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Patty Rn you should definitely find a better agency, that is just wrong!! To the nurses and the patients both! That company doesn't care about either it seems. Sad.

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 for regular SNV, 1 point DC, 1.5 for RC, 2.0 for R...

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 find a reason to recert for as long as possible. ...

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 but was driving daily. I was told by my supervisor t...

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 timely manner. Of course some of our patients are...

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 job over recerting someone that wasn't homebound....

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

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 said I didn't feel right recerting this patient the s...

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 patient.

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 the second or more visit of the day. No trip fee fo...

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 definitely should stand up as you did and say you ca...

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 health after 6 years cause of this type of thing an...

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 particular that is full of bitterness. She went to the sup...

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 it. Well now the new supervisor is saying that was ...

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!!! Start using it if you are planning on resigning.Unless...

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 will kill you. Again, good luck to you in your ne...

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 be I would have to drive about 40 miles or more to ...

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 I work for gives us a 3600 dollar a year car allo...

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 discharging more. I think I am going to make a change in...

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 for an admission. We get 70 dollars for an admiss...

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

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 we draw labs from every two weeks. No IV therapy p...

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 hospice. What a crude saying for management to tel...

I loved the one about repositioning your husband!!! That is a hoot!:w00t::rotfl:

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