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Nurse on the Go

Nurse on the Go

Home Health
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Nurse on the Go specializes in Home Health.

Nurse on the Go's Latest Activity

  1. Nurse on the Go

    Which On-Line WOCN Programs + Clinicals

    I was recently accepted into the Cleveland Clinic program. While I can’t speak to the program itself (I don’t start until January), they have been very responsive and helpful through the application and “preboarding” process and I’ve heard really great things about the program. The entire program is online and even the clinicals can be done online via simulation which was a huge plus for me and not something I saw at the other programs I looked into. There is an in person option for clinicals as well. Hope that helps! Good luck to you!
  2. Nurse on the Go

    General home health questions

    Hi tinybbynurse! In answer to your questions: 1. Nursing would do a discipline discharge (not an OASIS discharge, just a discharge from nursing services) and PT would do the OASIS recert within the patient's 5-day window. 2. Yes, most of the time it's fine to discharge before the end of the cert period. Often the patients will meet their goals prior to the end of the cert period and/or may not meet the requirements for ongoing care and are appropriate for discharge. The COPs (conditions of participation) outline 6 situations when an agency can discharge a patient. They are: If the patient has met his/her goals If the agency cannot meet the patient's needs If the patient or payer will no longer pay for home health (this also applies if the patient is no longer homebound and therefore doesn't qualify) If the patient refuses further services And if the patient dies or the agency closes (obviously!) 🙂 Hope that helps! -
  3. Nurse on the Go

    COS-C certification

    Check out OASIS Answers. Everyone I know who is COS-C certified has used them- they're good. Event landing | OASIS ANSWERS
  4. Nurse on the Go

    Not cut out for home health?

    First, I am so sorry you are going through this! Second, I don't agree at all that you're not cut out for home health! The charting is often what trips up new hires because it is difficult/intense and usually involves a steep learning curve. 6 months isn't a particularly long time to fully integrate into home health, especially working part time. I think it's reasonable that you would still have a lot of questions and need support with OASIS! From my experience, most new hires need between 6 months and 1 year to really get their feet under them and feel comfortable with the job. It seems like you're right on track... How long is your average visit? Are you able to get any of your charting done during the visit? One of the biggest things that helped my productivity was when I started charting in the home (or at least in my car right after the visit.) I'm not sure what you mean by charting a frequency but if you want to give more detail I'll try to help. As far as OASIS, there are classes to teach you how and why to answer the questions a particular way. If you're interested, you might check out this organization: Event landing | OASIS ANSWERS The class is pricey, but you could purchase just the Oasis Answers book if you're looking for additional information. I found it to be really helpful.
  5. Nurse on the Go

    Medication Review

    Hello all! I am in need of recommendations for pharmacology CEU courses, preferably online. I am orienting a new nurse who would like to brush up her knowledge of common medications, and I can't seem to find a good course to recommend to her. I've looked through all of my favorite CEU sources and done some googling without much luck. Even my organization doesn't seem to have what I'm looking for. For now, I've recommended that she review the 10 most common medications prescribed for older adults and the most common medications used to treat the top diagnoses we serve. Does anyone know of a good pharmacology review course or other resources I can share with her? Thanks so much!
  6. Nurse on the Go

    RN Case Manager? What does this mean in Home Health?

    Hi! Home Health Case Managers do indeed provide direct patient care. They oversee all aspects of the patient's home health services. That includes things like creating and updating the patient's plan of care, determining an appropriate visit frequency, communicating with the MD, ordering/obtaining necessary supplies, tracking all the OASIS timepoints and completing assessments, facilitating referrals within the interdisciplinary team (PT, OT, MSW, etc.) The number of patients you will be expected to case manage may vary by agency, but from what I've seen it's typically between 25-30 for a full time RN. Patients are usually seen between 1 and 3 times per week (it will vary based on what the patient needs, some may be seen less frequently if you're just doing catheter changes for instance.) You will generally do their OASIS visits like you mentioned above and delegate the follow up visits to your LPN. The LPN will communicate any changes in the patient's condition or new needs the patient may have, and you'll work with the MD or the interdisciplinary team to figure out how to solve the problem. In the agency's where I've worked, all RNs are considered Case Managers, except when we've had nurses who only worked a few days a week and primarily did SOCs to hand off to a Case Manager. As far as challenges, there is a fairly significant administrative/paperwork component, and that piece is not for everyone. Home Health is heavily regulated by CMS and that comes with it's share of challenges- it's a steep learning curve. The things I see new nurses struggle with the most are staying on top of documentation and effectively managing their time to get everything done within an 8-hour day. Strong organizational skills, time management and prioritization, and critical thinking skills are an absolute must. It also helps if you have a strong office-based support system (manager, triage nurse, scheduler, etc.) who have your back and can help you with questions and some of your admin tasks when needed. Is it worth it? In my opinion, absolutely! I love home health and don't see myself working in any other setting for the foreseeable future. I love the autonomy, the 1:1 time with patients, the ability to see the same patients and watch them progress and heal over time. You can definitely advance your career in Home Health if you're so inclined. Here's my story from a previous post: I started out as a field clinician/case manager in a small agency and later worked my way up into an office-based nursing position. Over time, I cross trained to do several different types of roles: intake/transitional care, utilization management, triage, even a little bit of billing. I really got to learn home health inside and out! I found it was always just a matter of putting myself out there and volunteering to learn and do more. Now I'm a manager for a large hospital-based home health agency. I can attest that there is definitely opportunity if you stay hungry! If management is not your ultimate goal, there are plenty of ways to advance clinically as well. I know several nurses who have gone on to become certified in wound care, nurses who have moved into education-focused roles, and I even have a nurse right now who is working on an ARNP degree. Hopefully this was helpful to you. I wish you all the best in making your decision!