paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. Would you consider HHC a stable position?

    paradiseboundRN replied to TipitiwichitRN's topic in Home Health

    Home health has been growing steady for the last 5 years and that will continue. Due to remimbursement cuts by Medicare, the hospitals can't afford to keep the patient admitted for any length of time...

  2. 57 and need to start over YET AGAIN!

    paradiseboundRN replied to Bailey246's topic in Nursing Career

    I started a job as in Intake Nurse last December. There were 3 other RNs hired at the same time as me. I was the youngest at 51. I am just not seeing any ageism. Although I do know some older nurses...

  3. 57 and need to start over YET AGAIN!

    paradiseboundRN replied to Bailey246's topic in Nursing Career

    I'm 51 and its not my age holding me back, its my education level. I'm starting my RN-BSN in a few weeks. FYI- Certified home care is a specialty and it takes a good year to be good at it. Private...

  4. Teaching Case Managers Role In Home Health

    paradiseboundRN replied to Kayeboss's topic in Home Health

    I recommend the book by Tina Marelli: The Handbook of Home Health Standards: Quality, Documentation and Reimbursement. It has a lot of information about the role of case

  5. What are the benefits and disadvantages of home health nursing?

    paradiseboundRN replied to grwnprincess's topic in Home Health

    Pros: You get to be a nurse and do all the stuff that taught you in nursing school. You meet the patient, the family, the pets, and you get to know them. You have a real connection that may last...

  6. Would you consider HHC a stable position?

    paradiseboundRN replied to TipitiwichitRN's topic in Home Health

    If you need to support a family with consistent pay, benefits etc than you will need to find an agency that will hire you salary or guarantee you 40 hrs per week. Working per diem is a risk because if...

  7. OASIS questions

    paradiseboundRN replied to tinyRN72's topic in Home Health

    I worked for a company that did that. What a waste of time and

  8. Short nursing staff

    paradiseboundRN replied to nurseywifeymommy1's topic in Geriatric, LTC

    The working short problem is not only with LTC or hospital, its in home care too. The intake dept has only 1 nurse instead of 3, so the patients home care orders (from the hospital) don't get to the...

  9. WGU RN to BSN. Starting 4/1/13 Anyone?

    paradiseboundRN replied to Karin RN's topic in Western Governors University

    I'm 4/1 also, although I am waiting to get final word on what I need take. All my transcripts just arrived a few days ago. 6 mos is definitively my goal. I going to try not to work so I can get it...

  10. Failed Assessment test

    paradiseboundRN replied to nightnurse279's topic in Western Governors University

    I thought that the math was very difficult. I practiced with Khan academy (online) ahead of time. Now you basically know what type of math to practice for the next 3 months. So

  11. OASIS questions

    paradiseboundRN replied to tinyRN72's topic in Home Health

    The Oasis is only completed when the primary insurance is Medicare or Medicaid, this is called "certified homecare". If your patient's insurance is Blue Cross or other private insurance (vs....

  12. New Grad RN...$19/hour in home health. Is this offer too low?

    paradiseboundRN replied to chibiRN's topic in Job Search, Interview, Resume

    In Michigan, an experienced home care nurse is making about $ 28-31 per hour, so $19 sounds really low, even for a new

  13. Wrongfully Terminated

    paradiseboundRN replied to nurseariana's topic in Home Health

    Is this the only reason they gave? Is it about more than these

  14. Frustrated Home Health Rn

    paradiseboundRN replied to mr0421's topic in Home Health

  15. Why Do People Bully Me?

    paradiseboundRN replied to TheCommuter's topic in Patient, Colleague Relations

    Interesting. I have a lot of knowledge and experience in home care and I felt bullied by my last 2 employers. I didn't think it made sense. Why bully someone who does good work, is well-liked, offers...

  16. Frustrated Home Health Rn

    paradiseboundRN replied to mr0421's topic in Home Health

    You did the right thing. If you have already seen enough patients to equal your days points, then its ok to say no. One of the first rules in home care is to learn to say "no", or they will continue...

  17. Tired HH nurse

    paradiseboundRN replied to IRNB's topic in Home Health

    This is what I did to avoid the 24/7 job. I learned this (after a few years) from watching experienced nurses do it. 1. Work for a larger agency that has a firm "on call" schedule. 2. Never give out...

  18. Bossy Patient

    paradiseboundRN replied to KittyLovinRN's topic in Home Health

    I think I had this patient :)! I always put the blame on Medicare restrictions/regulations, which is usually true. Some patients can be really hard to deal with. If she doesn't want to do it your way,...

  19. Staffing agencies for home care in Detroit area?

    paradiseboundRN replied to paradiseboundRN's topic in Home Health

    Not sure where you are located but I can tell you some large home care companies that usually have patients and need nurses. Trinity Health (Mercy Home Care and Hospice) in Pontiac and Reverence Home...

  20. Fasting labs?

    paradiseboundRN replied to kmc.kyrn's topic in Home Health

    Fasting labs are very rare in homecare. Most patients do not want to see their nurse at 7am and won't agree to a visit that

  21. Tired HH nurse

    paradiseboundRN replied to IRNB's topic in Home Health

    This shouldn't be happening unless you are on call. Don't blame HH. Find another agency to work

  22. Psychiatric home care notes

    paradiseboundRN replied to djasset's topic in Home Health

    Unfortunately, I'm seeing these type of bully replies more and more on this board. What ever happened to "there is no dumb question"? I hope people aren't going to be afraid to post. Most of us are...

  23. Homecare Nursing Training compensation?!?!

    paradiseboundRN replied to Chapo84's topic in Home Health

    You are expected to know basic clinical skills like injections but if you have any questions, you can always ask your clinical supervisor about it. They are expected to pay for training/seminars/skill...

  24. 5 top things

    paradiseboundRN replied to maddybears's topic in Home Health

    1. Do not expect to be proficient in Home care for at least a year. Home health is a specialty. There are many things you need to learn that are exclusive to Home health so your prior nursing...

  25. HH pay

    paradiseboundRN replied to caspertheghost's topic in Home Health

    In SE Michigan the revisit (regular visit) rate is