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  1. sunnysideRN

    Mobile X-ray Services

    Are any of you field nurses able to carry out orders for mobile xray services? I feel like this could be very handy in the case of a bedbound patient needing an xray to r/o PNA, fecal impaction etc. I received an order for mobile CXR for just that, to r/o PNA but it was shot down instantly at my agency. They said that it would be too hard to get authorization from insurance and simply, "we don't do that." Managers, any insight into why I received such a strong reaction from my agency?
  2. sunnysideRN

    Patient education

    Thank you so much for enlightening me about "stoplight" tools! This is exactly the kind of systematic approach I've wanted to take with my patients but there's no way I could've created all that from scratch. I've registered and begun printing the handouts. So glad there's an organization focused on HH quality. Very cool, thanks again!
  3. sunnysideRN

    RN Home Health

    I'm in Socal where a 3 bedroom apartment rents for approx $3000/mth (just for context) SOC- 100 Recert/ROC/DC- 65 SNV- 55 Non-billable discharge- nothing, not a penny (curious if other agencies reimburse for this)
  4. sunnysideRN

    Patient education

    No, never heard of it. Please share.
  5. sunnysideRN

    Patient education

    Wondering if any of you have a system for what you teach and when you teach it. For instance, I've heard of some nurses teaching safety measures on the first f/u visit after the SOC, then pain mgt, then the medications. Also heard of some nurses teaching on 1 medication and/or disease per visit until they are all covered. I'm trying to be more systematic about it because I feel like I just address things as they come up and I'd like to be more proactive. My agency uses Kinnser and I feel like the pre-populated "progress to goals" don't help matters. It doesn't feel like a real care plan to me as so many of the items aren't relevant and there are many other things I liked to teach which aren't in there (though I could "free text" them if I had all the time in the world). I'd like to print more educational handouts but after all my charting the last thing I have energy for is printing materials, plus I'm trying to be smart about out-of-pocket expenses spent on work. Currently, I use my phone to pull up information in the home (for example, side effects of such and such medication) and then I just discuss it with the patient. Is a discussion the best teaching method for elderly adults, I am not sure. Any thoughts on anything related to how you teach your patients is appreciated :)
  6. sunnysideRN

    Charting in the home

    The prospect of coming home at the end of the day with nothing or very little to chart makes me giddy :) When I'm scheduling patients I've started to allot some time for charting. For example for a follow up I'll allot 30min for the visit and 10 min to finish up charting in my car before moving on. For SOCs I usually spend 1hour in the home doing my assessment, med rec and collecting data for Oasis(I have a cheat sheet). It then takes me about an hour to complete the Oasis plus a comm note for the schedulers. So would you block out two hours before scheduling your next patient so that the bulk is done in the home or somewhere nearby (depending on the pt/environment)? Over time, do you think my SOCs will get faster or is 2hours reasonable? If you have any tips at all about streamlining SOC's I'm all ears :)
  7. sunnysideRN

    Charting in the home

    Hi Libby1987, I'm newish to HH and I've finally begun charting my follow-up visits in the home. It's amazing what a time saver that is at the end of the day. I'm wondering how feasible it is to chart a SOC/ROC/Recert/DC in the home. Any tips for making those lengthier assessments more manageable? I've received a lot of valuable tips and tricks from your replies to various posts!