jacks07

Hi everyone! I've new to home health nursing, only been on my own for about a month. I've been running into the same problem over and over. I get to a pt's home to do an admission and they are not homebound. I still spend close to an hour there, assessing, teaching etc. and then still have to do OASIS and all the other paperwork...even if they have private insurance. My question is, will Medicare/medicaid reimburse for the initial visit when the pt is NOT homebound or does the pt get a fat bill in the mail? Does everyone else find all of this insurance/reimbursement issue to be complicated or is it just me? Why can't the "homebound" status be determined before the agency wastes nursing hours? Is it the fault of the intake staff? Thanks in advance for the help!

Hi! I'm a new grad working in corrections. Graduated in December, passed boards in February and had a DIFFICULT time finding a job d/t no experience. Finally got hired by a staffing agency which sent me to a prison. I only had three days of orientation. My first night out of orientation I was the only RN with one LPN. I was sooo stressed. THank goodness I had a good LPN that knew the ropes. I've realized, after 6 shifts, that nursing in corrections is not too difficult. The worst part is the beauracracy. I had one inmate with a papercut on his finger today and he asked for a band aid for it during med call. I had to do an assessment and fill out two pages of paperwork for a band aid. There is sooo much paperwork. We don't have computers where I work so everything takes three times as long as it should. Charts are always missing. Med orders are hand written in a kardex so there is a HUGE CHANCE of making a med error. What you do depends on where and when you work. I do a lot of meds and some dressing changes at night. Other nurses work in intake and I think there are some facilites that are more like LTC. It's not that bad as a new grad. YOu never know what you are going to get so you have to be quick on your toes and know your stuff. Be carefull though. There is some sloppy nursing where I am, watch out for your license.

Hi everyone! I am looking into Ohio University's online RN-BSN program. :typing Is anyone currently working on this, or finished it? How intense is it? I just graduated with my associates in December and will be starting a new job in a few weeks. I'll be working in corrections through a staffing agency. Should I wait a while, months or years, before going back to school? (I don't have any kids.) Thanks for any advice and sharing your experiences.

Mt. Carmel offers new grads.... 21.86/hour +20% night shift diff +2.50 weekend diff That's ADN, I don't know about BSN