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cookie102

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  1. i agree with the above post,,,get some good med-surg under your belt, home health is a whole different ball game., you have to have the skills, knowledge base before you can start. there are so many HH regulations and paper work to learn , it is very hard to do that along with learning nursing out side of a classroom. best of luck to you.
  2. can you get your MSW involved?
  3. WOW!!!! that's excellent pay compared to our per visit rate of regular visit anywhere in the 32-35 range, add $50 to that for admission! what area of the country are you in, was wondering it that makes a difference.
  4. that caregiver needs to be educated, she needs to know about infection etc.
  5. just wondering how many of you are on a computer system if so , what program do you use, could you share the likes and dislikes thanks in advance, our agency is "soon" to be going paperless and will be using UNITY software thanks in advance
  6. cookie102 replied to chatal's topic in Home Health
    i know i couldn't sign a doctors order that i didn't write,!! i imagine MD offices have med-tech that do this often, but i have never heard of it in HH, whether or not it is legal, i don't know, but i know i would not be able to do it. best wishes
  7. i agree, if you are looking for a new car, get one that is comfortable!!!!!!!!!! in HH we spend sooooo much time in the car it needs to be comfortable, at one time i bought a car because i thought it would be fun to drive, well i kept it for 2 months as it was the most uncomfortable car i could of bought!!! so i say comfortable, and fair to good on gas are the important factors, for me have to have that trip odometer, and i like compartments....now i am driving an Altima and love it...happy shopping!
  8. can you direct your question to KCI,,,i do believe you can't put the vac directly over bone, you have to put adaptic first then the foam.
  9. how about just applying for PRN and when you interview tell them your preference to do admissions?
  10. sorry if this comes up as a repeat, you know how your computer just sends things!!! ok...what i was saying is that i have heard that amedysis has this system in place,,,now i am NOT trying to cheat any system, but i don't want to be track for every move i make,,,if i choose to run home to use the bathroom or stop at a store on my way to next visit, i think we should be able to do that, most agencies are paid per-visit anyway, so as long as you get you patients seen, paperwork in on time etc...let us be!!!!!!!!!!!!!!!
  11. i believe the regulations state that if a patient can't be d/c'd with a visit the oasis is completed based on the information from the last skilled visit.
  12. i don't have any direct info on your question, but i can tell you that if you go and interview you may find that they are sssooooo very happy to have someone that wants to do admissions only....give it a shot.! good luck
  13. how are the patients blood sugars? is what he is saying making sense that the dose is too high? how about trying to get a sliding scale order from the MD, would that help? document, document, document is the best advise
  14. i would of already started orientation!!!! sounds great!!!!!
  15. we don't have "field charts" , the only thing we will find in the patients homes is a copy of the med sheet 99.9% of agencies are on computer so when the admission nurse completes the oasis that is what generates the 485, you might try pulling a chart, looking at the oasis and 485 and you will see how it was "put together",,,thumb thru the nurses notes and you will see what is written, you will develop your own style of charting, as long as you are following policy. give yourself a good 6 months to get a goot understanding of HH,,,you will get there...best wishes

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