I think maybe you misunderstood what I was saying. I was actually referring more to the advice that someone had given you to "just call in". I wasn't criticizing you in any way but apparently you...
ragtopnurse replied to temprn2's topic in Home Health
We don't use computers and I don't really think our company ever will. We are supposed to do our charting in the patients home but with recerts and PHEs you have to review the chart in the office so...
ragtopnurse replied to msshowme's topic in Home Health
This is correct. We have to give all Medicare patients a 48hr DC notice if patient is remaining in the community with the exception that the patient is requesting discharge from HomeCare. In this case...
ragtopnurse replied to ragtopnurse's topic in Home Health
From what I have learned Medicare pays a lump sum per episode based on the case mix diagnosis and the clinical, functional and service scores compiled from the Oasis MOO questions. If you don't get at...
ragtopnurse replied to AngiRN's topic in Home Health
Our on call system is very similar to this except on the weekends our RNs take first call and the LPNs take backup. This is because we do so many weekend admissions and PHEs. Our field nurses take...
ragtopnurse replied to AngiRN's topic in Home Health
In our office only the full-time nurses take call. We have 5 full time RNs and 4 full time LPNs, we have several prn of each but they don't take call. We do call one night at a time during the week...
ragtopnurse replied to JennyHHRN's topic in Home Health
No, Medicare doesn't see port flushes as a skill to keep patients solely for that, but we can keep them for monthly B12 injections if they have a diagnosis of pernicious anemia, now tell me how that...
ragtopnurse replied to tnurse63's topic in Home Health
I gained about 10 lbs the first year I was in HomeCare but I got back to walking and eating better and it came off. I have since stopped walking very much but I still try to eat right (most of the...
Is anyone else being told to decrease the number of nursing, therapy, etc visits per episode. A few years back we were told that we couldn't keep patients if their freq was only one time a week. Now...
ragtopnurse replied to DutchgirlRN's topic in Home Health
Is teaching your only skill and have you taught everything on the disease such as meds, s/s to report, ways to manage their disease when HomeCare has DC'd? I know that frequently this happens, the...
ragtopnurse replied to saireyRN's topic in Home Health
I have been in HomeCare for 7 yrs and I love it. It is like anything else, it has it's good days and bad days but overall it is a very satisfying career. I don't really think you will put in more...
ragtopnurse replied to dreamrider_212's topic in Home Health
I have been in HomeCare for 7 yrs but I have recently been thinking about case management myself. Our company doesn't have such positions so I would love to hear what you think of it if you take this...
ragtopnurse replied to MA Nurse's topic in Home Health
So true about the paperwork. Putting it off is a very bad habit to get in and once you start it is hard to break. If you put it off for one day you will be trying to play catch up all week. It took me...