paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. Home Health-The good, The bad, and I'm getting out.

    That is a big generalization! Thank goodness, the HC agencies that you are referring to are struggling to stay in business, and they don't make a quick buck anymore. The hospital agencies are...
  2. Home Health-The good, The bad, and I'm getting out.

    Medicare's recent ruling about hospital reimbursement is part of the reason for growth. If a patient is readmitted to the hospital within 30 days after discharge with the same diagnosis, Medicare does...
  3. Home Health-The good, The bad, and I'm getting out.

    One person's opinion is not necessarily reality. If you read the first part of the post, she also had good things to say about HH. Like any kind of nursing, it has its good and bad. I worked in HH for...
  4. I start 4/1 with RN-BSN and possible MSN after that. Here are my questions. How many hours are you putting toward school per week? How many hrs are you working? Re: Health Assessment. I used the book...
  5. CHARTING AND DOCUMENTATION help!

    This is an example of a clinical summary for a SOC. Sorry about the caps, but I copied from a real assessment, and our system forces us to use caps. THE PATIENT IS 78 Y/O FEMALE POST...
  6. Home Health-The good, The bad, and I'm getting out.

    Very well said! I have had all of these same problems and feelings. I tried to get out too. I spent one year working at Blue Cross doing telephonic case management. I thought I would die from boredom...
  7. Hospital at Home/Clincally Home. What do you think?

    I think the jobs will be moved into the community. In Michigan, home care agecnies cannot keep up with the demand already. There is a constant shortage of nurses in this
  8. As home care nurses, we always suspected that some patients are better off at home with IV therapy than in the hospital. This new model of patient care (explained at clinicallyhome.com) allows this...
  9. Hospital at Home/Clincally Home. What do you think?

    Link is
  10. Exactly how specific ?

    I'm not sure about how the hospital nurses chart. I haven't worked in the hospital for 11 years. But you are right about home care. That is the expectation. This is where computers come in handy. I...
  11. If you are an RN, that rate is too low. In Michigan the rate is $50 per visit for
  12. In Michigan, the case manager and visiting nurse are the same unless the agency uses LPN's. In that case, the RN is the case
  13. It can be done. You would be scheduled a caseload depending on how often you want to work. For example, I worked M/TH/F. I had about 5/6 patients at a time. I saw them on M/TH and I used Fridays to...
  14. Visiting nurse project

    These patients would benefit from a home psychologist/psychiatrist. The social workers are great but these homebound patients often have serious depression and other mental health disorders and the...
  15. Just received my transcript evaluation from Western Governors, now I'm not sure if I should choose another online program or go with them. I have a AAS-RN from Community College and took 2 nursing...
  16. NNU...Where do I sign!?

    I was anti-union until I became a nurse. My pre-nursing employers treated me so well that I couldn't understand why anyone would need a union. NOW I
  17. WGU denied my appeal. I'm disappointed but I paid my tuition and start 4/1/13. This leaves me with 5 prerequisites and the nursing classes. I thought having an ADN degree in Applied Science would mean...
  18. Homecare Advice

    What are the issues? Is it just politics or did you not like home care? Are you going back to the hospital or trying another
  19. Is your Hospital requiring a copy of your diploma or transcripts?

    CHAP, which is an accrediting body for home care agencies (similar to JHACO) requires that HR has a copy of each nurses diploma. It has been this way for at least 5 years, maybe
  20. Innovative Senior Care by Brookdale

    Has anyone had any experience with this
  21. PRN Home Health??

    I loved being contingent (PRN). I could take days off any time I wanted as long as my patients were covered. I didn't take that much time off but it was nice knowing that I
  22. I got my first job!!! But I am worried...

    I haven't heard about Hospital at Home. Frodo-dog would you like to start a topic about it so others won't miss
  23. Starting WGU RN-BSN

    If you go to thinkwell.com you can see some sample lectures. If you're not enrolled at WGU, you'll have to pay for the
  24. PRN Home Health??

    PRN in home care can work a couple of different ways. If you agree to case manage, then they will give you a couple of cases and you will need to see these patients 1-2x week until discharge. If you...
  25. Safety of Nurses in Detroit?

    I think that's a good decision