carwin

carwin

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All Content by carwin

  1. RN documenting visits not made

    carwin replied to Isabelle49's topic in Home Health

    Report it. These actions are the source of billions of dollars in medicare and mdicaid fraud. That nurse is not providing care and is

  2. Verbal Orders

    carwin replied to paddler's topic in Home Health

    Yes have the lab fax to the doctor but you still call to make sure they receive the results and get your orders. if you draw a lab, you are responsible for obtaining and reporting the results to the...

  3. Unlocked OASIS

    carwin replied to paddler's topic in Home Health

    RN 1263,well aware of the subject, just sharing a little extra knowledge picked up from CMS surveyors. Whatever is done on ANY computer can be tracked by the IT person and your software vendor. Some...

  4. Unlocked OASIS

    carwin replied to paddler's topic in Home Health

    I code and I lock the OaSIS. That's a little paranoid. Home care is trust all the way around. Office staff have to trust that visits are really being made on the dates that are stated and that what is...

  5. New to Home health company and first paycheck bounced!!

    carwin replied to radrook's topic in Home Health

    The accrediting bodies charge for their services. Why would they come out and risk not getting paid? Many people do not know that the agencies pay for those surveys. Those surveys are a few thousand...

  6. Not sure what happened

    carwin replied to tjmschet's topic in Private Duty

    I welcome you to the profession. So sorry this happened to you as a new nurse. This is why I like to see new nurses in facilities first before striking out in home health or private duty. I feel you...

  7. New to Home health company and first paycheck bounced!!

    carwin replied to radrook's topic in Home Health

    I knew just knew you were in fla or southeastern michigan. These are two areas that are overrun with home health agencies. Cash flow can be a little goofy at times in home care. I've been at well...

  8. Are all Group home workers like this?

    carwin replied to Blackcat99's topic in Private Duty

    Try calling a family

  9. Are all Group home workers like this?

    carwin replied to Blackcat99's topic in Private Duty

    Completely agree with txredheadnurse. While many of these workers are not trained along with having limited education, many have some of the biggest hearts. I worked for a home health agency where...

  10. Do you "friend" your pts on Facebook???

    carwin replied to CrazyGoonRN's topic in Private Duty

    Sooooo true Nurse156. My concern is that you are not separating your work and personal times. Nursing is very demanding physically and emotionally. Work on building a strong, positive personal life...

  11. Do you "friend" your pts on Facebook???

    carwin replied to CrazyGoonRN's topic in Private Duty

    Keep your relationship with your patients professional. Ditto ArwenEvenstar. I heard of a case where nurse is taking care of Grandma. Nurse and Grandson start to date...then comes an ugly breakup!...

  12. Question of legalness

    carwin replied to Willow Moonsidhe's topic in Home Health

    The legal mess would be creating a visit note or OASIS when no visit was

  13. Anything positive about amedysis home health???

    carwin replied to mel1213's topic in Home Health

    Give it a try. This is a large company that should have an organized orientation process. Contrary to popular belief, home health nursing is not the "easy job" or "in and out". Just because you're...

  14. Brand New Nurse in Home Health: Can you really gain experience?

    carwin replied to bree*'s topic in Home Health

    The "need a paycheck" mind set is one of many reasons we're not a profession. Bottom line, a new nurse requires learning experiences that are interactive and varied before taking on the very...

  15. Starting a HH Agency?

    carwin replied to delerben's topic in Home Health

    It takes about 18-36 months to get a medicare number. You will be paying out of pocket to see patients until you can bill m-care. There are way too many changes that are decreasing payments. Until...

  16. contemplating a home health DON position...

    carwin replied to Timetochange08's topic in Home Health

    Nancy, They are running a game on you. You are only the name on the org chart. I wonder how many of those visits are actually made. The bosses are not clinicians are they? The bosses are nice...

  17. Christmas Eve in Home Care

    carwin replied to hawkfdc's topic in Home Health

    Great job and Merry Christmas to both of you. If not done already, get an order for a protein

  18. Face-to-Face Rule

    carwin replied to KateRN1's topic in Home Health

    yay! we have more do and track and write policies for!!!!!!!!!! we are planning to ask at receipt of referral and having the opening clinician ask when the md was last seen or when is the next...

  19. Horizon Homecare MobileCare-GPS TRACKING

    carwin replied to RN1263's topic in Home Health

    Although a new software system or a form may be put in place in our respective agencies, they are only tools. Tracking software could prove to an FBI agent that you did make a visit and the fraud in...

  20. Horizon Homecare MobileCare-GPS TRACKING

    carwin replied to RN1263's topic in Home Health

    Honestly guys there is no time in the office to sit and track nurses all day long. Agency owners who hate to pay up may have time to watch the tracking screen all day. There's not enough time to do...

  21. How far will you drive between visits?

    carwin replied to erroridiot's topic in Home Health

    EE you and fellow clinicians need to get together in a professional way so that you come across business-like and not as whiners. See if clinicians are spread out geographically smart. Are there 2...

  22. Medicare surveyors?

    carwin replied to twokidsmom,rn's topic in Home Health

    Hi 2KM, RN Medicare surveyors make sure that you are following the conditions of participation (COPs). You agency's policies should fall in line with COPs. Make sure that there is a current med...

  23. Horizon Homecare MobileCare-GPS TRACKING

    carwin replied to RN1263's topic in Home Health

    People in homecare know that nurses chart, eat, etc in their parked cars and stop to go to the bathroom so that's how you explain gaps. But you can't have all these paperwork-in-the-parking lot stops...

  24. Obtaining Urine Sample in the Home

    carwin replied to LuLu2008's topic in Home Health

    I would get an order to straight cath. The patient teaching would be the benefits of straight cath versus the other methods. If they still refuse, then you can call the doctoR for a d/c order related...

  25. The Home Care Dialysis Patient

    carwin replied to Twink's topic in Home Health

    Kate said it all. There's not much we can do for these