HmarieD

HmarieD

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All Content by HmarieD

  1. Insurance - The Latest Outrage

    HmarieD replied to Vito Andolini's topic in General Nursing

    $900.00 a month for the "family" plan. Doesn't matter if I'm married or single, or have one child or a dozen. And of course, being a nurse, I've had chronic back pain for years, won't cover anything...

  2. I need to vent!! :

    HmarieD replied to mc3's topic in Home Health

    LOL! I once had a pt who sat two feet in front of her TV when TPIR was on with a pen and notepad, she wrote down the prices of everything on the show! You could forget getting a visit accomplished...

  3. The small pleasures you get out of your job.

    HmarieD replied to november17's topic in General Nursing

    I LOVE this thread. I'm still a little teared up. It is the small things that keep us going through all the crap. Keep 'em

  4. From CMS:: OASIS C Conference call Oct 22nd

    HmarieD replied to NRSKarenRN's topic in Home Health

    Thanks. I registered this

  5. Woman Calls C-Section "Rape"

    HmarieD replied to c3p0's topic in Ob/Gyn

    QUOTE "Whether or not someone wants a C-Section, that can be left to debate. That is not the issue I found in this article. The issue I found is that someone compared a C-Section to rape! How on Earth...

  6. "CENTI"meter vs "SONO"meter

    HmarieD replied to itiswhatitis's topic in General Nursing

    My respiratory instructor pronounced that "resp EYE ra tory". Drove me up a wall. I know it's not necessarily incorrect, just obnoxious. Sontimeter gets on my nerves

  7. Resumption of care

    HmarieD replied to teton1898's topic in Home Health

    For skilled

  8. Resumption of care

    HmarieD replied to teton1898's topic in Home Health

    There is a new reg in the State of Illinois for IL Medicaid patients, when they are admitted then a discharge and re-admit is now required. However, I think this only applies for an admission >23...

  9. Home Health Documentation

    HmarieD posted a topic in Home Health

    I am working on a staff inservice for general home health documentation. I have a lot of tips from websites regarding defensive documentation, words to avoid ("stable", "encouraged") etc, but I was...

  10. Home Health Documentation

    HmarieD replied to HmarieD's topic in Home Health

    Thanks. I see all of those things as well, hence the need for inservicing. We cover this stuff in orientation but usually your head is spinning at the end of all that, it just doesn't seem to sink in....

  11. Joint Commission riding with me Thursday! Any advice?

    HmarieD replied to chenoaspirit's topic in Home Health

    Good for you! Enjoy your vacation... so jealous...

  12. Joint Commission riding with me Thursday! Any advice?

    HmarieD replied to chenoaspirit's topic in Home Health

    Just stay calm... Review your agencies P&P regarding PICC dressings. Remember standard precautions, especially handwashing, review proper bag technique and sterile procedure. Bring extra supplies...

  13. The word NO

    HmarieD replied to SBehanna's topic in General Nursing

    Be careful with charting by exception. Lawyers have a field day with it. I try as often as possible to document "pt denies ___ (pain, SOB, chest pain, etc etc). It indicates that you did assess and...

  14. Contacting the Dr for follow up orders.

    HmarieD replied to tabster224's topic in Home Health

    Sounds like she could have handled that more professionally, but I think she is right. Speaking from similar past experience, you should always get a verbal SOC order from the physician who will be...

  15. home health patient accuity system

    HmarieD replied to bmarie's topic in Home Health

    I have never seen a tool like this. In all my years of HH, I have never seen a referral turned down because we couldn't manage it without killing the staff. I have seen "points" systems in which a SOC...

  16. HH QA RN

    HmarieD replied to pogi's topic in Home Health

    I am a Performance Improvement Coordinator for a National HH Corp. I am responsible for 5 branches within about a 200 mile radius. Total census among all my branches runs about 1000 most of the time....

  17. 1 da 1; what does it mean?

    HmarieD replied to Sana2007's topic in Home Health

    You must count the first week. Your frequency will depend on your patient's needs. I do see what you mean about the 10 weeks depending on how your weekdays fall... If it were me, I would write a...

  18. Newbie Needs Help With Milage!

    HmarieD replied to SnarfGirl's topic in Home Health

    You have to have more itemized deductions than your standard deductions would amount to. I am in the same boat, I have no mortgage interest to deduct so I can never meet that. I get really tired of...

  19. 1 da 1; what does it mean?

    HmarieD replied to Sana2007's topic in Home Health

    That would mean you are going to see the patient 1 time a day for one day. FYI, you cannot bill a one-time visit on a Medicare pt unless there were further visits planned and it didn't pan out due to...

  20. Need advise ASAP

    HmarieD replied to veryangrynurse's topic in General Nursing

    I would avoid mentioning the narcotic diverting nurse who hasn't been disciplined. Keep your arguments contained to the facts in question and your own personal

  21. Which specialty of RN nursing finds the most satisfaction

    HmarieD replied to PopeJane3rd's topic in General Nursing

    I love home health :heartbeat. Will never go back to the

  22. Help with Nursing Bag technique

    HmarieD replied to Sana2007's topic in Home Health

    Just a funny story... once when we had State survey, I called one of my pts to schedule the visit for the next day & get permission for State to come and observe. I explained to her that we are...

  23. Burned Out?

    HmarieD replied to prettygirllpn's topic in Home Health

    My first year was awful. I prayed every day on the way to work that I wouldn't hurt anyone. It does get much better. Stick it out. Maybe you need to think about moving to a different agency. It sounds...

  24. How to apply knee high stocking

    HmarieD replied to crystalomly's topic in General Nursing

    Obviously this is not something you would do in clinicals, but is a funny but effective way to get those darn things on... maybe something you could pass along to your patients. One of my Home Health...

  25. seasonal birth control pill- only 4 periods a year? healthy

    HmarieD replied to Angela Mac's topic in General Nursing

    The commercial says "Who says you have to have 12 periods a year?" Ummm.... Mother