brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    Visit Frequency

    brillohead replied to NurseBeefcake's topic in Home Health

    This page explains LUPA and a few other reimbursement issues: Home Health PPS - Centers for Medicare & Medicaid
  2. brillohead

    3rd shift challenges in home care

    brillohead replied to ButterflyBreath's topic in Private Duty

    Might want to ask the moderators to move this to the Private Duty Nursing forum instead of Home Health. You'll get more responses from nurses who do shift work in the home vs home health
  3. brillohead

    fairly new grad in private-duty nursing, question about orientation

    brillohead replied to elizabethgrad09's topic in Private Duty

    I agree that an appropriately trained family member training you is adequate -- it doesn't need to be a nurse, provided that the family member is experienced in all of the things that you're going to...
  4. brillohead

    If you could change medicare/medicaid...

    brillohead replied to SDALPN's topic in Private Duty

    How in the heck do you get 50 bottles of H2O2 per month? One of my patients gets TWO tiny 12-oz bottles of peroxide per month, which is supposed to do a 50/50 (with water) soak of the inner cannula...
  5. brillohead

    How much do you make?

    brillohead replied to middleagednurse's topic in Private Duty

    Each state has different Medicaid programs.... they get money from the federal government, but actually run their own programs. Food stamps and welfare are other programs that are different from one...
  6. brillohead

    A Bit Annoyed

    brillohead replied to nycRN3's topic in Private Duty

    Sounds like the agency didn't do a good job of explaining it to you.... glad it's all been
  7. brillohead

    A Bit Annoyed

    brillohead replied to nycRN3's topic in Private Duty

    I don't see the issue, as long as licensing has been covered, which your agency should handle for you. Are you afraid to ride in a car with the parent driving? The two hours it takes you to get home...
  8. brillohead

    How much do you make?

    brillohead replied to middleagednurse's topic in Private Duty

    Depends if it's Medicaid or not. Medicaid cases pay $20-$21 in this state. Car insurance cases pay more like $30. (Michigan has unlimited lifetime medical benefits for vehicle-related injuries....
  9. brillohead

    Pt having a "friend" over for "special nursing care"

    brillohead replied to delphine22's topic in Patient, Colleague Relations

    Well, technically, it's even possible after they're dead... but I think (hope!) everyone here would agree that the act in this type of instance truly is
  10. brillohead

    Verbal abuse

    brillohead replied to middleagednurse's topic in Private Duty

    I would probably call Child Protective Services. Even if you don't think he would harm the child directly, such as striking the child, if he's scaring off the child's caretakers, that is causing...
  11. brillohead

    What's it like to be a private duty RN?

    brillohead replied to nightengalegoddess's topic in Private Duty

    Things I like about PDN: *I don't have to deal with many people -- I don't have to deal with doctors, therapists, other nurses, aides/techs/whatever, managers, administrators, etc. *I have a lot of...
  12. brillohead

    Common nicknames for hospital items.

    brillohead replied to LifesAJourney's topic in Nursing Humor

    This one made me LOL, probably helped along by the fact that I used to work for a construction company!
  13. brillohead

    The best excuses for positive drug screens

    brillohead replied to rnaturcervix's topic in Ob/Gyn

    And you don't think it's important to know if your patient (and their baby) is under the influence of
  14. brillohead

    The best excuses for positive drug screens

    brillohead replied to rnaturcervix's topic in Ob/Gyn

    I wasn't aware that you needed a signed Informed Consent form to ask someone to pee into a cup. I don't know that I've EVER been told EXACTLY what my urine would be screened for at the doctor's...
  15. brillohead

    I never, ever went to ER when I was a kid

    brillohead replied to Emergent's topic in Emergency

    Been there, done that... IMO, blood coming out of your urinary tract counts as an emergent condition, not something that can wait for an office visit a few days later! And you're certainly not going...
  16. brillohead

    What is so difficult about this question?

    brillohead replied to 86toronado's topic in Emergency

    This is an informative video that was shown in my nursing school program a few years ago, and it was very eye-opening for me.... I just never realized just how common these issues really are among our...
  17. brillohead

    What is so difficult about this question?

    brillohead replied to 86toronado's topic in Emergency

    My dad is one who doesn't know what meds he's on, but at least he KNOWS he doesn't know what he takes. Mom and I make sure he keeps an updated, typed (handwriting sucks!) list in his wallet at all...
  18. brillohead

    Time to move on

    brillohead replied to ceebeejay's topic in Private Duty

    I have three different clients through different agencies, and they each serve a different purpose for me. One job is pretty brainless and a bit depressing, with large chunks of busy times at the...
  19. brillohead

    Best jobs for nursing students?

    brillohead replied to goldenanchor's topic in General Students

    ^^^THIS^^^ I graduated a little over a year ago. My classmates who were already working as a CNA/tech/whatever when they graduated all had RN jobs immediately after graduating. Those of us who had...
  20. brillohead

    I am a nurse, darn it!

    brillohead replied to ceebeejay's topic in Private Duty

    Sorry, but it was very clearly explained that this was a HH situation
  21. brillohead

    I am a nurse, darn it!

    brillohead replied to ceebeejay's topic in Private Duty

    Who ever said I'm not getting paid for it (if it ever even happens)????? This is a client that I do home health visits for, not PDN work. So if I ever got called over there to work on a problem, it...
  22. brillohead

    I am a nurse, darn it!

    brillohead replied to ceebeejay's topic in Private Duty

    The client knows to call 911 if there's an emergency or the doctor's office if they can't get in touch with me by phone. They know that I'm working PDN cases also and am not always available. They...
  23. brillohead

    LPN WA state requirements?

    brillohead replied to almostacanadian's topic in Private Duty

    I would go through an agency, rather than direct-hire. As a direct-hire, you will need liability insurance, malpractice insurance, you'll need to self-pay the employer contribution to your FICA...
  24. brillohead

    I am a nurse, darn it!

    brillohead replied to ceebeejay's topic in Private Duty

    I work for two different agencies on three different cases (two PDN and one HH), and I've given all of my patients/families my cell phone number. So far, it has been extremely helpful and not abused....
  25. brillohead

    Time to Say Good Bye

    brillohead replied to KATRN78's topic in Private Duty

    What about using transfer mats? Like this one for repositioning/boosting in bed and this one for preventing slipping in the