jhdoublin

Those of you RN that do HBPC, can you tell me what your day is like? There is a posting for this full time position in my area that says 8-430. How many pt a day do you see and you do all timepoints? I am a RNCM now with homehealth and they work us like dogs. At home its the same, hard to have a life when you work all day and then chart all night at home. No getting away from the job. I love what I do, just wondered if the VA is the same, and do they use laptops? THX

Just figured I'd be more marketable and have the edge on someone else. I honestly like oasis, i think its cool to study lol..... So a better understanding of the correct way would make that better. I forgot its open book :) sweet

What to study and how can this be to my benefit financially? Im a rncm now and do admits,rc roc, dc all day so I don't really need the cert, but am looking to expand my options. I work way too many hours now. So I need to make more and work less!! Lol does the cert open any more opportunities? Also thought about icd 10 cert- but never done coding other than my own coding for oasis. I just feel I need to work wiser instead if harder. I have a 6 year old and I hate being gone all the time. Although I do get paid to chart at home which helps. May be moving to Naples Florida this summer- anyone work HH there? Thx

Yes exactly. I just don't like that word non- healing lol. But that's my hang up I guess. Computer test. And it's close to $400 out of my pocket. So one time testing is a must. - I'm going to start another thread about testing- please reply there. Thx bunch

So if u don't mark Non healing then what do u mark? A lot of my incisions are staples and are clean. By the time I see them at home it's on Friday for admission and the surgery was Monday. Or glued and its hard to tell. All incisions will show improvement before I dc them, unless they get infected- then I probably wouldn't be dc them anyway. So that's not my issue. Im studying to get certified soon too and I just wanted the correct answer so I'd know for the test as well as my practice. Btw- any advice on what to study for the test? I have the 2008 blueprint for oasis accuracy workshop book. Thx

So all of you mark non healing then? I guess I just don't like that term, but if its the correct option then I guess that's what it'll be. Thx

For a pt that has a knee replacement 3 days ago, incision in completely fine- staples or glued- how do u answer this question? New epith fully gran part gran not healing many office wants not healing marked on admit- say there needs to show a improvement on dc. Im uncomfortable with this and would like your opinion, do u mark non healing just because its technically not healed yet? Is there a number to call to verify the correct way to answer oasis questions? Thx

And this is the way it should be in hh. These jobs should be sought after, but the norm is probably not. My company is poorly ran, and if it weren't that I love hh and being a cm that sees pts with the flexibility.... I would quit. I'm never "off" my patients call me and so does the office on my days off. I feel responsible for my pts every need, which is not right. But its the price I pay right now for flexibility since I have small child. Libby what area are you in?

If you value your RN license, find another job tomorrow. You worked too hard for that paper, to let ignorance take it away from you. Your are PD, pt abandonment is bogus. Julie

And this is the most honest and accurate answer you'll get. I work overtime every week, but my facility does not care. I think they would rather pay us overtime instead of hiring for more staff. Which is bittersweet to us of course. I can see 4 to 6 pts a day and it be a full day. or I can see 8 to 9 and be a full day. depends on the pt and issues they have that week. But I case manage, so that makes it worse. If it was just making visits only, its a tiny bit better but not much. If you do a thorough assessment and really address their issues its hard to get all your charting done in the home, not counting dr calls and med issues. you can make a quick in and out for some, and some nurses will do as little as they can get by with, but you'll find that in every nursing field. As a RNCM I have to answer for all the issues, so I have to spend more time that just a prn nursing visit. Julie

"I make sure, on the initial phone call, that there will be NO smoking in the residence; if there IS a smoker, I explain that I cannot be in the house while someone is actively smoking. If there IS a smoker in the residence, I explain that they must open windows/doors to air the place out prior to my arrival. If this is not possible, I explain to my supervisor and the scheduler that I can't take the case for medical reasons and will get a signed note from my physician if need be. If case is a discharge from SNF/rehab facility, I verify that NECESSARY DME is already in the house prior to my arrival; I tell you that there's NOTHING like showing up at a dingy apartment, full of cigarette smoke, a morbidly obese, non-ambulatory, Pt. in a dilapidated power chair held in precariously by a frayed safety belt, Foley catheter bag nearly bursting with urine, no bed/hospital (or ANY) bed to transfer to as to inspect the inevitable coccyx stage II (or worse) pressure ulcer that was unreported, the smell of feces and no supplies or clothing to change Pt., no food in residence, glucometer out of battery power AND strips (visible McDonald's empty bags and the obligatory "big gulp" soda jug), promised care giver no where in sight, unreported venous/stasis ulcers with no orders for care, dog barking menacingly at you while Pt./family ignores it, and the obligatory expectation of the Pt./family that you are there to provide "total care" for the Pt., NOT to teach them how to do so. I find it's IMPORTANT to find out the Pt.'s/family's expectations; MOST have NO idea what you're there for and SOME will be upset when you don't meet those expectations, unrealistic as it may seem. I find it NOT unusual that the Pt./family had NO idea (or claim to) that HHC was ordered." LOL this is real life hh right there. No joke. Good luck! Dont worry, they aren't all like this. But this is scarily accurate for some. Julie

While I appreciate the simplicity of your answer Ned, and I have repeated "why not" back to myself about 1000 times today while working in the cold rain of Ky..... that doesn't help me :) I'm assuming hh is not as simple as in the us where car rental is cheap, and terrain is more easily navigated. Main thing is, how do you fare being a traveler in a place thats more expensive and remote as to say Florida? I am thinking about doing 8 weeks in Hawaii then moving towards Naples to travel and settle down. I have a 19 year old and a 6 year old that would be going with me. Recently divorced after 20 years of marriage, and need a change. figured this was the time to do it. Other than leaving my comfortable job working in my own neighborhood and making my own schedule fit my life, I have no problems leaving. Other than being a single 38 year old female with 2 kids in a strange town.....lol Is it doable to get this going by last week of May? I live in a compact state but dont think fl or hi are in the compact thx

I am a RN case manager for hh in my town. going to travel the summer hopefully. Seen hh travel job in hawaii with supplemental. Any thoughts? Or at the hospitals if hh doesn't work. I have been rn for 8 years. I am still a floater in the hospital as well. thx

Our policy is wet to dry with morning visit. but depending on the wound, if it seemed urgent or complicated I would consider a visit. but general answer is wet to dry. Which is why i stress to my new nurses and lpn to make sure pt and family understand wet to dry and have supplies with every visit, which is usually 3 times per week.

I am a student at the University of Wyoming- which I recommned, but I am looking for a 4 credit pharmacolgy course all online. UW tuition is very low and also has a masters program in case anyone is interested. Please let me know if anyone has taken a pharmacology course and what college. Thanks! Julie