HmarieD

HmarieD

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All Content by HmarieD

  1. Vent: Medicare Fraud

    HmarieD replied to love-d-OR's topic in Home Health

    Whoa... Never allow someone to change your documentation, that is your license and professional reputation on the line. This is definitely fraud. They should be turned

  2. On Call pay???

    HmarieD replied to horsepoor's topic in Home Health

    The agency I currently work for does call for a week at a time, call pay is $350.00 for the week, whether you do any extra visits or not (we usually do have some evening IV visits or unexpected extra...

  3. QA nurses and missed visits

    HmarieD replied to LearningRN's topic in Home Health

    I am a QA nurse and it is not unusual for a QA staff to write a missed visit note, I would recommend indicating on the note that the missed visit was noted on chart audit and be sure to date it...

  4. Need suggestions for on call

    HmarieD replied to shebish's topic in Home Health

    You might discuss with your nurse manager or intake/referral nurse the possibility of asking referral sources if the SOC visit can wait until Monday. Sometimes they cam't, but often it's okay and is...

  5. Offered HH position, have some questions

    HmarieD replied to Mari96RN's topic in Home Health

    It is not unusual to have additional visits if you are the on-call nurse. I have worked 15 hours straight on days/weekends when I had call. That is nowhere near typical but it can happen. Ironically,...

  6. Are 15 Minute Visits Possible?

    HmarieD replied to athomemom56's topic in Home Health

    Wow, I've never heard of that. I don't think we have that program in

  7. Are 15 Minute Visits Possible?

    HmarieD replied to athomemom56's topic in Home Health

    I don't understand how these visits are considered skilled per Medicare and Public Aid requirements. I have never done a visit without a complete head to toe assessment and some skilled instruction....

  8. Male Catheter Problems

    HmarieD replied to bshaw96's topic in Home Health

    Have you tried increasing the balloon size to 30cc? The leaking may be due to bladder spasms, might request Urispas or something

  9. Does this sound right?

    HmarieD replied to erinp88's topic in Home Health

    Home health schedules are constantly in flux and require a great deal of flexibility from the nurses. I don't understand, though, why you couldn't call in to the office to find out if you are needed...

  10. Drug testing?

    HmarieD replied to Mike1974's topic in Pre-Nursing Students

    I worked with a nurse for six years in a Home Health Agency. This woman was a great nurse, caring, skilled, her patients loved her. She always presented herself well, was professional, no problem with...

  11. Nervous about first year in nursing school with an infant son.

    HmarieD replied to katybee's topic in General Nursing

    I started pre-reqs when I was pregnant, then the nursing program when she was an infant. I was fortunate to have a great support system, it was tough but I made it with nearly all A's. My daughter (14...

  12. mileage issue/home health issues

    HmarieD replied to icare4icu's topic in Home Health

    My agency pays .37/mile and every nurse here has been complaining for months to no avail . I just read in the newspaper that the Feds increased the rate to 58.5 cents. We are told we can deduct the...

  13. IV med

    HmarieD replied to rehabhereIcome's topic in Home Health

    In Home Health it is common practice to infuse only the medication (of course following SASH protocol) without the primary bag of Saline. There are a number of devices that do not even allow for...

  14. Anyone ever gotten mad at a caregiver?

    HmarieD replied to nurseby07's topic in Home Health

    I have lost count of the cg's that have infuriated and sickened me over the years. Just remember that you must maintain your professionalism even in the face of gross neglect and abuse. You may have...

  15. Is this all there is?-revisited

    HmarieD replied to nurseby07's topic in First Year After Licensure

    To JJJoy I too work in home health (about 8 years now) and love my job. Most HH agencies require at least a year of prior experience and there is a good reason for that. While there is a lot of...

  16. I HATE nursing! (any suggestions)

    HmarieD replied to Nursinghaze's topic in General Nursing

    You should consider Home Health Care. There is little contact with physicians, and that is only over the phone, no face to face. While you may occasionally get a difficult pt or dirty home, by and...