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berube

berube

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berube's Latest Activity

  1. berube

    Inservices

    I am looking for inservices i can share with CNA/PCA’s does anyone know where i can find this, i Dont mind paying for them, i just cant find any that i can print out, i am looking for “simple” like...infection contol. hipaa. Just articles they could read and take a little quiz THANKS IN ADVANCE
  2. berube

    Homehealth homecare homebase

    My agency just this week, is transitioning to HCHB , we have had the training, it is very different than what we were doing, but wither im missing something or it will be pretty easy, of course i wasnt with a patient, which will be totally different and i will prob forget everything, it does seem that the office will be doing alot more!
  3. berube

    New to HH: traditional vs Hospice

    I am in SC been at kindred 10+ yrs, our managemnt is horrible, now could be the branch here, .. money focused, and no none of us ever do enough, they have people woth documentation out 2 weeks and never say a word to them, i just do mynjob and stay u der the radar, kindred is also know for a lot of repetice documentation, i am close to retirement and thats why i stay. the interview is always good, i use to sit in on them also and when it came to “opinion” time they didn't care.. HH and hospice are 2 different worlds, i did hospice for a bit, just wasnt for me. But if thats ur first love stay with it.
  4. berube

    New to HH: traditional vs Hospice

    Kindred will run you to the ground, awful managment. Company is a decent one, decent benefits, but managment is enough to make u ill
  5. berube

    Can you squeeze all your patients in M/W/F?

    What would ur plan be if u had a patient that had to be seen on an alternate day if they will not cover it for you?
  6. berube

    What software are you using

    We are switching to (i think its called) Home care home base. Any users out there?
  7. berube

    Big med error and communication breakdown

    Was the bag REALLY empty or looked empty cuz CADD beeps when empty!
  8. berube

    OASIS question

    I THINK as he is open to another agency, u have to discharge, unless he doesnt want the other agency.
  9. berube

    Discharge/recert

    We are TOLD, that unless they are no longer homeboud we MUST recert, no longer can we use our clincal judgement, very sad
  10. berube

    OASIS quandry

    I work for a very large HH company, actually they have their hand in almost every aspect of medical care i also have done HH sonce 1986, and what they want u to do, is, answer the questions of SOC that will make the lt look the sickest, i totally understnd the way to answer if "as far as safety goes" thats not the issue, if i mark it "2," i am told to mark it "3". Ok so u say you wouldnt do it as u felt 2 was the very most appropriate answer, prob a stretch from "1". We r now told,,it will reflect in ur evaluation!!!!
  11. berube

    Working 12-14 hour days, am burning out.......

    you know it funny,,,the door swings both ways, i am currently working in the office, have been in the field 25 yrs, so i have not forgotten what it is like! i have a new orientee, no HH experience is is furious after day one that she is not in the field "i know what to do"!!! so we try and give them appropriate orientation, they don't want it, we put them in the field and they can't do it....they get frustrated, complain and quit,,,,when you want to say "i told you so"./...so i have told her she needs to absorb as much as she can, one thing at a time, and still has attitude....so you just can't win!!
  12. berube

    Government Investigation of Amedisys

    an;yone know how much the fine is for these agencies,,,,gentiva just announced "cutbacks", can't help but think it has to do with this fine.
  13. berube

    Home Health Mileage Question...

    i covered a rural area and i put on approx 100-120 miles a day.
  14. on a typical day i will see 8 (units),,a soc, roc and recert might be in the mix, i can handle up to 9....i think it is unfair to say that those seeing that many patients are not providing quality care! i have seen nurses see 3 in an 8 hr day and accomplish nothing! i never short change my patients, i know my patients inside and out, i can tell you their meds off the top of my head. Is there paperwork at home? of course there is. If home health is overwhelming to some with the mountains of paperwork, it is ok to seek employment elsewhere. HH is not for everyone, i have been doing HH for over 20 yrs and this is the norm, good days with 6 and bad days with 9. it comes with the territory. HH may be the hardest job we will ever hold. With all the medicare regs we can only assume that the documentation will get heavier.
  15. berube

    Am I asking too many questions?

    Love it when new nurses ask questions, shows they are listening and want to learn.
  16. berube

    Ideal New Hire

    I'd be happy if the new nurse would at least show up on time every day! we have them rolling in anytime the choose even after they have been told 8am! just can't win
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