dmdrn73

dmdrn73

Home health, Ortho

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All Content by dmdrn73

  1. Surgeries listed on 485?

    dmdrn73 posted a topic in Home Health

    I have been in Home Health since 1995 and I have always been under the impression that you were supposed to put surgeries that the patient had on the 485, in that Box 12. We have an outside company...

  2. On Call rate

    dmdrn73 replied to jyhn's topic in Hospice, Palliative

    At my current job we have on call supervisors (one it is her full time job and one is part time) who take the actual calls and then the case managers and on call nurses (there are a few of us) rotate...

  3. Pay per visit rates....what is the usual

    dmdrn73 replied to IndianaHH's topic in Home Health

    I live in Western NY (Rochester/Finger Lakes area) and I am Salary but Per Diem's get $30-$40 for a regular visit and then it is more for an admission and then if it is on call or a weekend or...

  4. Help with dressing choice

    dmdrn73 replied to bell104's topic in Wound, Ostomy, Continence

    I also question if it is a Kennedy Terminal Ulcer. But in any case the alginates are good for the drainage:Kaltostat, algisite, aquacel, Sorbsan, etc. The Ag would be better if infected. Can use an...

  5. Is starting out your nursing career with HH a good idea?

    dmdrn73 replied to Riverhopper's topic in Home Health

    I started out in Home Health as well. When I graduated in 94 in Philly there were actually very few jobs for new grads even in nursing homes, I was out of work for almost a year after I passed my...

  6. shift differentials not as common as i thought?

    dmdrn73 replied to lalalalexi's topic in General Nursing

    When I worked in Virginia the shift differential started at 7pm and it was about $3.50/hr, then when I moved to NY the differential was for the whole shift but was only

  7. how many on computers

    dmdrn73 replied to cookie102's topic in Home Health

    We started with computers in late 2006. They gradually worked us all in a few at a time with the computer training classes and we were all "Live" by end Nov, early Dec. We use Cerner's...

  8. Falsification of records?

    dmdrn73 replied to Super Nurse JoshuA's topic in Home Health

    I think in this situation if it has to be done by the RN who saw on 2/10 (our agency has the case manager do it if that 2/30 phone call is an LPN) that nurse should make a phone call so that the d/c...

  9. Weekends

    dmdrn73 replied to Ruth1201's topic in Home Health

    We are on about every 3rd weekend, alternating "working" and "on call". When we are "workers" we usually get a day off in the following week, (depending on how staffing is) usually we see 3-4 visits...

  10. Pediatric HH Nursing

    dmdrn73 replied to ittybittybabynurse's topic in Home Health

    It depends on the agency you work for. I am home Health nurse and we see patients of all ages, I currently have 2 patients who are infants, preemies, one who was failure to thrive and one who is...

  11. Interview for Home Health on Monday. Considering transition from hospital to home hea

    dmdrn73 replied to oohnurse's topic in Home Health

    hope this

  12. What To Do When Family and LTC Facility NOT On Same Page.....

    dmdrn73 replied to tencat's topic in Hospice, Palliative

    Is it feasable for the daughter to take him home? Are there any Hospice Comfort Care homes in the area that he could be transferred to or is his condition not good for transport?I agree with a PP who...

  13. I need Information

    dmdrn73 replied to lane_2008's topic in Home Health

    A small plastic tackle box is good for lab supplies. the different size sections are good to separate Alcohol preps, needles, vaccutainers, butterflies, etc. You can get them at K-Mart, Target, etc...

  14. Do you care if they want you to remove your shoes?

    dmdrn73 replied to nurseby07's topic in Home Health

    I generally don't mind. I live/work in Western NY and a lot of people live in areas where you have to walk up gravel or dirt driveways and the way the weather is here (lots of rain and snow) we may...

  15. Home Care in NY

    dmdrn73 replied to rn9090's topic in New York Nursing

    I started in Home Health as essentially a new Grad, I had graduated from nursing school and passed Boards and there were no jobs to be found. Finally after a year I took a job as a HHA and did that...

  16. Home Health/Hospice Software

    dmdrn73 replied to dgd123's topic in Home Health

    We currently use Cerner RoadNotes/HomeWorks. It has bith Home Health and Hospice aspects to it. When we were deciding what to use. I personally oreferred the McKesson system but Cerner does the

  17. Standing orders/protocols

    dmdrn73 replied to RNWithAHeart's topic in Hospice, Palliative

    We don't have "standing Orders" but we have protocol that we use. This is our "Comfort pack" We don't have it prepackaged nor do we have a specific pharmacy that we use, we just get regular Rx's...

  18. Shift change report in your facility???

    dmdrn73 replied to hope3456's topic in General Nursing

    The one hospital where I worked did taped reports but we had 5-6 tape recorders and each nurse did a tape for all her patients, Ideally she would be passing her whole assignment to one nurse. It...

  19. chlorhexidine vs. providone iodine

    dmdrn73 replied to K os's topic in General Nursing

    I've always used alcohol swabs. I know for Central and PICC line dressing changes I much prefer the

  20. Do you/ did you have a Nurses Cap? Pin?

    dmdrn73 replied to P_RN's topic in General Nursing

    At the hospital where I used to work there were 2 or 3 nurses who still wore their caps every

  21. Do you/ did you have a Nurses Cap? Pin?

    dmdrn73 replied to P_RN's topic in General Nursing

    I had a cap but my mother bought it for me to take pictures in for graduation. We didn't wear them in school (did wear the white uniform dress, though). We graduated in black cap and gown. Our school...

  22. For Stats Project...How many NCLEX Qs did you have?

    dmdrn73 replied to polka-dot's topic in General Nursing

    I had 75 questions and passed FYI My friend had the max 250 I think it was and she passed

  23. What is your expected productivity and how is it measured

    dmdrn73 replied to slb53's topic in Home Health

    Our Productivity requirement is 5/day, but on average we see 6 (5 plus an admit) or more. There have been days I have seen 8-9 (with one of those being an admit). They count a ROC almost the same as a...

  24. Cell Phone Useage

    dmdrn73 replied to ame222's topic in Home Health

    We get $20/month reimbursed if we hand in a copy of the front page of our bill. They do provide a beeper but they rarely use them, most of the time the triage department calls us on our cell phones....

  25. 485 Vital Sign parameters

    dmdrn73 replied to DriBak's topic in Home Health

    Depending on the patient, I use these perameters... HR >110-120, BP >160-170/90-100 RR > 30 Temp O2