cathrn64

cathrn64

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All Content by cathrn64

  1. What do HH RN Case Managers do?

    cathrn64 replied to AlphaPig's topic in Home Health

    It depends on the type/steup of the agency. At the agency I work for, almost all of the RN's are case managers. I am responsible for my patient visits, coordinating the therapy visits. All of the...

  2. What do you love/hate about home health nursing?

    cathrn64 replied to JJsMama79's topic in Home Health

    I Love homecare! I have been in homecare for 22 yrs. Yes, there is a lot of paperwork! There is also flexibility. If I choose to, I can see a patient and complete the charting at home or in my...

  3. Lets talk about $$$

    cathrn64 replied to russki1313's topic in Home Health

    Suburbs of Chicago SOC =80.00 57.00 = RECERT 45.00 = REGULAR VISIT 50.00= High Tech Full, (but expensive) benifits (INS, Dental, Vision), PTO/SICK Full time employees can lease a company car-...

  4. Start of care documentation

    cathrn64 replied to starcandy's topic in Home Health

    Depending on your documentation system, it should get better! At my agency, I often hear new nurses complain that it takes them hours to finish a SOC. I can usually get out of the house in about an...

  5. ICU nurse to Home Health?

    cathrn64 replied to lbktexnurse's topic in Home Health

    Depending on the agency you work for, HH may be the right thing for you. Private duty is not the same as home health in my opinion. In medicare homehealth agencies you see "X" number of patients a...

  6. I start HH tomorrow!

    cathrn64 replied to RN_Mommy_2_3's topic in Home Health

    My children are no longer small (15 and 18!). I have worked homecare throughout their lives. Depending on the agency requirements work can be very flexible. The 2 agencies I have worked for, both...

  7. Liability of teaching an outside nurse

    cathrn64 replied to Blindsided's topic in General Nursing

    I am a HomeHealth RN. We teach family members to give injections/IV's all of the time! It is expected that a family member will learn certain injections like Lovenox. I have many patient's who have...

  8. PICC line dressing change: am I in trouble?

    cathrn64 replied to Wheretogo's topic in Home Health

    Susan317, I have never worked for any company where the IV company did anything other than drop off supplies. They have pharmacist's who do manage the dosing etc, but not anything in the home! OP,...

  9. How physical is home health?

    cathrn64 replied to Caffeine_IV's topic in Home Health

    I do a lot of home health tasks on my knees (no dirty minds here!). I take a lot of blood pressures on my knees because it is easier on my back than bending down. I draw labs this way as well. I...

  10. Have you ever done this

    cathrn64 replied to emilysmom,RN's topic in Home Health

    This is not quite the same, but I recently went to an MD office to get a DNR signed. The patient was a cancer patient and the Dr wrote an RX with DNR on it. This is not the correct way to have a DNR...

  11. 5-day recertification window

    cathrn64 replied to ketchasketch_RN's topic in Home Health

    I misspoke (or mis-typed) The therapists actually do a re-eval prior to the end of the cert and than another eval after the next certification period

  12. Pay Per Visit RN

    cathrn64 replied to marcus1234's topic in Home Health

    The agency I work for pays one price per visit. There are different rates for regular visits, and high tech visits. Also for SOC'S Recerts and ROC's. I agree that it is not fair for those of us who...

  13. 5-day recertification window

    cathrn64 replied to ketchasketch_RN's topic in Home Health

    They do not have to do theirs until after the new certification period

  14. Leaving After 10 Months

    cathrn64 replied to DEgalRN's topic in First Year After Licensure

    I agree with the other posters here. I work in Home Care and my company requires at least a year experience. You will maintain a lot of your skills plus do a lot of teaching if you try Home Care....

  15. Hourly per diem pay?

    cathrn64 replied to ruthalittle's topic in Home Health

    I don't know about Illinois LPN's. The Scheduling coordinator in my office is an LPN and I know they do not have her taking orders. A lot of nurses come to home care and MANY of them leave because of...

  16. Hourly per diem pay?

    cathrn64 replied to ruthalittle's topic in Home Health

    I am an RN in Illinois (DuPage). I have worked both per diem and hourly. There are advantages to both. The issue was, when the company I worked for went to hourly pay, they decided they would only...

  17. Skilled Need?

    cathrn64 replied to JessLPN2RNASN's topic in Home Health

    I fully agree with KateRn1. In my agency we would expect someone to learn to give the daily hydration IV. You are there to teach and assess on IV site care, s/s to report, and disease process...

  18. Home health and family life?

    cathrn64 replied to vbgniner's topic in Home Health

    Csherrn, 11-15 patients is ridiculous! How can you give good care and do a full assessments on each pt? To the OP, it's all in how you look at it. The Home care agencies I have worked for were...

  19. liability as a hh nurse

    cathrn64 replied to Quixotic's topic in Home Health

    Sounds to me like you did the right thing. I don't think you have anything to worry about. You cannot predict everything. You called the Dr and carried out the orders. You instructed the CG to...

  20. What is your favorite nursing memory?

    cathrn64 replied to Brian's topic in General Nursing

    I am a home health nurse. Years ago, I had a pt who was a quad (also happened to be in the mediacal field). The pt had a very large sacral wound. (took up the entire buttock). The pt was also...

  21. Co-workers in Home Health

    cathrn64 replied to cardiologynurse's topic in Home Health

    My agency uses tablets for documentation. We are able to mail in our paper documentation (consents etc) We have case conferences on the phone, and even weekly nursing meeting's are on the phone. We...

  22. Different spin on previous post on documentation tampering

    cathrn64 replied to Capco56's topic in Home Health

    I agree with Isabelle49. However, at the agency I work for, we went through some extensive Oasis C training. I was surprised to find that the QA people were right in some of their requests for...

  23. Job of the BSN nurse

    cathrn64 replied to mmkrn's topic in Home Health

    I have worked with many ADN nurses (myself included!) who are much better prepared for work than a BSN. Also, I have had many supervisor's with ADN's + There is NO pay difference at my agency.... a...

  24. Families that talk about my coworkers

    cathrn64 replied to SunshineAnytime's topic in Patient, Colleague Relations

    I work in home care. I would support my co-worker, but... If it seems like a real issue, like being late or not doing a good job, I tell the pt that I will discuss this with my supervisor If it is a...

  25. PICC Line Occlusion

    cathrn64 replied to JLevinsRNHH's topic in Home Health

    Some PICC's like "power PICC" lines need a lot of back pressure to draw blood use a large syringe, pull back slowly, but be patient. Try repositioning the arm, turning the pt's head or having pt lay...