New Home health job no experience

Specialties Home Health

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Specializes in Home Health- LTAC- Telemetry-.

I just got a new job as a home health RN after applying to hundreds of jobs for three month ( I am a new RN grad) finally this agency hires me and goes over some basics of oasis documentation and other papers. The next day they sent me to a patient's house to do an admission and a PT eval. I have no problems dealing with the patients as long as it is the medical part, but when it comes to papers I am so lost. I know they shouldn't have done that and in an ideal situation I shouldnt have accepted it either but I want to finally have my first job and get that initial experience every nurse recruiter is asking for.

I will meet with my supervisor tomorrow and ask for help with the paper work but in the mean time, any advice?? does anyone know of likns and websites I could learn from ? thank you very much, I love nursing and wouldn't imagine myself doing something else but hate being a new grad with so many difficulties in the market right now. Thanks for any help.:confused:

Specializes in COS-C, Risk Management.

First place to start is the CMS website for Medicare Home Health. Second place is the OASIS Answers and read all of the Q&As to learn the nuances of scoring the OASIS assessment. There's an old post in here somewhere with the study guide materials for the COS-C exam that is helpful in learning about OASIS. Find a resource person you can go to with questions and concerns and whatever you do, be honest about your skills and what you need help with. I would be very concerned with any agency that sends a new grad out to do a SOC alone on her second day. Probably not a good agency to work for. Ask for the training you need.

Specializes in Home Health- LTAC- Telemetry-.

thank you for your reply... I have been getting familiar with the documentation little by little and so far they are giving me very easy-non complex- cases requiring a general assesment and a lot of documentation and PT evals

Specializes in L&D; GI; Fam Med; Home H; Case mgmt.

How do you know how to do a PT eval as a new grad RN? One would think a PT would have to do those. ?

Specializes in Home Health- LTAC- Telemetry-.
How do you know how to do a PT eval as a new grad RN? One would think a PT would have to do those. ?

Before the patient is seen by a therapist he/she needs to be seen by a registered nurse to evaluate his needs for that service. At least we do it like that in my agency, and being a "new grad RN" is not a disease, all the ones that today have 15 and 20 years of experience were once new grads without experience. My supervisors at the agency say I am doing a great job and that I learn super fast, patients call the agency and ask to be seen by me...after all it seems I am not doing that bad.

The confusion between cfitz and u was that he mistook the abbreviation "PT" for physical therapist, and not patient, i dont think his post was intended to knock new grad nurses...at least i hope not.

Specializes in L&D; GI; Fam Med; Home H; Case mgmt.

D'oh - yeah, I thought she was referring to a physical therapy eval. Sorry. (btw, I'm a "she").

Specializes in LTC/hospital, home health (VNA).

OP may have meant opening a case/doing SOC for PT only. Unfortunately our therapists only do discharge OASIS...we get stuck with all the rest :(

Specializes in Home Health, Case Management, OR.

I too was hired as a new grad into HH 8 months ago. Seems awfully soon to have you do a SOC on your own! I oriented with another nurse for a bit over a month and had a lot of training on Allscripts, OASIS and medicare guidelines. I was observed by another nurse for the first couple SOC's I did. I would request more info the OASIS questions. It REALLY helps to understand how everything works together in the grand scheme of home health rather than just completing the patient care.

Specializes in Home Health- LTAC- Telemetry-.
D'oh - yeah, I thought she was referring to a physical therapy eval. Sorry. (btw, I'm a "she").

Lol in that case it is all clear now... BTW I am a "H"e not a "she"!!

Specializes in L&D; GI; Fam Med; Home H; Case mgmt.

D'oh!! :o

Specializes in Home Health.

You had no orientation? You did not get a chance to shadow a field nurse? Lovely.

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