annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. How can I be in two places at the same time?

    annaedRN replied to sistasoul's topic in General Nursing

    WOW! Kudos to all of you! Don't think I could (or want to) do this anymore. This confirms to me why I am in home health nursing...that way it is only one place, one person at a time. I still need to...

  2. Home Health a good option for fairly new grad??

    annaedRN replied to Blackheartednurse's topic in Home Health

    In a word, NO! Even experienced nurses need much longer than 1 day for HH...for any job, let alone one where you are working

  3. COS - C

    annaedRN replied to KateRN1's topic in Home Health

    The one I went to didn't...but that would have been cool. It was more the networking factor...talking to all these different people from the different agencies from all over the state. It seemed to be...

  4. COS - C

    annaedRN replied to KateRN1's topic in Home Health

    HmarieD - Pennsylvania for me. I found it really interesting to be in a room full of all HH nurses/PT/employees (versus most seminars of mostly hospital/LTC nurses)..it was fun to compare notes on...

  5. passwords?

    annaedRN replied to moonjumper's topic in Home Health

    Our I.T. person has our main system log in and password but our electronic signature password is mine and mine alone...simply for the prevention of fraudulent charting. Check into it....it's your...

  6. COS - C

    annaedRN replied to KateRN1's topic in Home Health

    Good luck to you. It is a real sense of accomplishment to have done it. Let me know how it

  7. COS - C

    annaedRN replied to KateRN1's topic in Home Health

    It was 100 questions. I am a fast test taker and it took me 2 hours. It leaves you feeling almost as clueless as the NCLEX did...not quite, because we do this all the time. Also, we have been doing...

  8. COS - C

    annaedRN replied to KateRN1's topic in Home Health

    I went in January to the conference and sat for the COS-C exam ( and passed :)). It was 2 very long but very informative days. The seminar as well as the binder full of rationales for the "M"...

  9. Discharges and pay???

    annaedRN replied to spejsa's topic in Home Health

    Does not matter if the new RNs are new to nursing or not...they are with me for that long. Has really helped...we have a very low turnover rate..many nurses have been here 10-20+ years. The more...

  10. Discharges and pay???

    annaedRN replied to spejsa's topic in Home Health

    Sorry spejsa - read your question wrong! That stinks about your orientation - I orient new nurses and it ranges anywhere from 2 weeks to a month depending on skills and experience before they are...

  11. Filling out orders to include sup visits?

    annaedRN replied to spejsa's topic in Home Health

    SOC orders do not need to include any orders for sup visits. They are a Medicare requirement when HHA are utilized but are not reimburseable visits by insurance. You need to find out if your agency...

  12. Discharges and pay???

    annaedRN replied to spejsa's topic in Home Health

    It sounds like you have not had a very thorough orientation. There should be someone at your agency that went over all of this with you! Find someone and let them know your concerns and questions!!...

  13. what date do I put for an assessment on a discharge/transfer??

    annaedRN replied to spejsa's topic in Home Health

    M0906 - The transfer date is the date that the patient is admitted to an inpatient bed - not ER, or for diagnostic purposes. Not the day you are doing the OASIS. For discharge - M0906 is the day of...

  14. Home Protime Machine

    annaedRN replied to anticoagulationurse's topic in Home Health

    We started using them about a year ago. The company basically lets us use the machines for "free" but we have to buy the test strips through them...which are like $6 a strip. But they are SO wonderful...

  15. stress in home health nursing?

    annaedRN replied to pear8's topic in Home Health

    That does stink...SOC and ROC counts as 2 visits for us...and recerts are kinda like 1.5. But RNs are salary- not paid by the visit unless they are

  16. New OASIS

    annaedRN replied to anticoagulationurse's topic in Home Health

    Sounds like you are doing it right..M0090 should be the date you fill out the transfer - should be within 48 hrs of the transfer date or as soon as you find out. The date of tranfer is the day that...

  17. stress in home health nursing?

    annaedRN replied to pear8's topic in Home Health

    A good many of the patient visits only take 30-40 minutes - do a brief head-to-toe assessment, focus on the problem areas (dyspnea, pain, infection, etc) and then provide the skilled need for visit -...

  18. Continuing Education Units(CEU's)

    annaedRN replied to rmd47's topic in General Nursing

    medscape has free ones but each are only 0.5-1.0 routinely..so you have to do lots of them to meet your BONs requirements. they have a ceu tracker as well so you can print out that for your

  19. new to home care

    annaedRN replied to mariarn80's topic in General Nursing

    Most VNA (visiting nurse associations) are non-profit. You could do a google search for your state or possibly ask your local hospital/community centers. And with the coding - we dont come up with...

  20. Tobramycin trough & peak

    annaedRN replied to spejsa's topic in Home Health

    we routinely do 2 visits. get the trough, go do another visit then come back and get the peak and finish up what everl else needs done. depends on the insurance if 2nd visit is free one or not. often...

  21. new to home care

    annaedRN replied to mariarn80's topic in General Nursing

    unfortunately there are many new "fly by night" home health agencies popping up everywhere..their biggest concern seems to be making money. Not all of them mind you...but quite a few! Home health is a...

  22. Home Health Nurse certification! HELP!

    annaedRN replied to beckybn2's topic in Home Health

    You can take the OASIS certification test...to become a COS-C. But truly, even if you studied and passed it...without any hands-on HH experience it would not mean a whole lot. And, it would be hard to...

  23. Soon to be GPN looking for RN bridge. HACC??

    annaedRN replied to Brookenicole84's topic in Pennsylvania Nursing

    Did the LPN-RN bridge program at HACC. No problems. Graduated with 3.5 gpa. Passed NCLEX 1st time. But it is a tough program - has you very well prepared when you graduate...in some ways, more so than...

  24. Calling out the pts name in the waiting room...HIPAA?

    annaedRN replied to TeresaEDRN06's topic in Emergency

    By calling out a name - you are not sharing any personal protected health information. So, IMO I think that the answer is no. Now once you are examining a patient and gathering that info...that is a...

  25. PICC line blood draws and flushes

    annaedRN replied to spejsa's topic in Home Health

    Need to check the state's BON. In many states, LPNs are not allowed to manage PICC lines in the homes. As an RN in HH, we get alot of PICC lines and it is a MUST to be competent in the care and...