I<3H2O

I<3H2O BSN, RN

Home Health

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All Content by I<3H2O

  1. Please help! Was this a hippa violation?

    I cannot even get a copy of my OWN medical record without signed consent and a picture ID. Of course this was a HIPAA
  2. Starting in Home Health

    So, you will be hired as an LPN and then they will retain you as an RN? As an LPN, you will need excellent assessment skills. Familiarize yourself with the Medicare Benefit Policy chapter 7. Watch...
  3. HH- Do you work weekends and holidays?

    I work 2 of 6 recognized holidays per year. I also work every 3rd
  4. What bag/attire/organization???

    I find that on this group, there are a lot of home health nurses that are more like private duty nurses and they are in one home all day long. The type of home health nursing I do is going from home...
  5. Question about home health

    I agree with the PPs. I think my med surg experience has helped me TREMENDOUSLY in HH nursing and I cannot imagine going to any other specialty before Med
  6. Scheduling visits

    I work with adults only and the vast majority of them are homebound. The ones that do "disappear" during a scheduled visit hack me off to no end! I sat in a patient's driveway for 50 minutes the...
  7. Have they given you the information that you need "time cards, Flowsheets, and Daily summaries"? How would a lay person be able to chart Flowsheets? Flow sheets are typically the assessment of the...
  8. How does you agency handle on call responsibilities?

    1. How many on-call shifts do you have each week? RNs take call a week at a time from 5pm Monday to 8am the following Monday. 2. How often are you required to handle weekend on call duty? Every...
  9. Medical Marijuana and home care clients

    That would be quite a predicament. I think that you would have to have the smoke blown directly in your face for the entire joint/cigarette/pipe full (I'm at a loss as to how to refer to it!) for it...
  10. Famiy Medicine Residents Shadowing HH Nurse

    Maybe chose someone who was really noncompliant and landed in the hospital and has stayed well for a significant amount of time based on your services. Choose a really nice house and a really awful...
  11. I work at a small but corporately owned agency in a relatively small town. Last year, there was the Jimmo Vs. Sebelius ruling that was passed down from corporate saying that we could keep patients...
  12. Update on fraudulent visits

    I am sitting here with my mouth hanging open. I cannot believe what I am reading. I am so glabbergasted at the audacity. wow. I hope she loses her
  13. Supplies in bag and Car

    I hope that this does not sound rude but I think you are leaning towards micromanaging. If the nurses know they can have supplies in their car but choose not to therefore come into the office daily...
  14. Home health aid and family dysfunction

    I believe your home health aide job is different than the aides where I work. Our aides go in a couple times per week and give the pt. a bath and move on. If the family is being hostile towards you...
  15. activity and safety documentation and teaching

    I don't really understand what you are
  16. Ensuring all orders are on 485...

    We include everything we can on the 485. additional orders=additional paperwork piled on a doctor's desk somewhere awaiting
  17. Question???

    I am an RN Case Manager who sees pts in the
  18. Home Health RN Pay Per Visit HELP

    Oklahoma SOC $85 R/C $45 SNV $35 ROC $52 D/C $41 High Tech visits are different. We get
  19. I own a Cardiology III, a master Cardiology, and the LightWeight II. My very first scope was the Cardiology III which I purchased b/c it was the first one I tried that I could actually hear through....
  20. What kind of things do you find you are having trouble organizing? My days on Med Surg went something like this: 0645-0700 report 0700-0800 assessments 0800-0830(or before if done with assessments...
  21. Charting in HH

    Charting in home health...hmmm the company I work for uses HomeCare HomeBase. The charting is really quite repetitive. We have to chart the whole assessment, address every intervention including...
  22. Please share your home care nursing tips/tricks with others

    My tip is carry your own seat. I have a folding camping stool with a compartment underneath it. I carry my vs equipment in that compartment and then I always have my own chair to sit on when the...
  23. Now you all are making me scared!

    I love home health but I don't think 1 year in the ICU is going to be enough experience for HH.
  24. Home Health RNs: mileage reimbursement?

    We are reimbursed $0.49/mile. So far this year I have put about 8k miles on my car. That reimbursement can be substantial! The federal rate just recently went up to
  25. Please share your home care nursing tips/tricks with others

    You all have some really great tips! I really love the mymedschedule.com site, I've never used that but you can bet I will now!! I don't really have any amazing tips to share but I look forward to...