HmarieD

HmarieD

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All Content by HmarieD

  1. HCA employee verification/employee reference policy

    HmarieD replied to Florencebyondthepale's topic in General Nursing

    It is my understanding that an employer, by law, can only confirm that you were employed there. No additional information can be

  2. Is it possible to document too much?

    HmarieD replied to Spritenurse1210's topic in General Nursing

    You bet. Nurse's notes are an integral part of the medical

  3. Who loves their job?

    HmarieD replied to solneeshka's topic in General Nursing

    I love my job in Home Health. I am currently in Admin (does that make me a turncoat?) but I loved being a field nurse. The best part is being able to focus entirely on one person at a time, and...

  4. how is it to go from private duty to hourly visits

    HmarieD replied to smartnurse1982's topic in Home Health

    I have only worked directly in intermittent HH (hourly), but our agency does have a few PD shift cases. Regarding whether intermittent pts or PD pts are "sicker", I would say that PD patients are...

  5. Any current "happy nurses" in HH?

    HmarieD replied to rhapsodyRN's topic in Home Health

    I agree with Peggy35. I left a busy med-surg unit 10 years ago and never looked back. I worked as a field nurse for about 7 years, now in the office (several offices actually) as PI nurse. I love it...

  6. "Scrub the Hub" means... ?

    HmarieD replied to Dialysis R.N. in IA's topic in General Nursing

    Has to be the blue hub. What's the point of scrubbing the outside of the

  7. Eating healthy on the run-post your tips.

    HmarieD replied to BChapp3182's topic in Home Health

    Good for you. You are smart to plan

  8. Eating healthy on the run-post your tips.

    HmarieD replied to BChapp3182's topic in Home Health

    My husband is a truck driver and uses one of the cigarette-lighter plug in hot boxes. He loves it, says it works really well for

  9. HHRG and medicare billing

    HmarieD replied to kellyjstc's topic in Home Health

    We have a few outliers, but well within 10% of our census. Hadn't really thought about that aspect. Two heads are always better than

  10. Vents and Feeding Tubes

    HmarieD replied to pat8585's topic in Home Health

    This is probably a private duty v. intermittent home health issue. In intermittent HH, in which you see several pts each day, it is unusual to see a lot of vents. Trachs and feeding tubes are less...

  11. Nursing or Occupational Therapy ?

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

    My best friend and I were in school at the same time, me for nursing and her for COTA. When we compared notes at the end of the day, I was always jealous. I gave soap sud enemas til clear, she made...

  12. HHRG and medicare billing

    HmarieD replied to kellyjstc's topic in Home Health

    To my knowledge, there is absolutely no change in reimbursement methods or Medicare guidelines. There should be no impact whatsoever in the way we manage our patients other than implementing some Best...

  13. Being on call

    HmarieD replied to anticoagulationurse's topic in Home Health

    I too experienced stress every time I was on call, especially if it was on a night between two working days. Ironically, the call out visits were often my most satisfying. There is a specific reason...

  14. Occupational Therapy

    HmarieD replied to KateRN1's topic in Home Health

    Your agency should have a manual of Medicare Conditions of Participation. Look up 484.55, Comprehensive Assessment of Patients. It discusses who can complete which OASIS and when. I'm sure you can...

  15. HHRG and medicare billing

    HmarieD replied to kellyjstc's topic in Home Health

    I have taken a two day course on transitioning to OASIS-C in addition to participating in the CMS training sessions and have heard nothing like this. The new process measure questions will be publicly...

  16. HHRG and medicare billing

    HmarieD replied to kellyjstc's topic in Home Health

    CMS is now automatically adjusting payment at the end of the episode based on how many therapy visits were actually done. This does nothing to help with utization review at the beginning of care, but...

  17. New to home health, next to nothing for orientation...vent

    HmarieD replied to everthesame's topic in Home Health

    Holy cow!! That is wrong on so many

  18. ICD-9 Codes

    HmarieD replied to spectral_ev's topic in Home Health

    COPD codes: (be aware that there are more, and not all of them are reimburseable. Generally speaking, the higher the specificity the better) 491.0 SIMPLE CHRONIC BRONCHITIS 491.1 MUCOPURULENT CHRONIC...

  19. I'm probably nuts for asking, but....

    HmarieD replied to d'cm's topic in General Nursing

    Smoke like a freight train. Democrat. I have voted for select republicans in the past but given their behavior since Obama was elected, doubt that will happen

  20. i feel so guilty..should i have done more?

    HmarieD replied to erin01's topic in General Nursing

    Reminds me of a situation a loooong time ago... working on med-surg, had a lady in resp distress, RR in the 40's... I called the doc, got orders similar to what OP got... didn't help. I wanted this...

  21. role of nursing diagnosis versus doctor diagnosis?

    HmarieD replied to IHeartPeds87's topic in General Nursing

    A nursing diagnosis addresses a problem that can then be addressed with a nursing intervention. It might be "knowledge deficit r/t disease process" with a care plan to provide pt teaching; "potential...

  22. OASIS-C

    HmarieD posted a topic in Home Health

    I just heard that CMS has now released the finalized guidance manual including wound items. Time to begin

  23. OASIS-C

    HmarieD replied to HmarieD's topic in Home Health

    I'm the trainer and I'm no more excited than the rest of you... Luckily I'm good at faking it (just don't tell my husband - just

  24. Drawing blood/phlebotomy tips and tricks

    HmarieD replied to CrunchRN's topic in General Nursing

    BP cuff inflated to about 100 works great. I always liked those plump wrist veins too but you must be very careful to avoid the many nerves in this area. I had a tech hit a nerve once and it was very...

  25. Should I try home health?

    HmarieD replied to emidianeRN's topic in Home Health

    I made the switch from hospital to home health and never looked back. I have not done shift work as caliotter3 has, but saw several different pts each day. If you are looking for a flexible schedule...