HmarieD

HmarieD

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All Content by HmarieD

  1. FOLEY balloon RUPTURE!

    HmarieD replied to Miss.HHNurse's topic in Home Health

    It doesn't sound like the balloon ruptured, if the foley remained in place and draining. I'm not sure if you're saying you were aspirating urine instead of saline or sterile water from the balloon?...

  2. unpaid overtime

    HmarieD replied to behindthedoor's topic in Home Health

    Many HH nurses work a great deal of "overtime", spending hours at home any given evening completing charting, doing follow-up, etc, but most agencies avoid having to pay OT by hiring staff paid per...

  3. Medicare week

    HmarieD replied to hhrnohio's topic in Home Health

    All three agencies I have worked for do Sun-Sat. I may be wrong but I think the agency has the ability to choose what their "week" will be, but that is must be consistent, not different for each...

  4. HELP! - Phlebotomy tips needed!!

    HmarieD replied to kat620's topic in Medical Assistant, CNA/MA

    I agree with the others as to feeling the vein - it should be plump and bouncy. One trick I learned from a phlebotomist was after palpating the vein, use your inkpen with the tip retracted to press at...

  5. Face-to-Face Rule

    HmarieD replied to KateRN1's topic in Home Health

    Good News!! CMS has decided to postpone the enforcement of this new reg until the 2nd quarter of 2011. They recommend agencies go ahead and begin complying with the f2f requirement now to...

  6. Should i consider taking this job?

    HmarieD replied to kaylamarie10's topic in General Nursing

    I don't know what STNA is either, and I have worked in HH a long time, though in another state. There is a Home Health thread or forum (?) here that might net you more responses. Good

  7. Recommended Home Health Agencies

    HmarieD replied to littlekarnak's topic in Home Health

    The burdensome paperwork is usually what drives people away from Home Health. I doubt that there are any agencies requesting paperwork that is not required or necessary for quality care and...

  8. IS Gluttony a Disease or Choice?

    HmarieD replied to Katie5's topic in General Nursing

    I once weighed about 150 lbs, 5'4". Thick, but not terribly obese. I began taking Effexor and immediately began gaining weight. I began to change my diet, which had never been bad, to include lots of...

  9. Men in home health

    HmarieD replied to Noimanurse's topic in Home Health

    I work with two male RNs, doing intermittent HH. To my knowledge, no one has ever complained about having them, and one of them has lol pts that freak out if he has to be replaced for a visit or two....

  10. New to Home Health

    HmarieD replied to RainRN1's topic in Home Health

    I recommend calling the day before. This can save you a lot of grief in revising your schedule when you discover the pt has an MD appt, family visiting, or, my personal favorite, they are too sick for...

  11. need to interview a home health nurse please

    HmarieD replied to Chazd18RN's topic in Home Health

    I would like to help, but my agency, while licensed of course, is not

  12. Fellow Nurses, I need help! Tips PLEASE!

    HmarieD replied to missjayhawk47's topic in General Nursing

    And much better pay, from what I've

  13. Career future for the home health nurse

    HmarieD replied to JeanettePNP's topic in Home Health

    Ah, LA. I thought for a minute I was really getting hosed, but the cost of living in my area doesn't compare. Guess I'm doing

  14. Chronic Wound

    HmarieD replied to smsRN's topic in Home Health

    I have also heard this, and do seem to remember reading something that supports this, but I can't recall off the top of my head exactly where that was. You should be able to go to the CMS website and...

  15. Career future for the home health nurse

    HmarieD replied to JeanettePNP's topic in Home Health

    In what geographical

  16. Is it true about the poo?

    HmarieD replied to gaia1214's topic in Nursing Humor

    On my very first day working as a new nurse on a medical unit, I had a pt with a rectal tube. These are kind of old-fashioned, it's the only one I've ever seen in my 12 or so years of nursing. Anyway,...

  17. Supervisory visits

    HmarieD replied to metalRN's topic in Home Health

    Any way you can do the sup visit early? The CoPs just state that the SV must be no less frequently than every two weeks. You would be in compliance if they were done more

  18. Embarrassing/Clumsy Moments!

    HmarieD replied to BKCinNOLA's topic in Nursing Humor

    I once caught a scrub top that snapped up on a siderail and completely exposed myself to the pt and a respiratory therapist (the pt was totally out of it but not the RT unfortunately). Only pullovers...

  19. M1910 Oasis

    HmarieD replied to Papercutz's topic in Home Health

    TUG or Tinetti in combination with your assessment (meds, environmental issues, etc), will

  20. smokers

    HmarieD replied to getoverit's topic in General Nursing

    I am so tired of hearing non-smokers say "I wish I smoke so I could take a break"! What? It's not as if this cigarette is a key to the outside world. Get up, walk outside, and take your break. What's...

  21. Medicare and Skilled needs

    HmarieD replied to spejsa's topic in Home Health

    KateRN - Just when I think, oh I'll respond to that with this, I see the next post in which you have already done so, and probably more effectively than I would have! Just wanted to let you know I...

  22. Physician-centric?

    HmarieD replied to KateRN1's topic in Home Health

    In total agreement! What's even worse, those measures will be publicly reported, but it will not be explained to the public that us being able to answer in the affirmative depends on the MD doing what...

  23. Can a NP be a primary care provider and work with other health care providers?

    HmarieD replied to satyadhi's topic in Home Health

    There is a great need for primary care practitioners to do home visits. I think what you may be thinking of would be more like a "doctor's visit" than a skilled nursing visit. If that's the case, I...

  24. Can a NP be a primary care provider and work with other health care providers?

    HmarieD replied to satyadhi's topic in Home Health

    I believe in Medicare Home Health Conditions of Participation, it states that the HH Plan of Care (and any subsequent orders) must be signed by a physician or a podiatrist. You can find Medicare HH...

  25. Medicare and Skilled needs

    HmarieD replied to spejsa's topic in Home Health

    Just a note on the "5 visits" - Medicare does not require that we do at least 5 visits. Your agency needs to be very careful here. If an agency does 4 or less visits in a 60 day cert period, they get...