. An Lpn doesn't do OASIS packs, so you should be able to complete a note during the visit. This is al...

10. New to HH - Need Advice a.s.a.p.

    certwndnrs replied to CMLPNnowRN's topic in Home Health

    Home Health is full of ups and downs. Some days, you may see 10 visits, and some days you may only see 4 visits. Its a risk you take with home health. One thing you can't beat is the flexability of home health. I have always dropped my kids off a...

11. QA nurses and missed visits

    certwndnrs replied to LearningRN's topic in Home Health

    The biller should catch all missed encounters during pre-edit. They can then print a list of all missed encounters along with the clinician assigned. Each clinician should be responsible filling out a missed visit note. Its easy to forget to fill ...

12. How long does coding take?

    certwndnrs replied to tnava's topic in Home Health

    I failed to mention that coding for home health is geared toward increasing HHRG. PPS changed in January, so finding suitable codes by reviewing SN notes can take a while, but not that long.

13. How long does coding take?

    certwndnrs replied to tnava's topic in Home Health

    Is he getting paid hourly? Because I can code 10 recert review charts in a day if I'm steady. If the frequency of SNV is 1w9 or qow9 then he's only reviewing 5-8 skilled nursing notes for changes in dx codes.

14. how to become a wound care consultant?

    certwndnrs replied to wtian's topic in Wound

    Typical wound measurements are Length (head to toe) at longest length, width (hip to hip) at the widest point. Depth is measured at its deepest, tunneling and tracking is measured according to the clock method with 12 being toward the patient's head...

15. how to become a wound care consultant?

    certwndnrs replied to wtian's topic in Wound

    If you have at least 3 years of direct wound care experience then check out the CWCA certification. http://www.aawm.org The exam is offered twice a year, no classes to take. Its difficult to study for this exam because it is based on personal exp...