annaedRN

annaedRN RN

LTC/hospital, home health (VNA)

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All Content by annaedRN

  1. Start of care orders

    annaedRN replied to Sana2007's topic in Home Health

    The date of referral is also the verbal start of care date. If the office personnel/referral taker has any doubts - they clear it up. The official orders are on the 485, but the verbal SOC date allows...

  2. Have you completed the OASIS C yet?

    annaedRN replied to Abbies's topic in Home Health

    yep. did a ROC and a SOC. actually was not too bad. BUT, we had 3 classes on it and our agency ordered a item-by-item manual with explanations by Medpass - very helpful. took a little longer, but...

  3. Do you get paid per hour or per patient?

    annaedRN replied to jordydan7295's topic in Home Health

    I am salaried based on 40 hr a week (most weeks less, some more). Average 5-6 a day, and SOC count as 2. Paid extra for anything done on

  4. This is a horrible change! What do you think?

    annaedRN replied to paradiseboundRN's topic in Home Health

    That does stink!! If the reason for that change is money, they may be disappointed in the long run because patiwnt satisfaction as well as the nurses' will go WAY down!!! My agency case manages -...

  5. Where to get more patient interaction?

    annaedRN replied to Joe NightingMale's topic in General Nursing

    yep - home health. we do just about everything that is done on a med-surg floor - but it's one at a time. the emphasis is on teaching - the meds, diagnosis, managing their health needs at home. there...

  6. Eating healthy on the run-post your tips.

    annaedRN replied to BChapp3182's topic in Home Health

    to make it easy - when you get home from the store - put your fruits and veggies in separate little ziploc bags - that way they are easy to pick up and throw in your lunch. you can rollup slices of...

  7. classifying meds on med profile

    annaedRN replied to chenoaspirit's topic in Home Health

    For antibiotics, a microbiology text or source will have them broken down...or call the pharmacy for a reference or just to flat out ask them. That stinks to have to classify them that in depth - what...

  8. Clinical Team Support

    annaedRN replied to KatieNoelLPN's topic in Home Health

    We have 2 clinical team managers that do what you will be doing. We have one that has any patients that have any PT/OT/SLT +/or nursing and the other mgr has nursing patients only. The field RNs are...

  9. Occupational Therapy

    annaedRN replied to KateRN1's topic in Home Health

    Haven't researched it. Our OTs have been doing the discharge OASIS if they are the last discipline in the home. My agency is really by the book too. Let me know what you find

  10. Being a Nurse for a Killer

    annaedRN replied to Stickyrunner325's topic in General Nursing

    Would you feel the same way if your patient had raped and killed your mom? We are professionals, but we are also moms, dads, husbands, wives, grandchildren, grandparents,

  11. Morbidly obese and skin care

    annaedRN replied to rdop5388's topic in Wound, Ostomy, Continence

    Like tewdles suggested - could it be yeast? alot of people respond to using an antifungal powder (ie. Microguard powder). Using antifungal powder is alot easier to dust on rather than trying to apply...

  12. Did I do the right thing???

    annaedRN replied to luvmy2angels's topic in Home Health

    No - you did the right thing. If the patient is not stable the doc should be notified - whether its you or the case manager. Thats why we are there - to assess the patient, and if a change or...

  13. stethoscope class?

    annaedRN replied to erin01's topic in General Nursing

    My agency pays for us to go to different seminars for ceu's. I went to that one - after having gone through classes to obtain my LPN then my RN - and there was numerous tips and things that were not...

  14. Negative Pressure Wound Therapy - does it really help ??

    annaedRN replied to i.care's topic in General Nursing

    in a word - yes! I have used wound NPWT (usually and preferably wound VACs by KCI) many, many times. Barring any complications or patient's not tolerating the treatment - I have seen wounds heal in...

  15. Ostomy care question

    annaedRN replied to AmericanChai's topic in General Nursing

    Yep - what Fiona said. Cleaning and prepping the skin with each change is the key. It is sometimes trial and error to get the correct wafer/appliance initally but once it's found it usually goes...

  16. What are the core skills/interventions you must do well as a HH nurse?

    annaedRN replied to Sterlink's topic in Home Health

    yep- what jnette said. If it's done on med-surg, its done in the home...and then some! But...assessment is huge, as well as teaching and trouble shooting. Learning to adapt to the patient's...

  17. Is it possible . . .

    annaedRN replied to KateRN1's topic in Home Health

    yes it is possible! my agency is fairly like the ideal one you describe. We see 5-6 patients a day..SOC/ROC are considered 2. On the rare day I see 7...it is never a OASIS visit. I travel 30-50 miles...

  18. OASIS-C

    annaedRN replied to HmarieD's topic in Home Health

    yuck!!! my supervisor just showed me the manual - boy, is it thick!!!. we are having a "preview" class in a few weeks then classes in december on it...can hardly

  19. Reimbursement and homebound status

    annaedRN replied to jacks07's topic in Home Health

    that really stinks...I am salaried, so while that occasionally works against me - it does not affect whether or not I admit or not. My agency is pretty good about us not admitting due to not being...

  20. Reimbusrement for precepting a new nurse

    annaedRN replied to tabster224's topic in Home Health

    I work for a non -profit...which I love. But I am the preceptor...and I get nada, zip, zilch, zero...NOTHING extra. While I dont mind it too much.. it makes my days really long, and after awhile I get...

  21. I need to vent!! :

    annaedRN replied to mc3's topic in Home Health

    i know!!! lately we have been so busy that i have been a little "firmer" with my patients...saying that i know you'd prefer that but in order for me to see you/change your dressing/do your IV...I'm...

  22. Reimbursement and homebound status

    annaedRN replied to jacks07's topic in Home Health

    if you dont admit due to not homebound - you cant bill for visit at all - we consider it a free visit. it would be WONDERFUL if the referring docs/facilities would learn what it is that we do...that...

  23. Microcoag Machine

    annaedRN replied to CapeCodMermaid's topic in Geriatric, LTC

    we recently started using Coaguchek machines and so far, I have not had the greatest luck. strips are $6 each and it is very temperamental...if you dont get that drop of blood on "just so"...forget...

  24. So overwhelmed..any advice?

    annaedRN replied to Rachelks's topic in Home Health

    Sometimes easier said than done...you may have people that need to be done at a certain time so you have to race from one to another. I do the basics of charting in the home (VS, measurements,...

  25. Ya'll cross your fingers for me

    annaedRN replied to mustlovepoodles's topic in Home Health

    I've done both and of course there is pros and cons to both. I am currently with a VNA doing home health but did private duty for a few years. I love the variety and challenges to each day with doing...