HmarieD

HmarieD

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All Content by HmarieD

  1. My poor coworker:(

    HmarieD replied to MomRN0913's topic in Home Health

    HAHAHAHAHA That is hilarious

  2. What to do?

    HmarieD replied to mysticalmoonray's topic in Home Health

    If you are a mandated reporter, you must report this to social

  3. What would you consider a bedfast patient?

    HmarieD replied to juniper111's topic in Home Health

    Per OASIS guidelines, if a patient can tolerate being up in a chair, even if they must be transferred via hoyer lift, they are

  4. Motivating the Nurse in All of Us

    HmarieD replied to Joe V's topic in Nurses Rock

    I am so sorry you are going through this, and I totally get it... I felt the same way. I thought I had made the worst mistake of my life by becoming a nurse. Luckily, I was able to move to a specialty...

  5. What would you do?

    HmarieD replied to xandarosa's topic in Home Health

    No, I wouldn't just show up on the off chance that I would be able to work. However, I would think that the nurse or her agency would have been monitoring his status so they would know when he was...

  6. You may not be homebound if....

    HmarieD replied to itsgr82cre8's topic in Home Health

    You may not be homebound if...you brag to me about the hot babe you bagged when you hit all the bars on your

  7. Home Care Survey

    HmarieD replied to nurse955's topic in Home Health

    My advice to you in working with the surveyors is: 1) remain calm. 2) Do not be afraid to say "I don't know, but I will find out and get back to you", rather than trying to BS your way through an...

  8. Home Health Happy Hour

    HmarieD replied to sboudreaux's topic in Home Health

    I am an Illinoisan as well - maybe we should have our own happy hour, I'm certainly ready for one right now!

  9. Fraud or not?

    HmarieD replied to Gommer's topic in Home Health

    I would only add one thing to KateRN1's excellent response - if the last OASIS-qualified clinician who saw the patient was still employed there (RN, PT, OT), they would be responsible for the DC...

  10. Coding question

    HmarieD replied to Gommer's topic in Home Health

    KateRN1 - Will you please come work at my agency? You are always right on the money!! I want to steal you away from wherever you

  11. Documentation of physician communication

    HmarieD replied to nurse955's topic in Home Health

    Medical Director is not required in all

  12. Providing Home Health Aide services when patient has hired caregiver

    HmarieD replied to swilliams1970's topic in Home Health

    Medicare does not consider HHA services medically necessary if there is a "willing and able" c/g in the home, even if that c/g is a family member, as Kate said it's a duplication of

  13. Advice needed

    HmarieD replied to dreamriderRN's topic in Home Health

    This forum is specific to Home Health, I think there is a Hospice forum you might have better responses from. Good

  14. Butter, ice cream, and baseball

    HmarieD replied to noyesno's topic in General Nursing

    I always ask the same question! My favorite response was the gentleman who, every morning, drank 2 oz of red wine mixed with OJ. Now that's a health craze I can get

  15. CHARTING AND DOCUMENTATION help!

    HmarieD replied to MsRN247's topic in Home Health

    Remember that every single clinical note must stand alone; in other words, you should be painting a complete clinical picture every time you document. Your documentation of tasks such as wound care...

  16. Tracking nursing activities

    HmarieD replied to kat7464's topic in Home Health

    This is a new billing requirement of Medicare, the agency must assign G-codes to each visit to indicate what type of service was provided. Be glad your agency is asking you to do this, a lot of places...

  17. Need Advice!!! Home health job

    HmarieD replied to moni777's topic in Home Health

    There is a home health forum here, check it out for lots of information from current and seasoned home health

  18. Face to Face Encounter

    HmarieD replied to momsnurse1's topic in Home Health

    We have had problems with physicians completing the forms appropriately. Typically they ignore the homebound section. I heard of one doc who wrote "Quit wasting my time" across the form in big...

  19. Home health marketer... question...thanks!

    HmarieD replied to Epona's topic in Home Health

    Salary will vary depending on where you live. In my agency, the marketer makes more than the Agency Director. They also bonus if they meet their

  20. Doctors office job..think I made a mistake...

    HmarieD replied to Marshall1's topic in Ambulatory Care, Clinic

    This sounds a little sketchy to me... I don't want to say the "f" word here, but having pts come back when there is no need sounds a lot like something that rhymes with maude. Add to that the fact...

  21. more vent: how/why did we let this happen?

    HmarieD replied to HannahLeah's topic in Home Health

    It's already happening. Look for new documentation and assessment standards to be initiated April 2011 for all therapists. There have been too many agencies "gaming" the system. Now we all pay the...

  22. Moist Gauze dressings?

    HmarieD replied to CharmedJ7's topic in General Nursing

    There are gauze dressings that contain hydrogel or other products that retain moisture and promote a moist healing environment, which is particularly recommended for wounds with any depth, including...

  23. wearing makeup to work?

    HmarieD replied to meghan91's topic in General Nursing

    For those with the "raccoon eyes" issue, I have recently discovered Loreal beauty tubes mascara, it is the only kind I have ever used that doesn't do that. It's

  24. Student Loan Defaulters ONLY

    HmarieD replied to Spode's topic in General Nursing

    I have not, although I've come close. I have found they will really will work with you if you make any effort at all. I'm sure you are aware your nursing license will be disciplined if you default on...

  25. Only a nurse would say......

    HmarieD replied to enigmaticorange's topic in Nursing Humor

    We had a flasher hanging out in the hospital parking lot, one of the nurses told him he better be careful waving that thing around or someone would stick a catheter in