carwin

carwin

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All Content by carwin

  1. Looking for info on well run agencies

    carwin replied to Capco56's topic in Home Health

    Try an RN/LPN team. This allows the RN to make all OASIS visits while the LPN can step in an make revisits. Home care is such a separate beast compared to other hospital departments. Although...

  2. Do they pay for missed visits?

    carwin replied to caryrey02's topic in Home Health

    Medicare does not reimburse for missed visits. M-care expects the pt to be re-scheduled. If there are numerous missed visits, there is a question for the necessity of home care. Patients can have MD...

  3. Career future for the home health nurse

    carwin replied to JeanettePNP's topic in Home Health

    Well stated RubyRN. The statement regarding "starting at the bottom" was not offensive to me. It further supported my belief that new grads should get training with seasoned acute care nurses before...

  4. Career future for the home health nurse

    carwin replied to JeanettePNP's topic in Home Health

    I can only pray that the HHAs you nurses have selected practice within the proper guidelines. Every line of Ruby's response is correct My greatest concern is that the paperwork component of home...

  5. At School With Child. What to Wear?

    carwin replied to PediLove2147's topic in Private Duty

    Simply, ask the teacher how you should blend in or stand out. You are on their turf. The child may not want to stand out as having a "nurse". If the teacher says it doesn't matter just make sure...

  6. documenting with kinnser software?

    carwin replied to Timetochange08's topic in Home Health

    hi ttc, i used hchb in '06 as a field nurse and loved it also. i felt it kept you on track with the poc and triggered you to write orders when needed (nice feature when schedule is hectic). i'm sure...

  7. What do you wear?

    carwin replied to RRlc's topic in Home Health

    Never wear jeans anytime that you are functioning as a nurse! Wear nice fitting scrubs that match or business casual clothes that can be washed. You always want to look professional but

  8. Paper Oasis in 24hrs

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

    This is where you evaluate if home care is the specialty for you. Due to reimbursment, it is imperative that the OASIS is submitted, reviewed and locked for the RAP. The review is to make sure the...

  9. New grad, new to home health - overwelmed

    carwin replied to okhhnurse's topic in Home Health

    K7 I am very sorry for your experience. There is no safe place for a new grad in home health. I say safe mainly because we as RNs have a license. You must allow no one to be the caretaker of that...

  10. Hand washing question

    carwin replied to Papercutz's topic in Home Health

    Think about, if we as nurses have not heard about many of these tips, then what about the general public that doesn't have nearly the knowledge of infection as we shouild have? People use the...

  11. Hand washing question

    carwin replied to Papercutz's topic in Home Health

    No this is not a universal policY but something an infection control nurse told me when I first started nursing m it makes good sense to

  12. Home Care Fraud - How to escape.

    carwin replied to erroridiot's topic in Home Health

    Yes, currently in an electronic environment and love it. QA can read the

  13. Hand washing question

    carwin replied to Papercutz's topic in Home Health

    My nursing friends, we should also wash our hands BEFORE using the

  14. Give prn meds because Mom said to give it?

    carwin replied to Blackcat99's topic in Private Duty

    Tell Mom that she is able to use her discretion, but you are bound by law to follow the med sheet as ordered. You can appease Mom and call the PCP for and order

  15. Hand washing question

    carwin replied to Papercutz's topic in Home Health

    People wipe themselves, then turn on the faucet! That vision is explanation

  16. What to do? Very likely family using, selling, etc pt's meds

    carwin replied to NurseG77's topic in Home Health

    Tell the supervisor that the doctor is involved and you are waiting to see what's next. They may not return your call for an elevated BP reading but they are usually good with abuse/neglect...

  17. New grad, new to home health - overwelmed

    carwin replied to okhhnurse's topic in Home Health

    I agree with Kate. Home health is not another floor in the hospital. Home health, the business, is run quite differently than a hospital. Ask the hospitals that sold their home care agencies. As a...

  18. Home health nurses and documentation problems - please help me understand.

    carwin replied to nursetobeoneday's topic in Home Health

    To MindyTX, great policy. I can't believe the stuff I read in these posts. I get sick to the

  19. Home Care Fraud - How to escape.

    carwin replied to erroridiot's topic in Home Health

    You must report or may be considered a part of the

  20. What to do? Very likely family using, selling, etc pt's meds

    carwin replied to NurseG77's topic in Home Health

    APS will contact the cops. I would only contact the cops if you really know something for sure or if something happened to you. APS will handle it from

  21. Dangerous home, what to do?

    carwin replied to latebloomrn's topic in Private Duty

    That's amazing Blackcat. I am always in the position of having more offers than I can choose. I have 5 now but I'm in the mid-west. Still you can't not report trouble. Good luck to

  22. Dangerous home, what to do?

    carwin replied to latebloomrn's topic in Private Duty

    Blackcat99, who will support your cats when you are dead due to a non-reporter like yourself? Food for

  23. What to do? Very likely family using, selling, etc pt's meds

    carwin replied to NurseG77's topic in Home Health

    The MSW needed to have been called in on this case. This has become a social issue. That's what they do. Notify the MD of your suspicions. Get the MSW order. The MD can drug test, usually a blood draw...

  24. Dangerous home, what to do?

    carwin replied to latebloomrn's topic in Private Duty

    ArwenEvenstar, I read very well. There were those who said that they don't say anything to anyone. Yes, you may be blown off by the agency but that does not lessen your responsibility to protect and...

  25. Dangerous home, what to do?

    carwin replied to latebloomrn's topic in Private Duty

    I am still so mad after re-reading these posts. I have learned over the years that some of us are more employable than others. When you lack competencies, skills and confidence; your choices become...