AnnemRN

AnnemRN

Home health

Member

  • Content

    287

  • Visitors

    7,751

  • Followers

    0

  • Likes

    1

All Content by AnnemRN

  1. Medicare Supplies

    AnnemRN replied to spejsa's topic in Home Health

    Even though my agency contracts with a supplier, we have to have car stock available. For example,there are times when an established patient develops a wound - the wound care can't wait 2 days until...

  2. The Family from Hell

    AnnemRN replied to SuesquatchRN's topic in Geriatric, LTC

    It may prove to be an eye opener for him. Good luck, keep us

  3. The Family from Hell

    AnnemRN replied to SuesquatchRN's topic in Geriatric, LTC

    At the family meeting, make sure you include B via conference call. That way, no one can carry the tall tales back to him.......... he'll be hearing it all for

  4. The Family from Hell

    AnnemRN replied to SuesquatchRN's topic in Geriatric, LTC

    You're welcome, that way you don't have all of the responsibility on your

  5. The Family from Hell

    AnnemRN replied to SuesquatchRN's topic in Geriatric, LTC

    I would approach your social worker and request a family meeting with everyone present so, you can clear the air and work on resolving the issues. It's important to show that the health care team is...

  6. forced overtime??

    AnnemRN replied to behindthedoor's topic in Home Health

    In my opinion, that would have been the best time to hand in your resignation. I think it would have driven the point home and forced them to reconsider how they hand out assignments and compensate...

  7. forced overtime??

    AnnemRN replied to behindthedoor's topic in Home Health

    A start of care for my agency is worth 2.0 patients, everything else is worth 1 patient. That includes recertifications, resumption of care, discharges and any patient visits with labs. My agency...

  8. forced overtime??

    AnnemRN replied to behindthedoor's topic in Home Health

    If you had worked there for at least one year then, the family medical leave act (FMLA) would have applied. I find most employers in the medical field fail to tell us about this important federal act...

  9. forced overtime??

    AnnemRN replied to behindthedoor's topic in Home Health

    I absolutely agree with

  10. forced overtime??

    AnnemRN replied to behindthedoor's topic in Home Health

    I had this conversation the other day with a colleague. I do not work for free, so when I have overtime I make sure I call it in. On the other hand, the colleague told me that several nurses including...

  11. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    There are always two sides to every story. I appreciate you giving your side and I agree we need to support our fellow nurse. There may be no easy answer to the problems some of the OP's nurses are...

  12. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    Okay, then why do you think the OP's nurses are

  13. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    I worked in a nursing home a few years ago and so many critical things were missed. Patients were dehydrated, many times labs were not checked. One patients INR was 10.2 and the nurses were still...

  14. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    What's it like when there are IV's, wound vacs and complicated treatments. How many patients would you have

  15. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    They will appreciate you spending more time with

  16. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    The Dept. of Health and Human Services has a preferred minimum staffing level recommendation for nursing homes. It says each resident should received a total of 1 hour and 45 minutes of care from a...

  17. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    I don't see how staffing can be great for that many patients. It amounts to approximately 23 minutes per 8 hour shift for each of the 21 patients. The nurses must have to move very

  18. Nursing staffing

    AnnemRN replied to mercy1975's topic in Geriatric, LTC

    I will bet the med pass and treatments are a nightmare if each nurse has 21 patients. The patients probably have multiple meds. The aides can only help so much and can't help with nursing functions....

  19. experienced nurses (edema question)

    AnnemRN replied to seaspray700777's topic in General Nursing

    True, low protein levels can cause edema. It may be a combination of both - sitting with legs dependant and possible low

  20. Altering a patients chart

    AnnemRN replied to sunkissed75's topic in General Nursing

    it is a criminal offense, but i know there are facilities that encourage cleaning up charts. one in particular, a few years ago where a patient died in a local rehab due to staff negligence. the...

  21. I am not in charge of your entire medical care!

    AnnemRN replied to chenoaspirit's topic in Home Health

    i really think it's easier to say no right from the start to prevent becoming an emotional wreck. yes, i've had patients ask me to do things for them, i always ask if they have family to help. i let...

  22. Is there a cap on maximum amount of patients per day

    AnnemRN replied to Roxxyruns's topic in Home Health

    i have worked over 13 years in home health and it is my experience that the agencies don't want you to work overtime. i have always had excellent annual evaluations that mentioned my time efficiency....

  23. I am not in charge of your entire medical care!

    AnnemRN replied to chenoaspirit's topic in Home Health

    Let them know that the goal in home health is to make them independant and eventually discharge them from service. If it seems that they have too many social issues then I ask the MD for a MSW...

  24. Is there a cap on maximum amount of patients per day

    AnnemRN replied to Roxxyruns's topic in Home Health

    to some degree the driving area does play a part. although, i will tell you that lately i have been seeing 7 patients a day within a 30 to 50 miles radius and it is still very difficult. it is...

  25. Is there a cap on maximum amount of patients per day

    AnnemRN replied to Roxxyruns's topic in Home Health

    Yes, to the last question. I also think that physically it is too tiring to see so many patients and leads to injury. I also agree with your statement regarding agencies taking on more patients than...