carwin

carwin

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All Content by carwin

  1. Dangerous home, what to do?

    carwin replied to latebloomrn's topic in Private Duty

    I have been reading quickly and am very tired; but are many of you really not telling your agency the dangers you sometimes face? I had a guy pull a sword-like knife out of his pants, wink at me as...

  2. annoyed with preceptor's

    carwin replied to bshaw96's topic in Home Health

    Wow! You were oriented! I go out with nurses. Infection control is big and the surveyors are all over it. We were cited because we didn't have the number of seconds you should wash your hands in...

  3. Do you tell your family members you visit patient in the bad neighboorhood.

    carwin replied to Blackheartednurse's topic in Home Health

    Funny I have never worked for any administrator who was concerned about safety except for twice, my first homecare job and now. I always know where my nurses are or where they tell me they are. I ask...

  4. new grad with unknown HH agency, complicated pt case

    carwin replied to jerzie0820's topic in Home Health

    i am so sorry for what i'm about to say, but i must. you have no business as a new grad being in home care. a 2 hour orientation is nothing. you need to work in a hospital and get experience that will...

  5. Home Care Orders.....I need help!

    carwin replied to np7797's topic in Home Health

    Go to work and present the letter at the end of your day. Ask for your check to be mailed to your home. I take that you may be afraid that you may have to have a conversation with them. If you feel...

  6. ICD 9 coding class

    carwin replied to spoiled28's topic in Home Health

    Check with Decision Health or PPS plus. They may have classes in an area near you and at a decent rate 300-500 dollars. Try that first. Your state home care association could sponsor them and charge...

  7. Home Care Orders.....I need help!

    carwin replied to np7797's topic in Home Health

    Put in your notice and go. You've been there such a short while, you don't need to list them on a resume. If the feds ever asked, tell them that you felt something was not right and you promptly...

  8. Advice on reporting fellow RN not keeping notes

    carwin replied to Gingilly's topic in Home Health

    Gingilly, We the caca hits the fan. You never want to be the one catching it. If management is putting the entire business at risk for a chosen few, so be it. Now I must say when an unethical or...

  9. Advice on reporting fellow RN not keeping notes

    carwin replied to Gingilly's topic in Home Health

    Can you take the notes to the office where they will see that his are not there? You don't have to say a word. Then the office will have to ask him for his notes. Let them manage him. If they don't...

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

    carwin replied to nursetobeoneday's topic in Home Health

    Tell the family that so that you don't get patients confused, the entire visit consists of patient time and paper time. Make a point of calling the doctor for orders or calling the office in front of...

  11. Home Care Fraud - How to escape.

    carwin replied to erroridiot's topic in Home Health

    First learn the regulations of that particular program. The Medicaid waiver programs can sometimes offer a lot. MSWs also have great resource knowledge and can often string together several programs...

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

    carwin replied to nursetobeoneday's topic in Home Health

    If you can get administration on board, ideally you shouldn't process a log that has missing or improper documentation. ALSO, that nurse should not be given more cases until they properly document on...

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

    carwin replied to nursetobeoneday's topic in Home Health

    Re: Home health nurses and documentation problems - please help me understand. I sit here at work at 6:30 pm trying to write guidelines for completing our nursing notes. I've been DON for the past 2...

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

    carwin replied to nursetobeoneday's topic in Home Health

    I sit here at work at 6:30 pm trying to write guidelines for completing our nursing notes. I've been DON for the past 2 monts. One of my nurses hung up on me today because she said she was sick of...

  15. Home Care Fraud - How to escape.

    carwin replied to erroridiot's topic in Home Health

    Hello All, I am a new DON at a small HH agency (40 pts). I am in need of a teaching tools source. I would also like a variety of examples of good documentation for visit notes ( RN an PT), OASIS, 60...