Thanks for the reply, I am pretty brand spanking new at this position and have never instructed a cpr/first aid/aed class in my life. I've only been doing this a few months. You have had preparation...
AnnemRN replied to quuenmum1954's topic in Home Health
Tell the nursing home you want a meeting with physical therapy and nursing to update you on his progress and needs. Request that physical therapy continue at home and have them prepare a home health...
Were you an instructor prior to coming to work for your organization? They told me they wanted me to do this and left it up to me to find out how to become certified as an instructor. Is there someone...
I was wondering how many home health nurses are hearing that agencies are leaning towards paying per visit instead of hourly in order to save money. I definitely prefer an hourly rate, but all the...
AnnemRN replied to BubbleRN's topic in Home Health
You and the other field nurse should meet with your supervisors and tell them you can't continue at this crazy pace. Your supervisors should be going out and covering visits if they want to continue...
The problem I see with paying per visit is how long it takes to do the visit including paperwork and travel time. If you're being paid $60.00 to do an open and the total time it takes you is 3 to 4...
AnnemRN replied to AmPmRnoncall's topic in Home Health
I understand what you're saying, in the agencies I have worked for the schedulers and supervisors try to keep on top of the recert visits so that doesn't happen. I think they've learned over the years...
AnnemRN replied to AmPmRnoncall's topic in Home Health
No, I believe you will have to discharge then readmit the patient if you miss recertifying the patient in the last 5 days before the plan of care ends. I know it's a headache but, notifying the doctor...
I worked as a salaried employee of a local home health agency and I agree with previous posters in regards to the agency working you to death.I was working 10 - 12 hours a day and only being paid for...
I prefer hourly too, I like being paid for completing paperwork after visits are made. It can be very time consuming and it really benefits a home health agency if they can get away with paying per...
This was discussed on an earlier thread and this website article was posted. www.fsmaonline.org/officenurse.htm The article makes it clear that a medical assistant legally can not refer to themselves...
1. How many patients are you required to see a day for full productivity? 5-6 2. How much mileage do you average, and at what point does mileage get factored in with respect to the visits you are...
Even though Home Health has it's stressors, it is the best decision I have ever made. Call and setup an interview where you can have all your questions answered, you don't have to commit. I am paid...
AnnemRN replied to reddellrn's topic in Home Health
I always instruct the patient to drink alot of water ( if they're not on fluid restrictions) before I get there. After putting the tourniquet on do a good search. Have the patient hang their arm down....
AnnemRN replied to DutchgirlRN's topic in Home Health
Every agency has its problems with staffing and as much as you might want to help.......you have to decide if you're making or losing money. Not to mention the wear and tear on your car. Plus I find (...
I have known a few doc's who have refused to continue treating a patient/client when they discover they are not compliant with the treatment plan. Totally
I don't think anyone ever feels ready to be on call--just remember you're safety comes first. Call your on call manager with any problems or questions you might have. I hope you've been doing HH for...
Dressing Changes: Sterile Technique Wash Hands then: 1. Explain the procedure to the patient/caregiver 2. Assemble the supplies at a convenient work area 3. Assist the patient to a comfortable...
I don't mean to scare you but, I know a DUI in california is serious. I work in home health and a fellow RN was fired for having a DUI as soon as the agency found out. I think you should get a...
llg-I think that is excellent advice--I can remember when I did floor nursing that if I was off work for even two days it was difficult to get back "in the swing of things". I think it is important...