cny4rn

cny4rn

med-surg,ltc,home health

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All Content by cny4rn

  1. Case Manager Pay

    cny4rn replied to Pooksmom1996's topic in Home Health

    From what I can tell the point system only benefits the company. I started about two months ago for a company that uses it and gave a two and half week notice this week. We are reimbursed at 1 point...

  2. recerting too many times

    cny4rn posted a topic in Home Health

    Do any of you feel that patients are kept on and recerted when actually they should be discharged? I have worked for two different agengies in the last six years and it seems management wants you to...

  3. Homebound guidelines

    cny4rn posted a topic in Home Health

    I have worked in home health for about 8 years now. Most as a part time RN in the field but some as a full time case manager. Recently I refused to recert a patient that had current medical changes...

  4. Homebound guidelines

    cny4rn replied to cny4rn's topic in Home Health

    The owner told us at the mandatory meeting we had when he announced the other superivisor being let go, that our goal was to get the patient to a level of health and independence to be discharged in a...

  5. Homebound guidelines

    cny4rn replied to cny4rn's topic in Home Health

    You know you're right actually. The truth should always prevail but it doesn't. She was let go for not doing her job .......the owner just took a while to figure that out. She wouldn't have lost her...

  6. Fired!!

    cny4rn replied to cjveronica's topic in General Nursing

    DeeAngel, your name doesn't fit the harsh reply you gave. Hope your not that judgemental all the

  7. Homebound guidelines

    cny4rn replied to cny4rn's topic in Home Health

    Thank you all for your replies. The patient I was concerned with does not require a taxing effort for her to drive or leave her home. I know I did the right thing. It was interesting that after I...

  8. Homebound guidelines

    cny4rn replied to cny4rn's topic in Home Health

    I am being told they can drive short distances to visit the doctor, church, etc. but I didn't feel good about it and am glad I refused to recert the

  9. Am I getting snowed? HH in North Texas

    cny4rn replied to alwaysBELIEVE's topic in Home Health

    Are you being paid 20 per hour or 20 per visit? If they are paying your travel time then 20 per hour is a fair payment. I am an RN and am paid 40 per regular visit with a 7 dollar trip fee if it is...

  10. I've had it!!! Need to vent again

    cny4rn replied to MzSuziQ64's topic in Home Health

    Ten patient visits is four too many to do a good job in my opinion. Eight should be tops. That is just ridiculous. Is there much driving on those days or are they close to one another? Anyway you...

  11. I've had it!!! Need to vent again

    cny4rn replied to MzSuziQ64's topic in Home Health

    I am getting into this discussion late but I am glad to see other nurses standing up and saying they will not admit a patient that is not homebound or doesn't need home health services. I quit home...

  12. Home Health Drama

    cny4rn replied to lisa41rn's topic in Home Health

    I also worked for an agency that had those that liked to put others down and start rumors. I suppose with any office type atmosphere there will be some of that but this place has one girl in...

  13. what is your oasis deadline

    cny4rn posted a topic in Home Health

    At the agency I am working for, they told us that they would like the oasis turned in within 48 hrs, but if we got it finished in 7 days it was not considered late. So that is how we have been doing...

  14. Leaving Job

    cny4rn replied to jack4408's topic in General Nursing

    Also check into your companies policy on your PTO time. I just found out at the home health company I work for that the minute you give your resignation your accumulated PTO time is forfeited!!!...

  15. Seriously considering leaving HH

    cny4rn replied to wonderbee's topic in Home Health

    Your right about the good and bad in everything. I am trying to work on my attitude cause sometimes it can be a bit stinky. Thankfully Texas doesn't have much ice or snow. It is the August heat that...

  16. Seriously considering leaving HH

    cny4rn replied to wonderbee's topic in Home Health

    That's funny that you are going back to psych. A few of us were talking the other day about how we were disillusioned with home health and were remembering how we liked psych. My only problem would...

  17. A New Car

    cny4rn replied to cherilee's topic in Home Health

    I have heard of driving agency cars while employed with them. Which this is nice not to put the mileage and wear and tear on your personal car. That must be what they are talking about. The agency...

  18. recerting too many times

    cny4rn replied to cny4rn's topic in Home Health

    I am glad there are agencies out there that are discharging as they should. Unfortunately I don't work for one. But I have been more vocal about it and the other case manager and I have been...

  19. Q for nurses who get paid per visit/admission

    cny4rn replied to wonderbee's topic in Home Health

    I hear you about getting older and wiser. You were definitely not wrong to speak up for more money. If more would do so they would have to compensate fairly for such a long amount of time required...

  20. de-accessing a port-a-cath, Safety Loc Huber?

    cny4rn replied to DutchgirlRN's topic in Home Health

    the one I flushed today was 10 cc of saline and 5cc of Heparin. ( I think 5 cc of Heparin is the usual

  21. Hanging Chemo at Home

    cny4rn replied to wonderbee's topic in Home Health

    In the six years I have been in home health as an RN I have never seen IV chemo ordered. Have had less than ten IV therapy cases that I can recall. Have a patient with a subclavian mediport now that...

  22. recerting too many times

    cny4rn replied to cny4rn's topic in Home Health

    I've never worked in hospice so I had never really thought much about hospice keeping people on that shouldn't be, but that does make since that some would improve and no longer meet the criteria for...

  23. inside the mind of a nurse.....

    cny4rn replied to ERRN92's topic in General Nursing

    I loved the one about repositioning your husband!!! That is a

  24. share something amusing

    cny4rn replied to cny4rn's topic in Home Health

    I do love people! I always think when I am feeling discouraged and disheartened with nursing it is the patients that keep me

  25. share something amusing

    cny4rn posted a topic in Home Health

    Thought it would be fun to share amusing stories with one another about our home health visits. The other day I was seeing a sweet little alzheimer's patient for the first time. Her caregiver was...