Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. Is home health profitable?

    Isabelle49 replied to brotherbear's topic in Home Health

    Home Health is NOT profitable, unless you are the type to see 10+ patients a day. I've known some to do that - I don't think they were doing nursing, I do think they were visiting and getting...

  2. RN Case Mangers: How long was your orientation and what did it involve?

    Isabelle49 replied to shondaRN's topic in Home Health

    A thing to remember is time to the agency is $. Proper orientation is generally lacking in Home Health across the board. I am a field rn, and have been for 8 years now. I really think it is unjust...

  3. Question of legalness

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    I have had to do this in the past due to insurance changes and it is okay. Reason for D/C is insurance change. You can indicate in the summary for the Admit that it was related to an insurance...

  4. Question of legalness

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Willow, unsure what you are referring to. Are you saying the 'frequency' on the care plan is being changed? Or are actual dates on documents being changed? A frequency change on the POC or 485 can...

  5. Hourly pd RNs:How does your HH agency work mileage into productivity?

    Isabelle49 replied to shondaRN's topic in Home Health

    As long as agencies are for profit, which they certainly are, it won't happen. And, the boards of labor really don't want to get involved because home health agencies 'do things different', I know, I...

  6. help! a confused RN

    Isabelle49 replied to noski's topic in Home Health

    noski, I say go for it. Give it a try. Surely you have the assessment skills and have gotten the feel for what the elderly are like. Do whatever you can to spend more time with your family. I...

  7. Hourly pd RNs:How does your HH agency work mileage into productivity?

    Isabelle49 replied to shondaRN's topic in Home Health

    I have never heard of any home health agency taking into account the mileage or time driving as part of productivity. It is the number of patients seen and that is all! If you spend 3 hours on a...

  8. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    you go girl! i have bookmarked your post and plan to use your template as a letter to out officials. am also going to send it to medicare, don't want to leave them out.

  9. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Management would like me to be full-time in the field. I am prn and see, on the average 15 - 18 clients per week, I did it full time and didn't feel it was fair to the patients. Increase the number...

  10. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    I hear you girl! I would probably do better as a cashier at

  11. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    Sounds like your job is your life. Slow down, don't let life pass you by. I gave my all for many years and shortchanged my son, now I grieve for him every day (he was killed at age 22) and feel so...

  12. Why HH nurses quit

    Isabelle49 replied to Willow Moonsidhe's topic in Home Health

    What you have posted does not sound real. And, it isn't real. I have often found that 'super nurses' cut corners every chance they can. It takes me as long as it takes me to do the job, and I won't...

  13. What is this called?

    Isabelle49 replied to moonjumper's topic in Home Health

    Get copies, notify upper management and report her to the Board of

  14. I know I have no buisness being there, but I need the Money

    Isabelle49 replied to grateful2010's topic in Home Health

    I would recommend that report that physician's actions to the Medical Board. Joint Commission has been in the process of encouraging action in hospitals to reduce the number of MD's from bullying...

  15. Considering going from NICU to HH

    Isabelle49 replied to Mommy RN's topic in Home Health

    no, all rn's in home health are not considered case managers. some agencies call field nurses by this term and other agencies have office based nurses with this title. just depends on the title....

  16. Computer HH nurses

    Isabelle49 replied to twokidsmom,rn's topic in Home Health

    Unfortunately, we are on paper. No computers, no laptops. We write all meds on a MAR,one copy stays in the home and the rest goes to the office. We get a list of meds when 485 is generated. I can't...

  17. more vent: how/why did we let this happen?

    Isabelle49 replied to HannahLeah's topic in Home Health

    You hit the nail on the head when you said, 'gaming' the system! I can't wait to

  18. New to HH, Recert... Not feeling right, input needed.

    Isabelle49 replied to OnTheRoad's topic in Home Health

    The Medicare Fraud Strike Force is not only looking at corporations, they are also investigating nurses. Don't do anything that you don't think is right, cause your signature will be on the...

  19. Fired from job I was not hired for

    Isabelle49 replied to BabaLouRN's topic in Home Health

    So sorry about what happened to you. In simple terms, the home health agency used you to serve their immediate need then got rid of you. I know, I have been there. I can't wait to retire from...

  20. Why do you like home care? What are the advantages?

    Isabelle49 replied to smartandgrit's topic in Home Health

    I have done Home Health nursing for 8 years now and my salary has decreased over that time. As medicare reduces payment to agencies, agencies make it up by decreasing salary. We are paid per visit....

  21. Anything positive about amedysis home health???

    Isabelle49 replied to mel1213's topic in Home Health

    Amedysis is currently under a Congressional

  22. Admissions RN position. Advice please!

    Isabelle49 replied to Anagray's topic in Home Health

    $80 is great, in the South I get $50 per admit, with 1 - 1 1/2 hrs for visit and another 1 hr for paperwork, yes, paperwork. We are not using laptops. I would recommend you go with a company that...

  23. venipuncture supplies, home lab draws

    Isabelle49 replied to hhrnohio's topic in Home Health

    I keep lab supplies in a clear plastic zippered case. I can easily see what I have/what I need. I only carry it into the patient's home when needed, along with needle box. Watch out for those...

  24. Typical Day For A Home Health Nurse | Life of a Nurse

    Isabelle49 replied to hoolahan's topic in Home Health

    Daughter being treated very poorly by Home Health she works for. She was in office Case Manager for 4 months, then her manager left, same day management says they need her expertise in the field full...

  25. Typical Day For A Home Health Nurse | Life of a Nurse

    Isabelle49 replied to hoolahan's topic in Home Health

    You might want to consider something other than Home