berube

berube

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All Content by berube

  1. Medicare regs

    berube replied to berube's topic in Home Health

    i agree it is a management problem, they need to do this extra or don't take the referrals!!! the solution is always easy for us to

  2. Rant

    berube replied to KateRN1's topic in Home Health

    what you describe could be exactly what goes on in my office daily!!!! we have had nurses quit because they didn't want to drive....good lord!!! i am with you

  3. Face to Face Encounter

    berube replied to momsnurse1's topic in Home Health

    has anyone had to discharge a patient yet because the F2F wasn't

  4. notifying pts the night before visit

    berube replied to BabaLouRN's topic in Home Health

    we are "suppose" to call the patients the night before,,,i just give them a 2 hr window of time and that usually allows for those

  5. When do you document

    berube replied to twokidsmom,rn's topic in Home Health

    i also do what i can in the home, then spend time later doing the narrative so i can concentrate, but i do alot of my charting at the end of the day at

  6. Unlocked OASIS

    berube replied to paddler's topic in Home Health

    with agencies i have worked for that are computer, it was general practice not to lock the oasis until reviewed....yes the answers can be changed but i have not had an answer changed without being...

  7. Verbal Orders

    berube replied to paddler's topic in Home Health

    i think it is best to just fax it to them, they they have a hard copy for their records...now if the results are critical that is different. we do call our pt/inr's to the manager and she faxes it to...

  8. Is this your survey year?

    berube replied to twokidsmom,rn's topic in Home Health

    seems each visit they are focused on meds, IV's and wounds....they do talk to the patient asking them just as posted above....i have even prepared my patients for the visit,makig sure all the meds...

  9. A couple (okay, a lot) of questions from someone interested in HH

    berube replied to ChristineAdrianaRN's topic in Home Health

    best of luck with

  10. Do you get paid for staff meetings/case conference?

    berube replied to homehealth_rn's topic in Home Health

    we are paid 1 visit for mandatory

  11. Dumb requests from the office

    berube replied to Isabelle49's topic in Home Health

    "can you tell me where mrs..... lives, i could look here address up,,,(,that call i didn't

  12. POLL: How many visits/week

    berube replied to twokidsmom,rn's topic in Home Health

    30 units a week is minimum,,,,45 units would be 9 a day and depending on amount of travel time would determine to me if it was do-able......i don't think it always means we are not doing enough for...

  13. I need suggestions for a lab kit

    berube replied to Cthulhu's topic in Home Health

    i use a lunch cooler,,,i have plenty of room and i keep 'spare things" in my trunk and just restock

  14. Why HH nurses quit

    berube replied to Willow Moonsidhe's topic in Home Health

    from what i understand,,you don't need the consent to do the "assessment" part, but in order to touch the patient ie BP etc you do need the consent signed,,,i may be wrong, but that is the way it has...

  15. JUST VENTING

    berube posted a topic in Home Health

    why is it that people are more interested in what you are doing, or how many patients you have on your schedule than they are in their own????? i would think they could accomplish more if they "minded...

  16. What's the difference between Home Health Case Manager-RN and Visiting Nurse-RN?

    berube replied to RN276's topic in Home Health

    from my experience the term "visiting nurse" is a term use in different regions,,,both are the same,,,,RN casemanager is HH , is the one who manages the care, visits, schedule for his/her case load,...

  17. JUST VENTING

    berube replied to berube's topic in Home Health

    calliotter, i wish it was only small talk, but they just carry on if they have one more visit than someone else,,,just makes no sense to me, all the complaining accomplishes nothing except wasted...

  18. What's Happening to Home Health Care?

    berube replied to GoNightingale's topic in Home Health

    i work for gentiva in SC and i am very happy with my job,,,,if interested go to the gentiva web site and apply that way,,,even if you send your resume to the local branch you will still have to go...

  19. Gas prices on the rise

    berube replied to Isabelle49's topic in Home Health

    sounds reasonable to me , i am in SC remember your mileage money is "free" money, not

  20. Why HH nurses quit

    berube replied to Willow Moonsidhe's topic in Home Health

    very well

  21. Gas prices on the rise

    berube replied to Isabelle49's topic in Home Health

    we all want more money for gas reimbursment, but when i calculate out my "gas money" which is tax free, and the actual amount of gas i put in my car (for work), i add in the oil changes and usual...

  22. Hourly pd RNs:How does your HH agency work mileage into productivity?

    berube replied to shondaRN's topic in Home Health

    i can tell you this,,,i would rather drive my country roads than spend hrs in stop and go traffic,,so i think it all equals out in the end........i have patients that are 30+ miles apart it is just...

  23. Hourly pd RNs:How does your HH agency work mileage into productivity?

    berube replied to shondaRN's topic in Home Health

    for us mileage does not come into play with points,,,,6 unit a day (maybe if it is a good day) doesn't matter if you drive 20 miles or 100 miles,,,units are units for

  24. New to HH, Recert... Not feeling right, input needed.

    berube replied to OnTheRoad's topic in Home Health

    yep medicare says first they need to be homebound second is they have a skill,,,time to d/c this

  25. venipuncture supplies, home lab draws

    berube replied to hhrnohio's topic in Home Health

    i use a "lunch" cooler for my lab supplies,(butterflys,,2x2's alcoholpads, tubes, vacutainers, bandaids, sharps container, tourniquet) i leave it in the trunk and only take it in the home when i have...