cookie102

cookie102

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All Content by cookie102

  1. how many on computers

    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
  2. Home Health to NP?

    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 ver...
  3. Anyone had this situation? Geez Louise

    can you get your MSW involved?
  4. Pay per Visit

    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.
  5. Work ethic question in home healthcare?

    that caregiver needs to be educated, she needs to know about infection etc.
  6. Is this legal?

    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. What kind of car should I get?

    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...
  8. vac question, and xcell question

    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. Home health in DFW area

    how about just applying for PRN and when you interview tell them your preference to do admissions?
  10. Tracking devices?

    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 ...
  11. Falsification of records?

    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. Home health in DFW area

    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. pt compliance in home health

    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. How does this job look?

    i would of already started orientation!!!! sounds great!!!!!
  15. New to HH Nursing, I need help with charting

    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 char...
  16. call pay

    i agree, equal pay for equal work,,,getting paid more because you get called in more makes NO sense!!!!!!!!!!! sounds like a HR issue!! on call is on call---lucky ones that don't get called in regardless of the dept.
  17. Getting into HH after a termination

    Home Health is not a "slow pace" environment,,,here was my day today, 8 visits, 103 miles finished up with paperwork at 8pm, took approx 10 minutes to eat dinner...off to bed soon to start it all over in the morning... i don't want to discourage you,...
  18. Getting into HH after a termination

    the best advise i could give you at this point would be as you are a new nurse with minimal experience, i would recommend you getting some good med-surg under your belt, HH is a whole different world and you need to have a solid base to work from, s...
  19. Competency Test

    i can remember one time on one of these type tests having to know if certain meds were compatible with NS, questions about PICC dsg, not sure about the verbal never had one of those, but you can be assured they will like an answer like obtaining the...
  20. Keep my patients out of the hospital!

    sometimes what i have done is when i call the PCP with a situation that you are describing is i make them an appointment, hopefully within the next day or two....some patients you will never keep out of the hospital, what i try to use as a goal for t...
  21. Homebound status Medicare vs. Insurance

    i have only found that medicare patients need to follow the homebound criteria,,,private insurances are different, some require it some don't, medicare HMO follow the medicare guidelines. never heard of the situation you are describing....me being me...
  22. Framingham Union Hospital

    i used to work at the milford VNA and absolutley loved that job,,,only reason i left was to relocate to another state, there is alot of longevity there, people just don't leave,,,best home health job i ever had, and i hear they are restarting the hos...
  23. Dealing with apathetic doctors

    sad attitude isn't it!!!!! i find most docs like HH as it decreases the patient phone calls they get,,,none of us likes the paperwork and i do believe the MD's get a stipend from medicare for managing the POC (485),,i hope they never need HH, but i g...
  24. Start of care question

    the med list that is complied on the first visit is in turn put onto the POC (485) that the MD signs, if the pt is d/c'd from the hospital they will send a list with the pt (maybe) otherwise you are using your knowledge, like it was stated a patient ...
  25. Start of care question

    hope some of this helps!!! it does get easier