paradiseboundRN

paradiseboundRN

Home Health, MS, Oncology, Case Manageme

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All Content by paradiseboundRN

  1. How to become a case manager

    paradiseboundRN replied to Born_2BRN's topic in Case Management

    I was hired as a telephonic case manager (for a large medical insurance company) after 2 years of med-surg and 6 years of home health care. I do know a lot of home care nurses that have transitioned...

  2. Does this sound like case management to you?

    paradiseboundRN replied to Joe NightingMale's topic in Case Management

    The job of case management varies a lot. It really depends on who is employing you; medical insurance company, auto insurance company, home health care, rehabilitation company, workers comp, etc. Each...

  3. Discouraged

    paradiseboundRN replied to Tepidorchid's topic in Home Health

    Try to give it more time, anything new will always be more stressful. It really does get better. Read the posts about "tips and tricks for home care nurses" to see if you can get some ideas of how to...

  4. Starting HH next month...any must haves for this specialty?

    paradiseboundRN replied to RN_Mommy_2_3's topic in Home Health

    I'm happy to hear that you bought the red book. It will help you out immensely. I've been in home care for 10 years and I loved 9 of them! I'm burned out now but that's after 10 years! Good luck, keep...

  5. Where can I actually help people??

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

    If you are willing to leave the hospital, being a home care nurse is very rewarding. You can really make a difference in someones life by teaching them how to care for their disease and keeping them...

  6. Charting in HH

    paradiseboundRN replied to AlphaPig's topic in Home Health

    The OASIS is a 15 page document which is required by Medicare for Home Care patients. It includes the medical, psychosocial and functional assessment of the patient. It needs to be completed on the...

  7. Please share your home care nursing tips/tricks with others

    paradiseboundRN replied to paradiseboundRN's topic in Home Health

    I see a lot of elderly patients and its hard for them to remember to take their meds or check their blood sugars, etc. So I carry a black marker and tape with me. I make paper signs for them and tape...

  8. Please share your home care nursing tips/tricks with others

    paradiseboundRN replied to paradiseboundRN's topic in Home Health

    I agree that a notebook is invaluable. I have a steno type pad in my car and I write my mileage, visit times, phone numbers, notes etc. That way I don't have post its all over the place and I can look...

  9. Starting a non-skilled in home nursing franchise

    paradiseboundRN replied to nipri's topic in Home Health

    I worked closely with a gentleman starting senior care with a franchise. A franchise is always an option, but not necessary. I like your technology aspect. I haven't heard that before and I can see a...

  10. Need pros and cons of home healthcare/hospice

    paradiseboundRN replied to RoyalNurse2010's topic in Home Health

    Read the posts! You will see the various ways home care nurses get paid and the issues that we have. Some love it, some hate it, just like any other kind of

  11. Week 4 of orientation.......paperwork nightmare!

    paradiseboundRN replied to Detroitrn59's topic in Home Health

    It does get better. Remember, home care nursing is its own specialty. It does take time to learn the specifics to the specialty even if you are an experienced nurse. In home care, the documentation...

  12. Week one of orientation done

    paradiseboundRN replied to Detroitrn59's topic in Home Health

    Good luck! Sounds like you're getting a very good

  13. Now you all are making me scared!

    paradiseboundRN replied to RipeTomato's topic in Home Health

    I loved home health when I started 10 years ago but it has changed a lot. People love it or hate it. Try it per Diem first. Although you're actually seeing patients only between 9-5, you'll be doing...

  14. Pay for home health RN?

    paradiseboundRN replied to bubblesbanks's topic in Home Health

    Currently I get paid by the visit. $50 per revisit, $85 for SOC, $55 for d/c oasis and $65 for recert.The idea is that its supposed to balance out, you spend less time with some patients and more time...

  15. Got Fired today

    paradiseboundRN replied to nursynurseRN's topic in Home Health

    Wow, I didn't know that. Thanks for the info. I've heard that so much that I assumed it to be true. I recently found out there is no such thing as a "medicare week" either. Please continue to share...

  16. How do you explain your job-hopping to those that aren't in home health?

    paradiseboundRN posted a topic in Home Health

    Due to the horrible condition of home health these days, I have switched jobs a few times in the last year. I'm just trying to find an agency that follows the rules, doesn't work you to death, pays...

  17. Tired HH nurse

    paradiseboundRN replied to IRNB's topic in Home Health

    Thanks for the comments. When I read about other HH nurse's frustration, it gives my feelings validation. I don't feel so alone in the situation. I have talked with a physical therapist from my...

  18. Tired HH nurse

    paradiseboundRN replied to IRNB's topic in Home Health

    You sound very burned out. I've been in HH for 11 years and I'm soooo burned out. Its all about the profits now. Doing the Oasis now makes me want to throw up. Its so stressful and they will question...

  19. Got Fired today

    paradiseboundRN replied to nursynurseRN's topic in Home Health

    Home healths nursing is really screwed up right now! Its all about profits! No, they shouldn't have fired you. I've made plenty of short visits when I've run out of things to teach about. But you have...

  20. First home health case management job... what to expect and how to excel?

    paradiseboundRN replied to godiva's topic in Case Management

    In Metro Detroit, home health case managers are home health nurses (visiting nurses). They are called case managers because they are responsible for managing the several disciplines (PT/OT/MSW/SPEECH)...

  21. Home Health RNs: mileage reimbursement?

    paradiseboundRN replied to iridium54's topic in Home Health

    Depending on your tax bracket you may NOT be able to claim the mileage at the end of the year. My husband makes a lot more money than I do and in order to claim the mileage deduction the amount has to...

  22. Do you have this problem too?

    paradiseboundRN replied to nursynurseRN's topic in Home Health

    Love

  23. Home Health IVs w/new grad nurse

    paradiseboundRN replied to djh123's topic in Home Health

    I've been in home care for 11 years and I haven't put in a peripheral IV in 11

  24. Possible to see patients 3 days/wk FT?

    paradiseboundRN replied to Charitynursenola's topic in Home Health

    Its hard to only work 3 days and manage patients. If the patient is having a issue on your day off (and they always do), you'll have to find someone to cover for you or go see them. If the patient...

  25. How is the pay (generally) for home health care? More than hospital?

    paradiseboundRN replied to MyUserName,RN's topic in Home Health

    It varies so much depending on how you will get paid. Companies pay per hour, per visit, or salary. Having worked all of the above, I think hourly works best because it paid for my travel time and...