Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. CHARTING AND DOCUMENTATION help!

    Isabelle49 replied to MsRN247's topic in Home Health

    You could think of your documentation as a written report on the patient. That way, anyone who comes behind you will have a good picture of the patient before seeing

  2. doing duties I dont think I should be

    Isabelle49 replied to jess_v's topic in Home Health

    Someone may have addressed this, but here goes anyway: If you are injured while performing a service that is not a part of your job duties, you will not be covered by workmen's comp. More...

  3. Need Advice-Home Health for Father with ALS

    Isabelle49 replied to Starfish2012's topic in Home Health

    I am not sure, but your father may be a candidate for Hospice care. You could call a hospice agency and check on that diagnosis for hospice. Also, is your dad a veteran? There are benefits...

  4. different rules/regs for HH agencies?

    Isabelle49 replied to ilmbg's topic in Home Health

    I would not administer any medication that I could not identify and neither should you no matter what kind of agency you work

  5. worried about documentation

    Isabelle49 replied to shefrn1's topic in Home Health

    It's great that you will be doing electronic documentation. Most programs cue you on areas that must be addressed. If there is something you need to address that wasn't covered, you can usually do...

  6. IVIG home infusions - HELP! And a few other home health questions..

    Isabelle49 replied to BowHunterRN's topic in Home Health

    You should have MD orders that specify the amount of IVIG that is to be given, the volume and the rate. If you do not have this information you cannot administer the medication. There are not ifs,...

  7. Live-in RN advice

    Isabelle49 replied to lauraline's topic in Home Health

    The nurses or home health aides you hire should have a strong knowledge of the symptoms of and progression of dementia. If they have this foundation, they will not have much of a problem caring for...

  8. Pay for visit prorate?

    Isabelle49 replied to MomRN0913's topic in Home Health

    The company I work for has nothing but PPV, but employees are full time, part time and prn. I am prn and am often asked to see patients that require extended care time, without additional pay. The...

  9. safety in the field

    Isabelle49 replied to shefrn1's topic in Home Health

    In the past I have had the occasion to feel very uneasy in some areas. I am pretty sure I walked in on a drug deal once, saw a patient in a home that had one room empty of furniture but full of new...

  10. office time

    Isabelle49 replied to RN_Mommy_2_3's topic in Home Health

    We do all of our work on androids and transmit it to the office. When we were on paper, we were required to turn in paperwork Mon, Wed and Fri. I understand how frustrating the time spent in the...

  11. office time

    Isabelle49 replied to RN_Mommy_2_3's topic in Home Health

    Weekly case

  12. wound Vacs

    Isabelle49 replied to shefrn1's topic in Home Health

    I enjoyed wound care with the wound vac. The only problem is if you have several patients with wound vacs it will eat up your time like crazy. Not sure how it is in other parts of the country, but in...

  13. CMS Audit

    Isabelle49 replied to ctrn3478's topic in Home Health

    I was in the field when a visit was made to our agency and one of the surveyors did attend a visit with me at two of my patient's homes. I can tell you this, the first thing the surveyor did at the...

  14. RN pay Louisiana

    Isabelle49 replied to FlyaboveLPN's topic in Louisiana Nursing

    Wow, moved to Baton Rouge 17 years ago, had 10 years experience as an RN and was paid $18/hr. Baton Rouge is a

  15. Ochsner Hospital in New Orleans

    Isabelle49 replied to Nurselife1's topic in Louisiana Nursing

    I started right out of nursing school at Ochsner in the NICU. We had a very organized, long orientation period (not sure what it's like today, since it was 27 years ago). I think it is a good place to...

  16. I quit my Home Health Nursing job!

    Isabelle49 replied to pcbnurse's topic in Home Health

    Not sure what part of Florida, but why not check out Senior Home Care. I work for them in Louisiana. Pretty well organized. Very big in Florida from what I

  17. I quit my Home Health Nursing job!

    Isabelle49 replied to pcbnurse's topic in Home Health

    Sounds to me like you made the right move. Where in the South are

  18. Responsibilities and Liability of Case/Care manager

    Isabelle49 replied to rn718's topic in Home Health

    I have decided that I will no longer accept an admit or resumption of care if I am not provided with a History & physical or Discharge Summary with a medication list. Going in without this...

  19. Admits and Resumptions without medical documentation

    Isabelle49 posted a topic in Home Health

    Just curious, are you frequently required to Admit or Resume care post hospital without medical information? How do you do that? I've been in home health 10+ year and I'm still not sure how this...

  20. Medicare rules seem to be killing our agency

    Isabelle49 replied to I<3H2O's topic in Home Health

    Regarding the agency filling out the face to face, I would think the MD or his office has to denote the date of face to face on the form and doc must sign

  21. Some Medicare managed plans do not cover wound supplies?

    Isabelle49 posted a topic in Home Health

    Received a message from my office today saying that Humana managed medicare plans will no longer cover some wound care supplies, such as wound cleanser, skin prep, etc. Is this something new?...

  22. Some Medicare managed plans do not cover wound supplies?

    Isabelle49 replied to Isabelle49's topic in Home Health

    Not long ago, very recently, all wound care supplies were provided by the home health agency and the cost for those supplies was to be covered in the lump sum payment. If patients are going to have...

  23. Why do umbilical lines help infants in respiratory stress?

    Isabelle49 replied to LucyRn4's topic in NICU, Neonatal

    If I remember correctly, the umbilical line being a central line can handle a higher concentration of dextrose, so that the infant can get required dextrose without too much volume. And, there is a...

  24. computer charting is killing my career

    Isabelle49 replied to Sterlink's topic in Home Health

    Do you have space in your program to jot notes. We have a narrative section and occ I jump to that and enter in shorthand anything that I will want to include with my final narrative or anything I...

  25. Compression dressings

    Isabelle49 replied to dea22's topic in Home Health

    You could call DHH and ask them what the reg is for