spejsa

spejsa

Cardiac

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All Content by spejsa

  1. HH visits at ALF

    spejsa replied to anticoagulationurse's topic in Home Health

    I have a similar situation... I received a referral from my office for the following: A woman who was recently discharged from the hospital with a DX of possible cholecystitis. The MD wants labs...

  2. Switching agencies

    spejsa replied to spejsa's topic in Home Health

    Then today I had a conversation with the LPN I work with and she said that we have to go out to do a wound dressing change daily on a patient because the family REFUSES to do the dressing. This...

  3. Switching agencies

    spejsa posted a topic in Home Health

    So, I have been at the agency I am at for about 2 months. When I came in, two clinical supervisors had quit that had been in the office. They had just hired 2 more. One of them has never done home...

  4. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    Then today I had a conversation with the LPN I work with and she said that we have to go out to do a wound dressing change daily on a patient because the family REFUSES to do the dressing. This...

  5. Medicare and Skilled needs

    spejsa replied to spejsa's topic in Home Health

    Thank you for that information. I keep trying to convince the LPN that I work with, that things like this are wrong. Then, the office sends us to do this then when we can't get the 5 visits in we...

  6. To report or not to report?

    spejsa posted a topic in Home Health

    I have a question for all of you... I live in an area of Northwest Arkansas where it is usually pretty good, but you never know... We do have some issues with drugs here, nothing like LA, but we have...

  7. To report or not to report?

    spejsa replied to spejsa's topic in Home Health

    I hope so.. They say they will train me at least. I haven't done HH before and had 1 1/2 days in office listening to a woman talk about how much she has sex, mixed in with going over policies &...

  8. To report or not to report?

    spejsa replied to spejsa's topic in Home Health

    Thanks. I know life isn't perfect. But, I love doing visits. I love seeing the people. I love the puzzles I get to figure out. I just need more training and

  9. To report or not to report?

    spejsa replied to spejsa's topic in Home Health

    I am going to request to not have to go back to this home as of tomorrow. I have already interviewed and been offered a position elsewhere. Last week I backed out of quitting this job cuz I really...

  10. Abscess on buttocks

    spejsa posted a topic in Wound, Ostomy, Continence

    Just wanting advice. I work in home health and we have been seeing a patient for a few weeks now. Initially, he had been having dressing changes 3 times a day in the hospital. We have been doing...

  11. To report or not to report?

    spejsa replied to spejsa's topic in Home Health

    Well, he didn't tell me about the drugs being stolen, he told the LPN I work with. He did say he didn't get his antibiotic filled since a week and a half ago.. and, I left a message about the doctor...

  12. Switching agencies

    spejsa replied to spejsa's topic in Home Health

    Well, I am probably going to stay with the feeling I had a few weeks ago. I guess I just thought I really didn't want to start all over again... I do enjoy the job most of the time, just do feel...

  13. Switching agencies

    spejsa replied to spejsa's topic in Home Health

    Hmmm... Well, the agency I interviewed at specifically told me that I would not be able to work at both. Initially, I had wanted to do both. Then, I could make sure I had enough work... But, I did...

  14. Switching agencies

    spejsa replied to spejsa's topic in Home Health

    But, home health

  15. Switching agencies

    spejsa replied to spejsa's topic in Home Health

    The other agency says I cannot work at

  16. Homebound Status

    spejsa posted a topic in Home Health

    If a patient can leave the home for medical reasons, I read that they are not "homebound". So, can somebody answere these questions for me? If a patient leaves the home twice a week for chemo, do...

  17. Skin grafts

    spejsa posted a topic in Wound, Ostomy, Continence

    I have a question for anybody skilled in wound care. I admitted a patient to our agency today that had a skin graft about 1 month ago. His donor site is his arm and the recipient site is on his leg....

  18. Homebound Status

    spejsa replied to spejsa's topic in Home Health

    The CMS website was exactly what I was looking

  19. Medical Supplies when patient is on home health

    spejsa posted a topic in Home Health

    When a patient has Medicare and has home health, home health is to provide supplies to the patient, correct? Well, to make a long story short I had a patient who had a brand new colostomy in March,...

  20. Discharges and pay???

    spejsa posted a topic in Home Health

    I have been having huge issues regarding me filling out discharges..If a patient was transferred and then was still in hospital when re-cert was due... What do I do as far as getting paid for the...

  21. Discharges and pay???

    spejsa replied to spejsa's topic in Home Health

    Thanks you guys! I know it takes a while and I need to give myself time. I just want to feel like I am not in trouble all the

  22. Discharges and pay???

    spejsa replied to spejsa's topic in Home Health

    Well, I am not a new nurse, just new to home

  23. Filling out orders to include sup visits?

    spejsa posted a topic in Home Health

    Do you all have any ideas regarding how to write orders for starts of care to include sup visits,

  24. Filling out orders to include sup visits?

    spejsa replied to spejsa's topic in Home Health

    How often are supervisory visits due? Is it really every 60 days? I thought it was every 30

  25. Filling out orders to include sup visits?

    spejsa replied to spejsa's topic in Home Health

    KateRN1: Is this true that I may not get paid for sup visits for