AnnemRN

AnnemRN

Home health

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  1. Salaried nurses, How much OT is acceptable? What to do?

    I found an old thread that pretty much covers this topic. It explains the meaning of an exempt employee which is the classification the OP seems to fall under....
  2. Salaried nurses, How much OT is acceptable? What to do?

    That's really a difficult one. The problem being as a salaried employee you are not required to be paid overtime. I like you found out the hard way that generally speaking salaried positions in...
  3. Will home health survive?

    Home health reimbursements changed in 2000 from pay per visit to bundled payments for the entire 60 day POC. I think we need to wait and see the results of the pilot program and how much the...
  4. Qualified or not?

    You can apply for the job, but they are at the very least looking for someone with case management experience as there are multiple injuries that require follow up. I was an Occ nurse for awhile and...
  5. What did I get myself into??!! I'm scared!!!

    Wow, sorry you had such a bad experience. I wish you had reported them to Medicare they sound like a nightmare. You might find the following article enlightening. USDOJ: Medicare Fraud Strike Force...
  6. Offered job at new HHC agency in town, but . . .

    I completely agree with you, a lot of home health agencies abuse their nurses. I think you should tell this agency that you would love to come to work for them, but you are used to being paid...
  7. Quadriplegic patient stomach issues

    I wonder if it could be related to gas in the GI tract. You might want to ask the doctor to consider adding simethicone twice a day and see if it
  8. What did I get myself into??!! I'm scared!!!

    It really does depend on the agency and what their expectations are for you as far as caseload. The agencies I've worked have had patient's in 2 different counties which meant I could go anywhere....
  9. What did I get myself into??!! I'm scared!!!

    I think it's best not to have any preconceived notions about home health such as having more time for your family that way you won't be disappointed. A lot will depend on your agency - the quality of...
  10. The reality is home health care is where the jobs are.

    I think it's getting harder for new grads to get into home health. I recently got a job where an applicant had to be experienced in OASIS to even be considered. I think most agencies want someone that...
  11. Transitioning to home health nursing

    I live in the Sacramento area and I have to agree that over the years the demands of home health nursing have increased and it is very difficult to complete your day in 8 hours. The patient acuity is...
  12. Happening again

    kcmylorn, I just saw your response today and felt I had to respond. Yes, everything you said is true, except I wondered if you realized that CMS actually started seriously looking into home health in...
  13. Happening again

    I was a part time employee for a home health agency and found that I was in fact working more than the full time staff. I thought because I was part time I would not be depended on so heavily, but...
  14. Discouraged Nurse Graduate

    I had a friend who went directly into the NICU as a new graduate nurse. Eventually, after 8 yrs of working in the NICU she decided to tried to apply outside of the NICU and had great difficulty...
  15. Future in Home Health?

    It really does depend on the agency you work for so, you need to keep that in mind. I've been expected to see 7 patients in an 8 hour day. There are many times when 2 of those patients required wound...
  16. What do you mean by " I made the mistake of calling the 800 Medicare number". Are you saying it's too late to file a lawsuit on your behalf now? That would be unfortunate, but I admire the fact you...
  17. Computer Charting and Medicare guidelines in HH.

    I have used Allscripts in HH in the recent past. Each regularly scheduled visit required a full assessment. The oncall visit was only used for unscheduled urgent visits. My understanding is Medicare...
  18. Does this make me an "RN snob"?

    I wanted to add this link regarding the use of the title "nurse".
  19. 2 admits is an 8 hr day at my agency. Anything more than that and you're going to go into overtime. Our agency uses Allscripts software and it takes a great deal of time to input all your data and...
  20. Are nurses being replaced?

    All you have to do is go to the career/employment section of local hospital websites, clinics etc. to see MA's & tech job openings far outnumber nursing
  21. Why HH nurses quit

    I don't agree that home health attracts loner type nurses with authority issues. It took a lot of adjustment for me to finally get used to being alone most of the time. Previously, I had worked...
  22. SOC...where does my responsibility end?

    You're responsible for completing the SOC only. The case manager takes over after the admission so, don't
  23. Yes, you have to set boundaries, you can't allow yourself to get behind by adding the cna's responsibilities to your own. I have also worked as a cna so, I know their job isn't easy, but neither was...
  24. Why HH nurses quit

    I completely agree, unions are very much needed in home
  25. Why HH nurses quit

    Yes, and adding all night call to that does make you think about quitting