henayneiCLNC

I am the Staff Supervisor with a small home care agency where we provide personal care (ADL) services and companion services to help client's stay in their homes as long as possible. The majority of our clients are Medicaid. The companion service is ...

my admin remembered, bless his soul, and got me a Gevalia Hot Chocolate :) We are a VERY small personal care agency.... 60-70 clients avg; 40-60 aides avg - majority of services paid by Medicaid... nearly 60% of revenue goes to aide payroll :) I was ...

this is for north carolina only - you must research the statue statutes and nurse practice in your own states.... in north carolina we have 4 skill categories that are able to provide aide services in the home: companion - no hands on services person...

Who signs off on orders?? I have long been under the (possible) misconception that a nurse:nurse: was required to sign off on orders received, verbal or written, from physician/physician office. It has been my understanding that this is standard nur...

:) this isn't a hospital and according to the Medicaid oversight organization anyone can give an order to us and anyone can take the order ... literally... our staff coordinator or Admin can take an order (neither is licensed) and anyone at the MD of...

Thanks - I'm looking for this kind of input as I'm working for a small Personal Care Agency that just started up last year. The owner wrote up policies from his business and administrative POV. He is also uncomfortable with anything being "standard" ...

is that a written policy of your employer or written in your state practice statutes or acknowledged (read "unwritten") "standard of practice?"

I haven't worked for them in a few years, since they split and sold part of their business to IntelliStaf. However, the folks I did work with were the same ones I'd work with before as Gentiva bought out Olsten Kimberely and most of the staff was ret...

which pda did you choose?

I'd like to know this as well

we have a client who actually smoked marijuana in front of one of our aides. we inquired as to what we needed to do through our legal department. we were counselled that is was not necessary to report this to the police and in fact the police would n...

I do quite a bit of this for long term care companies. PM me if I can be of any help :)b'Shalom Henaynei

I was told by ARC that one can't charge for the classes above and beyond the cost of the class (DVD, materials, rentals, etc) to the students. Your employer CAN pay your for your time, but that is the *only* way you can get paid for offering the cour...

Great Idea

I am in quite the same predicament, been an RN for 23 years and due to severe back injury am unable to do direct patient care or accept a position, such as in nursing administration, where I might be reasonable expected to take up the slack when they...

:balloons: :smiley_aa Congratulations!!! WooHoo!!

I agree with siri - sounds like you will do quite well!! Welcome! :groupwelcome:

how great you found this sited before going :) I wish I had when I took my course - would have *really* enjoyed sharing the room cost - LOL AND actually knowing someone there :) But it was also quite a lot of fun making new acquaintences among the n...

mountains, mountains and snow!!!

the issue that fuels this situation is that patients tend to sue and win large amounts over small or imagined slights, plus the impact of the negative press is horrendous --- meanwhile nurses write on boards, complain to each other and change jobs --...

just for what I've been looking :) Thank you! b'Shalom Henaynei

I have worked in programs designed to help a client stay home by providing personal care and homemaking, I have worked in Hospice programs - I'm not sure if this is the kind of intervention and assistance you mean?

The agency I worked for required that there be a family member in the home, even if the child was not ambulatory, although they were able to go out for chores and appointments, the nurse was not left alone with the child. After all, the child is ulti...

:yelclap: :w00t: congratulations!! :studyowl: and welcome to the new clnc!!

Don't beat yourself up - you did quite well!! JACHO is a practice in self-flagellation - you actually *invite* this masochism AND pay good money for it!! what a racket!!Dear, more good supervisors have gone back to the "field" over JACHO surveys........