paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. How Hard is Home Health Nursing on the Body?

    paradiseboundRN replied to westieluv's topic in Home Health

    I have had to do very minimal lifting in hh. There is always a cg, which is good because I've had 3 back surgeries And on a pain management regimen. But the car does aggravate

  2. Thermometers and stethoscopes--any opinions?

    paradiseboundRN replied to Scooter321's topic in Home Health

    I have a temporal thermometer that you wipe across the forehead. It has anti microbial silver on the tip although I still wipe it with alcohol. Works great but reads higher like a rectal because the...

  3. Pay Per Visit ... Good or Bad?

    paradiseboundRN replied to bringmeashrubbery's topic in Home Health

    Very common in Michigan. You are still an employee. The going rate per revisit in Michigan is between $ 50-65, so $40 may be too low. And you should get paid at least $80.00 for a

  4. Are you CODEPENDENT?????

    paradiseboundRN posted a topic in Home Health

    I originally pasted this as a reply, but I think it needs its own thread. A therapist once told me that nurses have a real problem with codependency. The definition of codependence is: Always putting...

  5. Is Home Health Nursing still Growing

    paradiseboundRN replied to pat8585's topic in Home Health

    The jobs are out there in home care but not for new grads. And, all of the private home care agencies are struggling while the agencies owned by hospitals are booming. I was told that the hospitals...

  6. forced overtime??

    paradiseboundRN replied to behindthedoor's topic in Home Health

    I am so feed up with the forced overtime. As a salary employee, we have a point system with the SOC being 2 points and the D/C, ROC, recert = 1.5 points. All other visits are 1 point including high...

  7. Start of care orders

    paradiseboundRN replied to Sana2007's topic in Home Health

    I can't even get the Dr's to call me back when the pt is having a problem! They are certainly not going to return a call to discuss frequency of visits, etc. I leave a message with his receptionist...

  8. Switching from O.B-relatively new nurse

    paradiseboundRN replied to amyla27's topic in Home Health

    Good for you to get hired per diem! If your income is flexible, that is the way to go. Plus, when you do have kids, you'll still be able to work if you want. Everyone is new to home care at one point,...

  9. forced overtime??

    paradiseboundRN replied to behindthedoor's topic in Home Health

    I'm salary so I often work more hours than I get paid

  10. This is a horrible change! What do you think?

    paradiseboundRN posted a topic in Home Health

    I have worked in home health for almost 8 years with various agencies. Last April I started with an agency that is a "corporation" which means that no one is allowed to think for themselves. Anyway,...

  11. Pay scales

    paradiseboundRN replied to jsmetcalf's topic in Home Health

    There are multiple ways that home care companies pay. You could be paid per visit. The average in Metro Detroit right now is $50 per routine visit, $85 for opening visit, plus mileage. The visit...

  12. Home Care Census Requirement

    paradiseboundRN replied to NewHHA's topic in Home Health

    I think the requirement refers to obtaining your certification. Of course, when you are surveyed again you will probably need to have the same minimum number of charts for them to review. It used to...

  13. Patients & Pain Meds

    paradiseboundRN replied to nurseby07's topic in Home Health

    Yes, I have been having a problem getting my patients pain meds also. I have an 85 y/o man who has gastric pain and rates it 10/10. He is not eligible for surgery due to his multiple other problems....

  14. 1yr Med/surg now HH?

    paradiseboundRN replied to twokidsmom,rn's topic in Home Health

    I think you're ready. Go for

  15. OASIS and HOME HEALTH CHARTING, how to do it.

    paradiseboundRN replied to johnnoes's topic in Home Health

    Buy the "red book" by Tina Marrelli. Handbook of Home Health Standards: Quality, Documentation, and Reimbursement ISBN 032305224X I wish I had this book much earlier in my home care

  16. Safety issues in Home Health - Do you ever become comfortable?

    paradiseboundRN replied to erinp88's topic in Home Health

    I would feel unsafe if I had to go into some of the poorer areas. The worst story that I've heard is that a mental patient locked a nurse in her closet. Fortunately, The nurse had her cell phone and...

  17. Most important, commonly used meds in real world?

    paradiseboundRN replied to SiennaGreen's topic in Medical-Surgical

    Lasix, prednisone, coumadin, lisinopril, synthroid, vicodin, digoxin, insulin, metformin, norvasc. These are the ones I can think of off the top of my

  18. Is it worth it?

    paradiseboundRN replied to Angelonearth7243's topic in Home Health

    In my experience, when non-medical people own home care companies its because they think they are going to make a lot of money. They need a strong manager to keep them ethical and "out of the gray...

  19. Laptop use in Home Health

    paradiseboundRN replied to mv740's topic in Home Health

    My agency uses lap tops and I love it. The only downside I see is that the computer forms a "barrier" between the nurse and the patient. When I use the computer I need to look at the screen and the...

  20. NoGo's for non-homebound

    paradiseboundRN replied to paddler's topic in Home Health

    I wish this was the case, unfortunately, with some of the agencies that I have worked for its all about the money. They are glad to have the referral ($$$$) and are willing to look the other way re:...

  21. BrightStar Home Health Care- thoughts??

    paradiseboundRN replied to Epona's topic in Home Health

    I think they only do non-medical so you really don't need much in the way of nursing skills. I think you write down their meds and do a very basic assessment. That's

  22. Newbie Needs Help With Milage!

    paradiseboundRN replied to SnarfGirl's topic in Home Health

    I have the same problem because my husband and I file jointly. His income

  23. WWYD?

    paradiseboundRN replied to KateRN1's topic in Home Health

    I'm glad that you were able to think this through but FYI.. most agencies , at least in Michigan (that are paying benefits) expect productivity of 5-6 per day. So 7 per day is not that far off. I'm...

  24. HH RN working Per Visit Needs an Advise.

    paradiseboundRN replied to elizatru's topic in Home Health

    You might have to find a new agency or work more than 1 agency at a time. Are the other nurses full time? At my agency the full time nurses get the work because they are getting paid salary. The...

  25. WWYD?

    paradiseboundRN replied to KateRN1's topic in Home Health

    I was in a similar position. I ended up at the micro-managed agency because the other one did not have enough patients to keep me busy (or make a decent income). What I found out is that home care is...