paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. Can You Suggest Home Care Bags that You USE or LOVE?

    I personally love the Hopkins bags and
  2. Claiming on Taxes

    Any expenses that you are reimbursed for cannot be claimed. If you are getting paid per mile your gas is reimbursed. Otherwise, you can deduct it but it has to be more than a certain percent (can't...
  3. Is there a cap on maximum amount of patients per day

    There is no cap in homecare. You have to be assertive with your manager in home care and learn to say "no" alot. If that doesn't work, try to find another agency to work for. Good
  4. I just started at a hospital based home care co about 6 weeks ago. I have been in home care 5 years previous but was always paid on a per pt basis, not salary. Anyway, I was hired as a salaried full...
  5. Pay Per Visit and Office Time

    They usually have a rate for meetings and inservices, about $20 hr. But thats it. Anything else (telephone, picking up supplies, charting) is considered part of the visit. Suprisingly, I made more...
  6. Which is best type employer? Best HH websites?

    I found that's the biggest problem with for-profit agency. They are so hungry for the money that will accept any case. This includes Medicare pts that are not homebound and pts that should be in a...
  7. Which is best type employer? Best HH websites?

    I have a friend who is one of Residentials marketers. I guess that what they call her. She writes up referrals from SNF's etc. She was the clinical director for 10 years for an agency that I worked...
  8. Which is best type employer? Best HH websites?

    I respectfully disagree. The documentation may be the same but the training will not be. The smaller agencies have never been able to spare the time to really train me to their paperwork. They are so...
  9. Which is best type employer? Best HH websites?

    I forgot to add that if you need a refresher in home care, you are better off with one of the larger agencies that will give you a preceptor and keep you on orientation for as long as you need. The...
  10. Which is best type employer? Best HH websites?

    I am surprised to see that no one answered you. I guess its because its a complicated question. Here is what I know from being in home care for 6 years and working at multiple agencies (often more...
  11. Telephonic Case Management

    There were so many issues with that company, I don't know where to start. The worst was the politics. For example, I had a manager there that literally threw tantrums in the conference room. She would...
  12. FT salaried nurses: How many hours do you work/week?

    I have tried discussing the problem with my manager, and her manager and HR. Everyone keeps telling me that I'll get faster and give it time, blah...blah...blah. I have been in home care for over 5...
  13. Residential Homehealth

    I have a friend who is one of their marketers. I guess that what they call her. She writes up referrals from SNF's etc. She was the clinical director for 10 years for an agency that I worked for. In...
  14. BSN...what for?

    Thats interesting, in Michigan, our hospices nurses do not have to have a BSN. In Michigan, unless you want to teach or manage you do not have to have a BSN. However, I have had 2 management positions...
  15. BrightStar Home Health Care- thoughts??

    BEWARE! As far as I know, Brightstar does only non-medical home care which means companion care. They do send a nurse out to do an assessment on the initial visit. She addresses safety and evaluates...
  16. BSN...what for?

    I think you should pursue a BSN for yourself (self-fullfilment) and not necessarily for a job. This is my story: When I worked at the hospital in med/surg, I was told that I wouldn't get hired into...
  17. Talk to me about HH Nursing

    I agree you'll see every type of home imaginable. But it does vary a little depending on your territory. If you're seeing patients in a low income area, you might find rats, etc. But you can see that...
  18. FT salaried nurses: How many hours do you work/week?

    We are on computer too. I try to do as much in the pts house as I can without them feeling as though I'm ignoring them. I am pretty disciplined about coming home and finishing it up every day but with...
  19. POLL: Experience required for HH?

    B. 6-12
  20. Gentiva Home Health

    I know a manager that used to work for Gentiva and he told me its all about the numbers with them. Therefore there are a lot of needless admits and recerts just to keep the numbers
  21. New to HomeHealth. Please help me, please

    My first recommendation is to buy HANDBOOK OF HOME HEALTH STANDARDS by Tina Marrelli. You may even be able to get a used copy on Amazon. This book is great. It explains the home care process and the...
  22. Telephonic Case Management

    I was at Blue Cross also. Worse job
  23. Are you CODEPENDENT?????

    Thanks for responding. I love the Nightingale quote. I am surprised that I didn't get more responses. Is no response, a response in itself? Unfortunately, those of us nurses who do have boundaries are...
  24. As a new HH RN....

    If you are a contractor you will probably need to pay quarterly taxes or you'll owe too much at the end of the year. And you'll have to be diligent about putting away that tax money. I wouldn't be...
  25. Telephonic Case Management

    I did telephone case management for a large insurance company. Its like home care nursing but instead of going to the home you try to help them over the phone. I thought it was really