wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Patient responsibilities; would you admit this pt?

    wonderbee replied to wonderbee's topic in Home Health

    Yes, I believe there is an organic component which is why I felt guilty about leaving him in a lurch. He should not have been discharged until arrangements for adult day care were firmly in place. We...

  2. Here's a map of all major Pittsburgh and Western PA hospitals

    wonderbee replied to OLDCARTS's topic in Pennsylvania Nursing

    UPMC = "I'll get you my pretty, and your little dog too!" The Wicked Witch of the West to Dorothy in The Wizard of

  3. Need INPUT!!

    wonderbee replied to Sherriblu's topic in Home Health

    I would find another case and keep the lessons learned from the current situation close to my chest. If there is a question about quality of care, I would direct the client to my employer. Honestly,...

  4. Nuse Tech to RN transition and Orientation

    wonderbee replied to aheiskill's topic in Patient Safety Issues

    One way to break that cycle would be for you to ask them for their assistance. There will be talk but if you want to function as an RN on that floor, you gotta do what you gotta do. They'll get over...

  5. TRAITOR: Get Out of Nursing!

    wonderbee replied to showbizrn's topic in General Nursing

    Sounds like an interesting way to make a living. Just another way to practice the art. But malpractice

  6. Use of HH Aides

    wonderbee replied to wonderbee's topic in Home Health

    Thank you everyone. I have a better understanding of the situation. I'm still fairly new to HH being just 6 months in this month. Ours is a struggling start up agency so employment of an aide is an...

  7. Use of HH Aides

    wonderbee replied to wonderbee's topic in Home Health

    Maybe I am the one who is not understanding. I would like to hear from others on this. Either medicare covers the service or it doesn't and if I'm being told it doesn't and it does, I want to know....

  8. Please help-- needing information

    wonderbee replied to hollyberry678's topic in Home Health

    I think your friend would be doing you no favors and is cutting corners from the get go. Not that the money isn't right. In my opinion, it is if you throw in mileage reimbursement too. You're not...

  9. Role of Casemanager

    wonderbee replied to NurseFeelGood2005's topic in Home Health

    In my office, the case manager does visits and in addition, carries the burden and responsibility of coordination of all disciplines, tracking frequencies and turning in appropriate paperwork on a...

  10. New to Home Health.... many ?'s

    wonderbee replied to NewEnglandRN's topic in Home Health

    Bandage scizzors are something I keep forgetting to buy. My employer does not supply them. I never have them when I need them. I also like to keep a staple remover and suture removal kit in addition...

  11. Need help with a diagnosis

    wonderbee posted a topic in General Nursing

    Can someone please enlighten me about "solid bowel degeneration"? I've googled it but haven't come up with anything informative. What is

  12. Oasis B 1 2008

    wonderbee replied to amesly15's topic in Home Health

    We usually wait for therapy to give us their answer even now. Therapy is out there sometimes the same day as the RN opener. This will probably be our

  13. Patient alleges sexual abuse against discharging facility

    wonderbee posted a topic in Home Health

    I'm doing the opening pleasantries with my potential new client when it all comes out in a flood of controlled anger. Never have I been on the receiving end of this kind of information. She alleges an...

  14. Anyone seeing decreased visits per episode?

    wonderbee replied to ragtopnurse's topic in Home Health

    I agree with the frequency issue concerning 1x week visits. Those 1 visit per week nursing patients we are borderline cases which could probably do without nursing. We are nevertheless encouraged to...

  15. weight gain in home health

    wonderbee replied to tnurse63's topic in Home Health

    Wow Jnette! Saturday Night Fever meets The Abyss. The stories we have to tell! No food, no drink, bears, deer, houses that are adventures unto themselves, icy roads and steps with nothing to hold on...

  16. RN Case Manager...........

    wonderbee replied to dreamrider_212's topic in Home Health

    I would ask what is meant by case management. I see it means different things depending on the agency. Get a good job description. At my agency, the case manager is the primary nurse who does the...

  17. Your daily tasks

    wonderbee replied to wlb06's topic in General Nursing

    Pick up my schedule Copy pertinent information from charts Drive to client's home Carry out plan of care for that visit... could be assess for admission, educate, collect specimens, send out to...

  18. Anyone seeing decreased visits per episode?

    wonderbee replied to ragtopnurse's topic in Home Health

    There is a magic number of visits that Medicare reimburses at a considerably higher rate in the form of a lump sum. Nursing visits aren't really considered in that formula. It's the high case mix...

  19. Appropriate Winter Footwear

    wonderbee posted a topic in Home Health

    I have been loving being out on the roads this time of year. My routes often take me through rural SW PA (Go Steelers!) with its beautiful hills. While I appreciate this part of the job, I know the...

  20. Appropriate Winter Footwear

    wonderbee replied to wonderbee's topic in Home Health

    I have a pair of those "contraptions". They're ice grippers... removal studs for your shoes. They're a downright pain in the butt cuz you have to remove them before you go inside. On, off, on, off,...

  21. Bayada

    wonderbee replied to jennah982's topic in Home Health

    They do seem to be in a league of their own in the Pittsburgh region. They do a lot of private duty but very little in the way of visit care which is totally my bag. I just can't see myself spending...

  22. Fleet enema = NO results!!

    wonderbee replied to kwagner_51's topic in General Nursing

    Document, keep your cool and report your assesment findings to the MD. It sounds like you suspect a blockage. It's certainly possible. In the HH setting, we have to go with our instincts. If unsure, I...

  23. Landmark anybody?

    wonderbee posted a topic in Home Health

    Can anyone tell me their experience with Landmark? I'm looking at an admissions position. Pay is per visit. I'm in the Pittsburgh area. PM me if you like.

  24. Landmark anybody?

    wonderbee replied to wonderbee's topic in Home Health

    What did I tell them? I told the guy who interviewed me that I make $65 for an admission now with no strings attached, that I wouldn't take a paycut and I wasn't too sure if the doctor's office...

  25. Landmark anybody?

    wonderbee replied to wonderbee's topic in Home Health

    I wanted to resurrect this post from the impending grave because this company has a huge ad going in my area and forewarned is forearmed. The interview was weird considering they were advertising...