careforevery1

How long do you spend with the patient? Just wondering.

I am an RN in SC that does home health and I have never cleaned a patient's home or cooked a meal. We provide education, wound care, IV meds, and assessments. I do alot of the same things I did in the unit. If we start cleaning house's I am definetly going back to the hospital.

At our agency we call this a non-visit discharge, the oasis form is a little different. I would make sure that you document the fact that no actual visit was made for the discharge and that your info is based on the last visit, if you don't have access to this non-visit discharge oasis form.

Is the 68 a visit in NYC? I live in SC and the visit rate is about 43 with mileage. High tech visits and oasis visits pay more. I assume the cost of living is alot hire in NYC. I still think it is really good if they give you free health insurance and pay for you to get your masters degree. I may need to move to NYC. I just found out yesterday that the physical therapist make about 54 a visit. It seems to me that the case managers should make more than the PT.

Is he taking a beta blocker? Also how's his albumin, any idea?

Hello, I live in Summerville, a town about 20 minutes outside Charleston. I guess house's range from 150's and up. Of course living in the downtown area is very expensive. I was able to afford a place right out of college so I do not believe you will have a problem. I believe you can find an apartment around Charleston for around 800 for a nice one (2bdrm's). I hope this was helpful. Let me know if I can help.

I believe you will love MUSC's surgical trauma unit and Charleston. You will definetly see the sickest of the sick at MUSC. All trauma's go to MUSC. My brother-in-law was in the neuro trauma ICU which is next door to the STICU and I was very impressed. I would love to go work there and hope to in the future. Charleston is also a great city. We have a large surrounding area also, wou do not have to stay in the downtown area. Well I hope you love it as much as we do. Good luck to you.

I agree with you I would call 911. I find it frustrating sometimes to be in a home with a pt that is not doing well and having to call 911. In the hospital I could do something. Don't get me wrong I find home health rewarding but I do have times when I miss the unit.

If the patient was symptomatic and the bp was below the parameter don't we have to do something besides just monitor? I also believe you have to know the patient's history but you also have to react when there is something wrong. I also have low bp around 90/50 but I am not dizzy. Also how is the provider setting parameters if he/she has a limited history and doesn't know the patient's trends? What symptoms was the patient having and was there someone present to educate on how to react if the situation continued to decline? Also, you are talking about a patient you were seeing in there home correct?

I beleive that if the pt was symptomatic I would call EMS and have the pt transported to the ER. I think you have to go with your instinct. I had a similar situation and the provider told me that due to the pt's severe pvd that I was probably incorrect and that if I could palpate a pulse that the bp had to be above 90/50. I disagreed and asked if the pt would be better suited for hospice since she had a DNR order in place. A week later the pt was transferred to hospice. It sounds like the pt had fallen below his parameters.

Just wondering, was the pt symptomatic with the low bp and hr? What meds and history? Also does the provider mean to not call unless they fall below the parameters?