Isabelle49

Isabelle49

Home Health

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All Content by Isabelle49

  1. Compression dressings

    Isabelle49 replied to dea22's topic in Home Health

    Am an RN in home health in Louisiana and the Agencies I have worked with will only allow RN's to apply compression

  2. Transporting Nsg Notes

    Isabelle49 replied to PRNforPain's topic in Home Health

    This boils down to a very simple issue. If the notes cannot be maintained by the agency providing care, they can no longer provide care as they would be in a big mess when the State or Feds came to do...

  3. Lets talk about $$$

    Isabelle49 replied to russki1313's topic in Home Health

    South Louisiana; $30/visit; $40/ROC; $50/Admit; $30/Discharge in person; $0/discharge only on paper; $0/Transfer. I am not even sure how mileage is compensated, whatever it is somewhere around...

  4. SNF-acquired MRSA - Medicare co-pay - pt advocacy

    Isabelle49 replied to mwhyte13's topic in Home Health

    I would be willing to think that the OP as a nurse has access to this information because it was directly relayed to her ears from the patient or family, or maybe administration where she works told...

  5. SNF-acquired MRSA - Medicare co-pay - pt advocacy

    Isabelle49 replied to mwhyte13's topic in Home Health

    I think the patient or family should call Medicare and try and speak with a supervisor. Might even call the local DHH and see what their thoughts are on

  6. Pain management during pregnancy

    Isabelle49 posted a topic in Ob/Gyn

    Hoping someone will chime in. I'm a home health nurse, and most if not all of my patients are not of child bearing age, so I'm asking here. I know someone who is in the 3rd trimester of pregnancy and...

  7. who has left nursing ?

    Isabelle49 replied to sabatical's topic in Retired Nurses

    I'm about 99% out of nursing, still seeing very few home health patients per week prn. Took early retirement at 62. I think by September I may be about out of I care! 27 years into it and I have about...

  8. RN at Our Lady of the Lake Regional Medical Center- your experience/opinion?

    Isabelle49 replied to reenstar's topic in Louisiana Nursing

    I worked there for a while, I wasn't impressed. You must be willing to be a "team player" no matter what! Didn't work for

  9. CHF and weights

    Isabelle49 replied to psugarland's topic in Home Health

    If you can believe this, and I am almost embarrassed to type it, if a CHF patient is unable to stand on a scale we must measure upper arm circumference. For a patient who sits most of the day, I...

  10. A word to the wise about CEU's

    Isabelle49 posted a topic in Home Health

    Just a note to alert you to be careful when taking CEU courses required to maintiain your license. Our company uses Care2Learn and we were required to complete approximately 30 courses. We were told...

  11. Home Health Certifications

    Isabelle49 replied to dbanks611's topic in Home Health

    Not sure about other states, but Louisiana requires that a home health nurse have pediatric hospital experience (not sure of the amount) in order to see peds patients in home

  12. Racism in the south?

    Isabelle49 replied to AQEELSMOM's topic in Louisiana Nursing

    Before you plan to make the move to work in a rural area in the South, you might want to research salaries. I think you will find them to be below average for larger cities and way lower than other...

  13. Update on fraudulent visits

    Isabelle49 replied to salvadordolly's topic in Home Health

    This problem is way more common than not! And, many managers keep their heads in the

  14. What do you do if a patient needs to go to the hospital?

    Isabelle49 replied to Malina9559's topic in Home Health

    No matter what, always call the MD. If you really feel this patient needs emergency care, call 911 and let them refuse care when EMT's arrive. You can document this. Remember anything not...

  15. A word to the wise about CEU's

    Isabelle49 replied to Isabelle49's topic in Home Health

    The seminars you mention are in great quantity in my area, but I am not going to pay $75 to $150 to attend. Companies I have worked for do not reimburse this and I already pay about $100 for license...

  16. A word to the wise about CEU's

    Isabelle49 replied to Isabelle49's topic in Home Health

    Esme, you are so right. The letter the board of nursing sent me contained a list of CEU providers and not one of them offers free CEU's. Medscape.com is an awesome resource site that offers free...

  17. Fraudulent visits - yes I brought it up!

    Isabelle49 replied to salvadordolly's topic in Home Health

    It would be in your best interest to document, document, document what is happening. If an audit is done and visits prove to be fraudulent, you could very well be pulled into the middle of this mess...

  18. Are all home care agencies a disorganized mess??

    Isabelle49 replied to starcandy's topic in Home Health

    Sorry you are in this predicament. 4 days orientation for someone new to home health is not enough! The following link explains "Homebound". I hope this helps....

  19. Starting to feel like an idiot

    Isabelle49 replied to MomRN0913's topic in Home Health

    Anyone working for a company that is on paper really needs to keep an eye out for openings with a company that is computerized. We went to computer late last year and it's been a

  20. What would you do?

    Isabelle49 replied to xandarosa's topic in Home Health

    Agreed, the agency caring for your child should have been tracking him while he was in the hospital. The agency dropped the ball. The nurse cannot be expected to show up just in case he's back home....

  21. Is this normal???

    Isabelle49 replied to Hotfornursing's topic in Home Health

    I agree completely that no one should administer medication that has been drawn up by another especially if the administering person did not witness the medication being drawn up. If I'm not mistaken...

  22. How often does the nurse visit ?

    Isabelle49 replied to LaRN's topic in Home Health

    As long as total care doesn't exceed 35%, anything goes! Profit must be 65% or more. per the company I work

  23. Difficult to drive on mountain roads with narrow paths and steep hills

    Isabelle49 replied to 50kn's topic in Home Health

    My agency understand that I will not drive across high bridges. I have an extreme fear of heights. They still ask, and i still have to remind them, but they

  24. How to eat on he road?

    Isabelle49 replied to MomRN0913's topic in Home Health

    I can't tell you how many lunches I made out of potato chips and Hershey's kisses. I kid you

  25. Home health and family life?

    Isabelle49 replied to vbgniner's topic in Home Health

    How much time on the average do you spend with each