RoAbreu

Hey... I wanted to know if anyone else has done this. The team I'm on has several "pairs", usually an RN and an LPN, who share a caseload. The RN case manages, and the LPN does mostly revisits during the episode. I've started doing this, now that ...

:kiss Thanks, I like something that fits in my pocket or waist bag! They gave me a planner but it's notebook sized and I was wondering if I would use it, realistically. I've bookmarked the page, prolly will order the smallest one in weekly format....

Our caseloads are in the upper 20s, generally, and we are expected to see around 7 patients a day. On days I do more than 30 miles I can take one patient off and see 6 for productivity. Some days I see 5, but those are high mileage days when I'm doi...

Out of curiosity, what is your average daily mileage that you report on your DAR? We have to report mileage and count it as time, as well (so 30 miles is considered an hour of time on the DAR, for instance). I've been running an average of 30 to 60 m...

They have us put it in our DAR; I'm a full time person, rather than per case, so I guess, yes, it works out that way. They count my road time as part of my eight hours, to a degree... as I said, 30 miles is considered an hour; sometimes that may not...

I think there is a foul weather policy, and I'll need to look it up. I have already run into what you are talking about, with the patients trying to defer me on yucky days... it'll probably increase when the weather is worse. I know they typically t...

I haven't been at this long, so I've only worked one weekend (we work a weekend every six weeks). My next weekend is the w/e before Christmas, and I work that this year, so I expect a strange week as the hospitals dump everyone out for the holiday. ...

Wowsa... where do you live, that you'd do 200 miles to see that many patients? I am seeing from 5-7, usually.

Oh, no (LOL) that was back when I was living and working in Louisiana. I'm glad not all managers have that regressive attitude, but I have to say I'm surprised to hear there are so many of them. Whee. Had a few of them in nursing school that would c...

~*~*~*~*~*~ Dying for Lack of Nurses A report in this week's Journal of the American Medical Association says that when hospital nurses are given too many patients to care for, the patients have a much greater risk of dying. That may seem self-eviden...

I think there were a couple of reasons I decided, when going back to work, to try HH rather than going back to the floor. First off, I desired more autonomy; as a case manager, there is a lot of that... for a newbie, it's like flying without a wire, ...

I still don't know what that was about... apparently, for her, it was not enough to be clean scrubbed and wearing a uniform (we wore whites there, too). I don't know that it was a requirement, but in that place, at that time, with that supervisor, t...

LOL... yes, G-d forbid. I had visions of makeup running down my neck when she was talking to me; I might be able to wear it now, I'm not doing "sweaty work" in HH... but I'd have been a general mess trying to wear it while doing floor work. Wonder ho...

*groan* Don't I know it. I worked several years as an 11-7 Med Surg charge nurse and it was wicked difficult being responsible for the admissions, blood, pushes and PCA's on the LPNs' patients, in addition to having to run the floor, motivate the N...

Hi All: I have picked up a new patient who has ALS that I am going to case manage. I've consulted PT and OT to visit him and his wife; he is already seriously disabled, and his home is not handicap accessible or adapted. I'm also planning to find ou...

Thank you for the info; I just found today that HCFA has lowered the wait time for ALS patients getting on Medicare, and that is something I can pass along to my patient and his wife. I am learning along with them; it looks to be a sad journey. We ...

Kudos for dropping them like a hot potato. They're trying to get you to do the work of six people and pay you for one. That is ridiculous. It seems like to me they are a liability suit waiting for a place to happen. Who oversees hospices, JCAHO? S...

WooWoo, globalRN, I looked at StatCoder and that is *rad*. I am going to ask my boss if I can put that in my Jornada, I am at a constant loss with the ICD-9 coding. I'm going to do a google for eRecs... did you download it off the net or purchase it...

Hi Ladies... OutbackAnnie: Ooh, Parish Nursing. I have wondered about that, too, I got a nondenominational minister's ordination so that I could go in and do energy work like Reiki with people and have it be "off the clock" as far as nursing, and ha...

"May I take a moment to comment on behalf of my poor colleagues who still work in hospitals. My issue is with this restraint free environment. When was the last time any of you had 10 pt's on an evening shift and had a pt who was climbing out of bed ...

I wear a CPAP, and my mask irritated my nose bridge at first. The problem with putting anything on the nose is that it potentially breaks the seal, which causes air to go in the eyes, not in the nose... I solved my problem by using TAD, I just cut a...

The dress code says professional casual... I've seen nurses wearing everything from scrubs to shorts and tee shirts. Supposedly no open toed shoes or clogs, but I've seen those, too. Myself, I am an old hospital horse so I prefer looking like a nurs...

Thank you! This is very helpful, I'm printing out a copy to put in my ever-expanding accordian file for reference!

Wow, thank you for posting this!! :-)

Hi... my name is Ruth Abreu, but my nickname is Ro and that is what everyone calls me. I am dually licensed in MA and NH and work the Merrimack Valley area, which includes some of both states. I'm new to home health; I have been a nurse since 1983...