AnnemRN

AnnemRN

Home health

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All Content by AnnemRN

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

    AnnemRN replied to Roxxyruns's topic in Home Health

    seeing that many patient day after day will lead to major burnout. most agencies keep the daily patient load to - 5 to 6 patients for rn's and 6 to 7 for

  2. Anyone do VA Home Based Primary Care?

    AnnemRN replied to RubyRN,CHPN's topic in Home Health

    in my area, home based primary care is paid hourly. the nurses are available 6 days a week and work with their own nurse practioners. the va has a medical director who is also involved. it is...

  3. HH Administrator Seeking Feedback About Productivity

    AnnemRN replied to CooperNurseRN's topic in Home Health

    i would have to say that any visit that includes oasis questions should get more points than a regular visit. the oasis questions take time and thought to answer. also, in the past i've had problems...

  4. HH Administrator Seeking Feedback About Productivity

    AnnemRN replied to CooperNurseRN's topic in Home Health

    one question that comes to mind is - how many patients are they case managing? are they able to effectively case manage their patients if they're only seeing 4 patients/day. is your part time staff...

  5. Discharge oasis vs Admission oasis discrepancies

    AnnemRN posted a topic in Home Health

    I was recently approached about my discharge oasis showing a decline in condition when compared to the admission oasis. I call it as I see it, but have been told that I need to make a copy of the...

  6. Discharge oasis vs Admission oasis discrepancies

    AnnemRN replied to AnnemRN's topic in Home Health

    That might help , but with staffing issues it's not always possible. Ultimately, being careful with oasis selection on admission would be the best option in my

  7. Discharge oasis vs Admission oasis discrepancies

    AnnemRN replied to AnnemRN's topic in Home Health

    In this case it really came down to assessing the patient correctly on admission. The patient was incontinent of urine, has been for years but that was not selected on the oasis admission. On...

  8. Discharge oasis vs Admission oasis discrepancies

    AnnemRN replied to AnnemRN's topic in Home Health

    Thanks for your reply. What I told my supervisor is that the patient was not evaluated accurately on admission, that's why it seemed like she declined on discharge. I agree that nurses look the...

  9. don't want to charge

    AnnemRN replied to yr of tx's topic in Patient Safety Issues

    LTAC patients are very ill and require a charge nurse who is experienced. I can understand why you're nervous. I think you should put your concerns in writing and give a copy to your director. Stand...

  10. No longer homebound

    AnnemRN replied to AnnemRN's topic in Home Health

    That's what I thought too. The more I questioned the quieter they

  11. No longer homebound

    AnnemRN posted a topic in Home Health

    Today, I had a very difficult day, unexpectedly I had to stay and monitor one patient and report to the doctor and I knew I wouldn't be able to see all of my patients. I called my office and requested...

  12. Work Injury, need advice

    AnnemRN replied to Babs0512's topic in Nurse Disabilities

    Babs, I used to be a worker's compensation nurse case manager. The majority of clients were back injuries, that's why I suggested the muscle relaxer. In combination with the pain meds it took care...

  13. Work Injury, need advice

    AnnemRN replied to Babs0512's topic in Nurse Disabilities

    Hi Babs, Sorry to hear things are not getting better. I wanted to give a little advice if you don't mind. First of all, keep all of your medical paperwork including your return to work slips from the...

  14. Getting Started in Home Health.

    AnnemRN replied to ChristineN's topic in Home Health

    I agree, it's good to have a nurse educator, but the home health field is very intensive. It will be difficult to try and learn the in's and out's of Medicare etc. on a part time basis. I'm not...

  15. Getting Started in Home Health.

    AnnemRN replied to ChristineN's topic in Home Health

    I am a home health nurse. Will you being doing intermittent or continuous care? This sounds like a great opportunity to get home health experience, most HHA's usually want at least a year or two of...

  16. No longer homebound

    AnnemRN replied to AnnemRN's topic in Home Health

    I asked if the patient had received 5 visits, but didn't get an answer. I asked them if they were concerned about a LUPA, and was told that LUPA's are no longer being utilized with the new Medicare...

  17. Work Injury, need advice

    AnnemRN replied to Babs0512's topic in Nurse Disabilities

    the worker's comp doctor determines your work status based on the objective/subjective findings. it's up to your place of employment whether they can meet your restrictions. so far, it seems like they...

  18. Photographic wound documentation P&P

    AnnemRN replied to Beary-nice's topic in Wound, Ostomy, Continence

    i would try to stay away from keeping your images paper based. it can become very time consuming with lots of chances of the documentation not being done at all. where i work we use software that...

  19. LVN WCC Wound/Sharp Debridement California

    AnnemRN replied to hotelmez's topic in Wound, Ostomy, Continence

    I believe you must be an MD, WOCN or PT to perform sharps

  20. Nurses obtaining c.diff

    AnnemRN replied to Kreskino's topic in General Nursing

    Ruby, That is clearly a workers compensation claim if I've ever heard one. If your husband hasn't initiated a claim then he certainly should do so now. Glad to hear he made it through the

  21. We are trying a new wound vac company

    AnnemRN replied to gettingupthere's topic in Wound, Ostomy, Continence

    I agree, after trying both Blue Sky and KCI I found in most instances that KCI was the better choice. For anterior surface wounds Blue Sky worked fine, but for posterior wounds such as Sacral or...

  22. Medical assistants and LPNs

    AnnemRN replied to Angela Ma's topic in LPN, LVN Corner

    It's been addressed on this site many times in the past, an MA is not interchangeable with an LVN. I don't know where you get your information, but it is illegal for an MA to present themselves as a...

  23. Occupational Health Nurse/CPR instructor

    AnnemRN posted a topic in Occupational Health

    I am an Occupational Health Nurse who has been asked by my company to instruct & certify approximately 70 workers in CPR/First Aid/AED. I am feeling a little overwhelmed, and am hesitant about...

  24. Occupational Health Nurse/CPR instructor

    AnnemRN replied to AnnemRN's topic in Occupational Health

    Companies are interested in nurses who have workers comp experience to handle work related injuries. I also was required to obtain audiometry and spirometry certification. Good luck on your...

  25. Occupational Health Nurse/CPR instructor

    AnnemRN replied to AnnemRN's topic in Occupational Health

    That sounds good, but in reality the workers were unreliable, you could sign them up for class and they wouldn't show up. It was really unreasonable to expect me to instruct these classes and provide...