AnnemRN

AnnemRN

Home health

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  1. How much per mile??

    AnnemRN replied to septvirgo03's topic in Home Health

    The agencies I've worked for in the past have always paid the IRS mileage rate. Currently, I'm getting .50 per

  2. Is it possible to be able to see 8-10 patients a day?

    AnnemRN replied to UFEDRN's topic in Home Health

    It sounds like they weight the visits which is good for you. My agency does not weight visits (other than a SOC which counts as 2, everything else is 1), but if I were you I would go slow. There is...

  3. Nurse helping out Cna at times = they eventually expect the nurse to help them?

    AnnemRN replied to nd deb's topic in Geriatric, LTC

    Yes, the cna's at the nursing home I worked in expected the nurses to help them all the time. At the time, I was the discharge planner and I was answering call lights too. The cna's didn't seem to...

  4. 20 + years left until retirement......

    AnnemRN replied to Otessa's topic in General Nursing

    I try not to hold onto ideals. I have changed jobs several times over the last 10 years and it has almost always been for a better fit. For me, feeling I'm stuck leads to

  5. Is it possible to be able to see 8-10 patients a day?

    AnnemRN replied to UFEDRN's topic in Home Health

    If you're doing a start of care on a patient who has a wound then you will do the wound care in addition to the documentation which includes measuring & taking pictures of the wound. Many times,...

  6. Is it possible to be able to see 8-10 patients a day?

    AnnemRN replied to UFEDRN's topic in Home Health

    Patient acuity is very high, so I can't imagine being able to see 8 to 10 patients in an 8 hour day. My agency has me seeing 6 to 7 patients a day and it is grueling work. Does the agency weight...

  7. Required to work for free?

    AnnemRN replied to CloudySue's topic in Home Health

    I can't stress enough how important it is for us to make certain that these practices are legal rather than just blindly accepting them. I worked for a home health agency in California where in many...

  8. Required to work for free?

    AnnemRN replied to CloudySue's topic in Home Health

    Cloudy Sue, Here's a thread I found that's similar to what you're asking. I haven't read all responses , but many feel the same way as you do. I know your DOL would be able to answer your question....

  9. Required to work for free?

    AnnemRN replied to CloudySue's topic in Home Health

    I think you should pose that question to your states labor board to see if your agency is in compliance. It's important for you to keep a log of all of your time for future reference. In my opinion,...

  10. New Grad Home Health

    AnnemRN replied to kasendamiles86's topic in Home Health

    I may sound silly, but honestly your posts are difficult to follow. Yes, you're right you do ramble on quite a bit and after reading all you have to say I still don't know what type of case manager...

  11. New Grad Home Health

    AnnemRN replied to kasendamiles86's topic in Home Health

    I think the home health case management most of the responders are referring to is intermittent skilled visits for Medicare/MediCal & private insurance patients. It would not be case managing...

  12. GFR less than 60 indicative of kidney disease?

    AnnemRN replied to Blackheartednurse's topic in General Nursing

    A GFR below 60 indicates some kidney damage has

  13. Have You Ever Refused to Go Into a Terrible Neighborhood?

    AnnemRN replied to westieluv's topic in Hospice, Palliative

    I went to a rough neighborhood late at night only because I had a security officer assigned to go with me. I would not have gone

  14. RNs opening cases, LPNs making all revisits?

    AnnemRN replied to HealthyNurse's topic in Home Health

    In regards to the family who told the LVN about the patient's rectal bleeding, they were very upset when I happened to see them a week later. They did place importance on the information conveyed, in...

  15. RNs opening cases, LPNs making all revisits?

    AnnemRN replied to HealthyNurse's topic in Home Health

    I believe having the RN open cases only to have LVN's do all of the routine visits is a recipe for disaster. In my agency, the LVN's are loaded up with far too many patients to be able to provide...

  16. RNs opening cases, LPNs making all revisits?

    AnnemRN replied to HealthyNurse's topic in Home Health

    I think it's important for the RN to see their patient's at least once each week. The LVN's where I work are so overloaded with patient's they are unable to address problems they encounter and many...

  17. New Grad Home Health

    AnnemRN replied to kasendamiles86's topic in Home Health

    I'm a little confused, are you talking about intermittent visits or shift work with one

  18. Ca corrections. Need help !

    AnnemRN replied to mr.hustle's topic in Correctional

    Don't feel bad, I received a notice last November and sent in my application on 11/21/09 and still haven't received a call. I was ranked 2/86 and the same job keeps being posted as open until filled....

  19. Should RN's home address be posted on the BRN website?

    AnnemRN posted a topic in California Nursing

    I just received the new issue of ANA's The Nursing Voice. It seems Senator Negrete McCloud has introduced legislation called SB111 that would require the California BRN to post all nurses addresses...

  20. Should RN's home address be posted on the BRN website?

    AnnemRN replied to AnnemRN's topic in California Nursing

    I finally got an email from allnurses today saying I had received a response to this thread I started. I was really surprised to see it had received many responses and want to thank you all. The day...

  21. What is the best way to be paid?

    AnnemRN replied to jurico's topic in Home Health

    I agree, hourly is the best way to go. A pay per visit rate wouldn't work where I'm employed, the visits are too complicated and they're not weighted. My agency considers all visits the same- the...

  22. Have you ever felt unsafe while in HH?

    AnnemRN replied to Poi Dog's topic in Home Health

    I think we might have worked for the same

  23. New Grad - Home Health

    AnnemRN replied to Jess_Missouri_RN's topic in Home Health

    I believe if possible, it's best to get hospital experience. Being realistic, you will probably move around in your nursing career and not having med/surg experience might be somewhat limiting. I...

  24. Have you ever felt unsafe while in HH?

    AnnemRN replied to Poi Dog's topic in Home Health

    Yes, I have. Once my agency told me I had to discharge a patient that had been "threatening to shoot the nurses". I was really afraid that he might pull a gun from underneath his pillow. Another...

  25. stress in home health nursing?

    AnnemRN replied to pear8's topic in Home Health

    I guess it depends on the agency. The agency I work for does not factor in travel time or the type of visits you're doing. My agency does not differentiate a routine visit from any other visit. For...