renerian

The poor family sounds like they are suffering with fear and grief. renerian

In the 20 years I have done homecare, I went out more often than others have. renerian

In home health I worked alot of weekends, nights and holidays. Much more than when I worked at the hospital. renerian

I would offer private pay/big smile. renerian:devil:

That is a very long time for 2 to 3 files. Accuracy is important but I don't think any employer would keep someone on who can only process that little of work. NO offense, just a thought. renerian

I have never heard the term'belly bath'either... renerian

I got my BS/MS in nutrition, distance while working a full time and a part time job. Was hard but I like others here, had to work while working towards other degrees. ren

Are you talking a masters in nursing? renerian

Hubby and I have owned two companies, one still open. Paying the estimated tax payments to the city is a pain/required here for companies. We pay all our own taxes, malpractice insurance is not that bad for non direct patient care but we have both consultative and direct care insurance. Setting up an LLC company to avoid having someone getting access to your personal assets in a lawsuit is important for us. If you can get health/dental somewhere for a good price that is also important as employers pay a good chunk of that. Life insurance is an issue for some people as well. renerian

Wow sounds really good to me too. renerian

I was wondering also if any of the DM nurse are required to have some type of certification. I did obtain a certification but wondered if othere companies require it. renerian

I have seen people do both roles. Depending on how much you end up getting up at night, going out at night, how far you have to drive, the weather and most of all if you get "stuck" with admissions, recerts etc. I have seen agencies give the "on call person" a bunch of working visits. So for example, if your on call Friday-Monday AM, and there are 5 admissions and no one else to do that, the on call person gets stuck doing that AND taking calls/call visits. I have also seen huge coverage areas and in the dead of winter, that stinks. I would also find out if you are responsible for staffing or calling staff to cover call offs. If an agency gives the on call nurse, the duty of staffing call offs, it can take alot of time. Also I would find out that if you cannot get someone to cover, ask i f you are required to do all the unstaffed,call off visits. I hope this helps, renerian

Kim, I have the same white lines on both sides of my mouth from teeth grinding at night. Good reference information from posters. renerian

I read all the thoughts about this post and felt a need to respond. As a person who processed a ton of OASIS and coded them as well, I found that calls often were made due to OASIS questions, conflicts in documentation, verbage or totally missed questions that as one person here posted, caused the OASIS to be unlockable. I have made many calls to nurses with this type of discussion, if a person is independent with ambulation, stairs, etc, then the admission should have been stopped if Medicare was the pay source realizing the homebound issue was not met. I have alot made calls to nurses, aides and therapists to find out more information about something that occured at the home for which alot of information is not in the note to CYA of the employee and the agency. On the flip side of this is I have been on the other end of that where managers asked me to change OASIS to reflect homebound status when I did not admit people if they were clearly not homebound. At times this is a non popular stance when an agency wants inflated numbers. renerian

JCAHO has nice forms for sale. Have you looked there? I have had to make my own before if an agency does not allow money for purchasing forms. renerian

May I ask the pay source for the clients? With Medicaid a person might have that happen more than Medicare. renerian

Dria, thanks for your input. I agree a merge could work. I know Ohio State Medical Center uses PCRMs that work in what I am guessing is a similar merged role. They watch the person throughout the spectrum. renerian

I am hearing winds that in the future DM and CM will merge, which makes sense. Is anyone else hearing that in their networking groups. I am considering joinging a CM local group. renerian

I feel bad for you. Basically you are covering for other key people/leaders in your agency when the roles are vacant. I assume you were named Interim DON? Someone needs to be named in an interim role for safety and to meet regulatory requirements. I hope your situation gets better soon, renerian

I had to reply to this post. My first admission took 4 hours. The gentleman had tubes everywhere/medically complex vent etc. I thought at the time, I was not very good about doing it, but after I got my feet wet I realized it was fairly common ( intaking so long). renerian

If he has no UTI I would try Tranquility Undergarments and incontinence products as they neutralize the urine order. You can get them in chux as well. I highly recommend them. renerian

Thanks for the reply on DM. I was hoping to see someone reply. I know alot of companies have their own DM programs. I was wondering if it would be worth having our own thread but it does not appear to have enough people that are interested. renerian

No it is not just your agency. Is basically happens for several reasons. One being the right hand might not know what the left hand is doing, Two someone doing the scheduling does not understand the system being used, three lack of communication. I have seen alot of agencies do this. renerian

Wow, none so far. renerian

I have posted this question before but it has been a long time so I want to post again to see if there are more nurses in DM. I wanted to know because I would like to approach allnurses about adding a DM thread. Thanks, renerian