ragtopnurse

ragtopnurse

LTC, HomeCare, a little med/surg

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All Content by ragtopnurse

  1. Spouses scheduling conflict

    ragtopnurse replied to wayunderpaid's topic in Patient Safety Issues

    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...

  2. How Bad Is The Charting???

    ragtopnurse replied to deniseS's topic in Home Health

    I agree

  3. Charting question

    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...

  4. 5 day discharge notice

    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...

  5. Anyone seeing decreased visits per episode?

    ragtopnurse posted a topic in Home Health

    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...

  6. Anyone seeing decreased visits per episode?

    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...

  7. On Call dilemma

    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...

  8. On Call dilemma

    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...

  9. Mediport Flushes And Hh

    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...

  10. weight gain in home health

    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...

  11. Need ideas for teaching...

    ragtopnurse replied to DutchgirlRN's topic in Home Health

    Great

  12. Need ideas for teaching...

    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...

  13. Thinking about HH and VERY nervous!

    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...

  14. RN Case Manager...........

    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...

  15. Visits vs. Shift work?

    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...

  16. Visits vs. Shift work?

    ragtopnurse replied to MA Nurse's topic in Home Health

    Hi, I am a Home Health RN and our agency only does visits. We typically see 7 pts a day if we don't have an Oasis to do. We do have an agency in our town that does both. They call the full shifts...

  17. new grad RN BSN - is home health for me?

    ragtopnurse replied to badtz143's topic in Home Health

    I am a Home Health RN and I would not recommend it to a new grad. You have to have good critical thinking skills and that is something that you can get only with time and experience, not school. I...

  18. home health as a new grad?

    ragtopnurse replied to GeauxNursing's topic in Home Health

    I am a Home Health RN and I have to agree with the other nurses that have posted a reply. This is not a setting that a new nurse should be in. I had experience when I started but I have worked with...

  19. Spouses scheduling conflict

    ragtopnurse replied to wayunderpaid's topic in Patient Safety Issues

    I disagree with the advice to call in. We all know what it is like to work short because someone called in and ultimately it is patient care that suffers. The suggestions of prn so you can choose your...