JennyHHRN

JennyHHRN

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All Content by JennyHHRN

  1. Homebound Or Not?

    JennyHHRN posted a topic in Home Health

    Here's the situation: Patient attends water aerobics at least 1-3 times per week. Her son states it is a considerable and taxing effort to get her out of the home. 8 months ago patient had skilled HH...

  2. Mediport Flushes And Hh

    JennyHHRN posted a topic in Home Health

    Can a patient be admitted for HH visits just so someone can flush her port once per month? The doctor certifies that she is homebound. The port is not currently in use. They keep it r/t her recent...

  3. Custodial or Skilled?

    JennyHHRN posted a topic in Home Health

    I hope I don't get banned from asking too many questions! Here's another situation I'm grappling with: Patient has been on service for a year for Foley Cath Maintenance (neurogenic bladder), right...

  4. Calling All HH Supervisors and Managers

    JennyHHRN posted a topic in Home Health

    I'm a clinical supervisor for a small hospital-based home health/hospice agency. I find myself having to absorb more and more duties every day and feel frustrated at the lack of resources available. I...

  5. Homebound Or Not?

    JennyHHRN replied to JennyHHRN's topic in Home Health

    I really appreciate all the feedback. It makes me feel better to know I'm not being the Grinch of Home Care. People get really upset when we try to explain that they do not meet

  6. Calling All HH Supervisors and Managers

    JennyHHRN replied to JennyHHRN's topic in Home Health

    My thoughts exactly. Intake states the d/c planner told her it was a daily dressing. D/C instructions sent home w/pt stated TID. Will explore wound vac option

  7. Mediport Flushes And Hh

    JennyHHRN replied to JennyHHRN's topic in Home Health

    The plot thickens. We ran an insurance check and this patient is not Medicare, she's Blue Cross/Blue Shield (husband works full time). But in our state Blue Cross mirrors Medicare policy. We are...

  8. Any home health manager/Admin/DON/Nurse Super etc

    JennyHHRN replied to renerian's topic in Home Health

    oh ren! What is it you're doing now? I have been a loyal reader of your posts and you have always helped me so much. I'm so sorry the system chewed you up. I just got done with state survey today,...

  9. Anticoagulant Therapy and Home Care

    JennyHHRN posted a topic in Home Health

    Okay, I know back in 1997 Medicare said venipuncture is no longer covered as the sole purpose for home care visits. We can continue to draw blood at our visits as long as they have visits for other...

  10. Who pays for the Aide????

    JennyHHRN posted a topic in Home Health

    I've been in home care for over 6 years and I swear, just when I think I have it all sorted out, I start to second guess myself. Then I ask my boss what her take on the matter is and I end up even...

  11. Who pays for the Aide????

    JennyHHRN replied to JennyHHRN's topic in Home Health

    Thanks to both of you. Hey Ren, when I first read your message I thought your M-F stood for a profanity, then I realized you meant MONDAY thru FRIDAY...It was funnier the first read thru.......

  12. Anticoagulant Therapy and Home Care

    JennyHHRN replied to JennyHHRN's topic in Home Health

    Thanks Guys...I was thinking along those same lines but needed to hear it from others. I swear sometimes I have so many priorities to juggle that it becomes difficult to solve even the simplest of...

  13. Oasis Confusion

    JennyHHRN posted a topic in Home Health

    Does anyone have advice on this scenario? Nurse visits patient, finds him in respiratory distress and sends him to E.R. Patient dies 6 hours later in CCU. Does the nurse do a transfer oasis...

  14. Home Care Heaven

    JennyHHRN posted a topic in Home Health

    In Home Care Heaven: *All houses are clean and have indoor plumbing *Oasis is declared unnecessary *All nurses are given Cadillac SUV's, loaded, with road service and unlimited gas charge...

  15. The Business of Home Health

    JennyHHRN replied to erroridiot's topic in Home Health

    Wow, Renerian almost spoke that "5 letter word": Fr**d. It is so frustrating and sad that home care nurses are constantly subjected to that feeling that Medicare might consider them a criminal. My...

  16. V Codes

    JennyHHRN posted a topic in Home Health

    Our HH agency is behind the times and never used V codes until 10/1/03. Now all the nurses are completely confused. I have a list of V-codes that "Clinical Supervisor Alert" published back in May...

  17. Mileage Reimbursement

    JennyHHRN posted a topic in Home Health

    I am curious about how other agencys are reimbursing for mileage. Do they allow you to start from home and charge for mileage to your first pt home? What if you go directly home from your last...

  18. B12 Injections

    JennyHHRN posted a topic in Home Health

    Is it true that medicare only covers management of monthly B12 injections for those patients with diagnosis of "Pernicious Anemia". I was recently told that an unspecified anemia diagnosis would not...

  19. DMD Suppositories

    JennyHHRN replied to Today-God'sGift's topic in Hospice, Palliative

    We have a community pharmacist that compounds suppositories of decadron and high dose motrin. It works like magic on bone pain when all else

  20. RN's Pronouncing Death

    JennyHHRN posted a topic in Home Health

    It is routine for our Hospice RN's to pronounce in the home, notify primary MD and funeral home (and physician signs the death certificate). We recently hired a new executive manager who is reviewing...