teejayrn

Thank you sooooo much

Hello, I just took a job in a 120bed Nursing home facility. They have no audit tools in place for quality indicators and I am going to have to develop my own. I would greatly appreciate if someone would point my in the right direction to view examples of audit tools to help get me started. I am excited to have this opportunity of creating this project, but truth be told I am getting a little overwhelmed because I have no previous nursing home experience. I would greatly appreciate any help I can get. Thanks!!

We flush ours every month as well. Even if it is not being used for anything else.

I am an admission nurse and usually do 2-3 patients a day. If I do not have any admissions and I am doing certs, resump or discharges or any combination of them, it is about 4. We get paid for our documentation time as well. I have to go to the office everyday because I do not control my own schedule (which I really hate) so therefore, I have no idea what I have to do until I get there. But four out of five days I am finished with my visits by noon and have the rest of the day to chart. Like take yesterday for instance, I admitted 3 patients at an assistant living facility for incontinence supplies. I was finished with my visits around 1030.

Our point system is very similar to the one you decribed. Average points per week is 21-25 made out of a combination of visits, however, it only applies to the salaried staff and if we go 3 consecutive pay periods with out making our points we are automatically dropped to a per visit rate.

Thanks Kelli & Alex, I have heard a lot of good things about the Waltham area and I am very excited! I will look at the websites to the agencies you suggested because I like doing both adults and kids. A GPS is definately on my shopping list

Thanks! This helps a lot

Thanks so much, let me ask you about the weather? How far into the year does it snow there?

Hi all! I will be moving to Waltham Mass in a little under a month. Can anyone tell me anything about the city, anything you can tell me would be much appreciated as we will be like fish out of water, coming from an area that was ravaged by Hurricane Katrina. Also, I have been in home health for 10 yrs and would like to know the names of some good agencies to work for. Thanks so much for your responses in advance. God Bless!!

I have always favored salaried for the simple fact of having a steady paycheck but as stated, they do tend to work you to death. I have also been with agencies where nurses getting PPV were making twice as much as me for doing the same work I was doing. But in the lean months, they can also loose there shirts.

This is a very interesting situation and I can say, I have come across the same instances many, many times. My suggestion is the get that monkey off your back! When I try repeatedly to get in touch with a patient or new referral, not only do I let the MD office know, I call the initial referral person, even if it is hospital personnel, as well as my supervisor and even the person who does the scheduling. I document everyone who I call. After the third driveby, at which I leave my card or a note everytime, We call the referral source and discharge the patient do to not being able to contact or locate.

This applies to me too.