annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. PICC line blood draws and flushes

    annaedRN replied to spejsa's topic in Home Health

    Only considered "high tech" in terms of pay for an on-call visit only ...other than that we are salaried and it doesn't really matter anyway. We put in our visit code as an IV visit but that's about...

  2. OASIS Convention/Workshop

    annaedRN replied to nickolasj80's topic in Home Health

    I'm not in Texas - but you may be talking about the 2 day seminar from OASIS ANSWERS. Check out their website (oasisanswers.com) and see. I took it and found it extremely helpful. In fact, I took the...

  3. skilled need

    annaedRN replied to irene94's topic in Home Health

    this is a copy and paste from a medicare website 1. a skilled nursing service is a service that must be provided by a registered nurse, or a licensed practical (vocational) nurse under the...

  4. OASIS

    annaedRN replied to spejsa's topic in Home Health

    Lots of OASIS info on the stickies on top of the main HH page. Check out the OASIS thread and the new to homecare thread. OASIS is quite overwhelming until you get used to it. Check out the OASIS...

  5. HELP! 7 visits in 1 day for a fistula!!!

    annaedRN posted a topic in Wound, Ostomy, Continence

    Hi all. I am an RN for VNA and do alot of wound care and ostomies. We have a patient now that has an abdominal fistula that has been an ongoing source of problem. Due to the high output, we are using...

  6. Steps for changing an ostomy bag

    annaedRN replied to marissab208's topic in Wound, Ostomy, Continence

    Supplies needed - 4x4s/washrag, NSS or water, scissors, ostomy appliance (wafer and bag - 1 or 2 piece system), skin barrier wipes, stomahesive powder, possibly eakins seal or paste. What I am going...

  7. CAD Infusion Pump Web Page

    annaedRN replied to barryg's topic in Home Health

    Try these.... http://www.bostonhomeinfusion.com/manuals/CADD_Prizm_VIP_Pump_Continuous_Patient_Information_Guide.pdf http://www.infuserveamerica.com/index_files/caddintermittant.htm...

  8. Going for it

    annaedRN replied to NRSNFL's topic in Home Health

    Only you know the answer. Since money will be about the same.. you need to go with the one that will leave you feeling the most fulfilled. Go the way that will leave you with the least regrets. The...

  9. Medicare Supplies

    annaedRN replied to spejsa's topic in Home Health

    if you work for a Medicare-certified home health care agency providing skilled nursing visits (intermittent visits not private duty nursing) then yes, you are responsible for supplies. My agency...

  10. Teaching and When to get out

    annaedRN replied to nurse42long's topic in Home Health

    For the most part until the wound is healed or no longer requires skilled care (DSD, Neosporin, ace wraps, etc). But there are some situations/occasions where if the wound is chronic and/or the...

  11. Scrubs or Street Clothes

    annaedRN replied to nurse42long's topic in Home Health

    I have heard that HIPAA argument too. But if I don't share any health information about my patient I am not violating HIPAA. Most of our patients have commented on how professional we look - noone has...

  12. Scrubs or Street Clothes

    annaedRN replied to nurse42long's topic in Home Health

    scrubs - in the agency colors. thankfully - we used to have street clothes and I appreciate the ease and comfort of the scrubs. Lately have been wearing the long sleeves under the scrub top too!! Be...

  13. Well baby visits

    annaedRN replied to nurseinmo's topic in Home Health

    We dont have any assessments on our software - we use paper forms. But the major points - VS (not necessarily BP unless problems exist), weights, fontanels, reflexes, feedings ( type, amt, frequency,...

  14. How does your agency do call

    annaedRN replied to Kindra Nelson R.N.'s topic in Home Health

    we have a FT on-call nurse that does sun, mon, tues & thurs. from 430p-8a. we have 2 RNs on call wed night and then on weekend nights (fri/sat) -these are on a rotating basis so it boils...

  15. Does Death Have A Smell?

    annaedRN replied to AngelfireRN's topic in General Nursing

    Yes- I have smelled that same sickly-sweet smell many a time. And you're right - not everyone notices it. It has always seemed so distinct to me though. It is always sad when you smell it when you are...

  16. Lengthy visits

    annaedRN replied to prettygirllpn's topic in Home Health

    I looked around too - on the CMS sites, etc. I found something about billing in 15 min increments..that was all. I agree that most visits - in order to do a complete assessment that 30 min is a...

  17. Lengthy visits

    annaedRN replied to prettygirllpn's topic in Home Health

    KateRN1 - I was not aware of any Medicare policy that states that -interesting to know. Can I find that in the COP? I do not usually have problems meeting that requirement....but sometimes a daily...

  18. Lengthy visits

    annaedRN replied to prettygirllpn's topic in Home Health

    I have alot of OASIS and complicated visits, but when I have the simple quick CV checks of wound packings - especially those we see each day or aren't talkative...I don't worry if it's a 20-30 min...

  19. Cath Stories

    annaedRN replied to nurseby07's topic in Home Health

    I cathed a lady in her recliner and she then later stated I broke her recliner during the catheterization (??) had nothing to do with her 250lb frame flopping down into it everyday, right? Was...

  20. Home health charting in home

    annaedRN replied to Barbie A Doll's topic in Home Health

    I love HH...part of that is the flexibility in being able to plan your day in a way that suits you...starting from home, seeing all your pts in a row and charting later, charting as you go, planning...

  21. NON HEALING stage IV pressure ulcer HELP????

    annaedRN replied to NC29mom's topic in Wound, Ostomy, Continence

    If the wound doesnt have exudate, I'm not sure I would use Aquacel AG though. If it is moist, maybe. Maybe Prisma and Allevyn? I still think if it has stagnated and stalled out for that length of time...

  22. Home Care After Stoma Reversal

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

    Sounds like a pretty uncomplicated course of having her ostomy and hopefully the takedown will go smoothly as well. Prep will probably be/usually a clean out - make sure she has extra bags or her...

  23. Too good to be true?

    annaedRN replied to KateRN1's topic in Home Health

    Can you call off sick ("mental health day") and request a ride along with new agency...and let them know after that? May help you be more sure/certain of your decision. Good luck to

  24. Embarrassing question reguarding CNA classes...

    annaedRN replied to janelane's topic in Medical Assistant, CNA/MA

    If it came down to it..just tell your classmate what you just told us. "Before you brush mine..I just wanted to say, after years of no insurance, I am finally in middle of lots of dental work......"...

  25. NON HEALING stage IV pressure ulcer HELP????

    annaedRN replied to NC29mom's topic in Wound, Ostomy, Continence

    sounds like the wound has become chronic and healing has stalled. changing treatments most definitely is indicated. have you considered VAC therapy? In a nutshell, the wound needs to be made acute...