annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Medicare surveyors?

    annaedRN replied to twokidsmom,rn's topic in Home Health

    Just think nursing school...haha! Really, just keep in mind your standard precautions and infection control techniques. Make sure that your care plans are correct and updated. I did a huge wound...

  2. how do i know when someone is ready for discharge?

    annaedRN replied to pear8's topic in Home Health

    Remember too with home health that the goal may not be total healing...it could be independence with wound care or remaining infection free. Some times teaching may not be able to be completed due to...

  3. SOC

    annaedRN replied to berube's topic in Home Health

    In the link I posted earlier - look at question A12. The last sentence basically says that a different clinician from the one who provided intial visit and established SOC is able to perform OASIS...

  4. SOC

    annaedRN replied to berube's topic in Home Health

    I'll keep looking in the regs for you. But the problem with your agency's train of thought is that they are looking at the initial visit and the OASIS SOC assessment as the same thing. They are NOT...

  5. SOC

    annaedRN replied to berube's topic in Home Health

    I have a book of all the CMS OASIS Q&As to reference. But I was able to find the link online on CMS site(hope it works). It is category 2 - Comprehensive assessments and is question A20. Hope it...

  6. SOC

    annaedRN replied to berube's topic in Home Health

    Yes. Just be sure that the nurse out doing the initial visit is providing skilled care or you would not be in compliance. But, yes, the initial visit establishes SOC (11/4) and M090 is 11/5 if that is...

  7. Do you need to soak calcium alginate rope for packing?

    annaedRN replied to Neener_RNBSN's topic in Wound, Ostomy, Continence

    No - one of the main purposes of calcium alginate is to help absorb drainage so that the wound can heal. You are right to not soak it. If you go to changethe dressing and the calcium alginate is still...

  8. How many patients is full time in home health

    annaedRN replied to lizzyberry's topic in Home Health

    5 visits a day is way more than doable..it's delightful! We've been running shortstaffed and have been doing atleast 7 a day (or equivalent of). Alot depends on the agency - how flexible they are for...

  9. What are the physical demands of the home health care nurse

    annaedRN replied to peacetou's topic in Home Health

    Bending, lifting, twisting? Sure! Maybe not as often as in the hospital though. You need to be able to get on/off floor easily (for wound care). Be able to use hoyer lifts independently. Be able to...

  10. How do you record your mileage for tax purposes?

    annaedRN replied to Carrie_MTC's topic in Home Health

    My agency records it for us...but I keep track of it as well. They reimburse us 38 cents a mile...NOT the IRS rate..so I can claim the difference. I claim all mileage except to the office/first visit...

  11. Blood draws and home health

    annaedRN replied to Sensoria17's topic in Home Health

    We average blood draws weekly or more. I actually had one day where out of the 6 patients I was seeing, 5 needed labs. Now with the Coaguchek for PT/INR, it has lessened some. I had no experience...

  12. copd interventions/careplan

    annaedRN replied to tinderbox's topic in Home Health

    relaxation techniques, medication

  13. Orientation length?

    annaedRN replied to twokidsmom,rn's topic in Home Health

    I orient new employees- they are with me 3-4 weeks. Start with basic visits, skills (if needed) and learning the computer, then adding in OASIS and finally the case management component. By the...

  14. Lonely?

    annaedRN replied to tinderbox's topic in Home Health

    Nope. We have weekly classes (often CEs) and run into people in office frequently. We too have night out/get togethers every month or so. Plenty of opportunity to see co-workers if one chooses for my...

  15. Looking for guidance from a few HH vets.

    annaedRN replied to eriksoln's topic in Home Health

    I, for one, definitely do not work 24/7. The closest I come to that is doing on-call every 5-6 weekends. If you get yourself into a habit of charting in the home, and finding a quiet place (library,...

  16. HACC Nursing Clinical Input Please!

    annaedRN replied to rookie1's topic in Pennsylvania Nursing

    I am a mom of a special needs child, worked part time, and usually an A student. Graduated from HACC 3 1/2 yrs ago. Class started with 25, graduated 18..which is about average for any good nursing...

  17. Looking for guidance from a few HH vets.

    annaedRN replied to eriksoln's topic in Home Health

    Shift work or private duty is very different from HH visits - more stable with visits. I work with a VNA doing visits and I am salary - whether its 30 or 50 hrs a week. Usually right at or under 40...

  18. How often do you have to call APS?

    annaedRN replied to RN1263's topic in Home Health

    can you or did you go the route of a MSW eval first? sometimes they can get in the home and come up with solutions and resources that we nurses can't. If not able to remedy sitation, then call APS....

  19. LPNs and Verbal Orders/IV Therapy

    annaedRN replied to HealthyNurse's topic in Home Health

    With us, the LPNs routinely see established, more chronic patients - for wounds, catheters, ostomies, med teaching/prep or cardiovascular assessments. The IVs are done by RNs - mainly because 95% are...

  20. Homecare Nursing in PITT area.

    annaedRN replied to eriksoln's topic in Pennsylvania Nursing

    Check out Medicare home health compare website - type in name of state or county and it will give you listing of Medicare certified agencies - address and phone #. Often the non-profit ones have a...

  21. LPN's being on call

    annaedRN replied to anticoagulationurse's topic in Home Health

    Very similar to ours. The main reason it is RN only for on-call for us is we do get frequent OASIS in the evenings, as well as PICC/central lines with IV antibiotics, chemo or TPN. We also have a...

  22. PT only cases and d/c oasis

    annaedRN replied to Papercutz's topic in Home Health

    In a word - NO. The admitting clincian is the one to perform the SOC OASIS assessment. If it is PT only without orders for nursing, then PT can do the OASIS. If company policy is to have nursing do...

  23. Pts need PT/OT only

    annaedRN replied to BabaLouRN's topic in Home Health

    Yep - if the only skilled need justified is PT or OT..then that should be all they get. A nurse can open the case/do the OASIS...but that would NOT be a billable visit. If your company is saying 5...

  24. What did you do before you were a nurse?

    annaedRN replied to CAPPYBARA BREAKFAST's topic in General Nursing

    waited tables, worked in one hr photo lab, kmart, convenience store, nanny, daycare, factory worker, courier for lawyer - most of while I was in HS or college. I love nursing...but some days the clock...

  25. Patient Frequencies

    annaedRN replied to Willow Moonsidhe's topic in Home Health

    we do not always write for a full 9 weeks if we feel that the goals will be met in less than. For example, if a patient on IV antibiotics for 4 weeks. It may be 3w1 then 1w3. The first week 3 for...