berube

berube

Member

  • Content

    214

  • Visitors

    4,891

  • Followers

    0

  • Likes

    3

All Content by berube

  1. Test Anxiety

    berube replied to LTCRN4LIFE's topic in Home Health

    agree with the above posters, any of those "tests" i have taken are really basic tests,,,if you are new to home health and there, by chance any oasis questions on it, they don't expect you to know...

  2. WEEKEND SCHEDULE

    berube posted a topic in Home Health

    trying to find out what procedures different agencies use for weekend assignments,,,my agency is so disorganized that you can spend up to an hour looking for things like charts etc and still not find...

  3. WEEKEND SCHEDULE

    berube replied to berube's topic in Home Health

    i hear you on the Baylor!!! we don't have that, so regular staff along with PRN rotate the weekends,,,and it is a nightmare also!!!! can't ever find a chart after searching the building,,,very...

  4. To return to home health or to stay put in hospital??

    berube replied to JenRN22's topic in Home Health

    i agree that if you are paid per visit (as i am) the documentation time is "built into" the visit rate,,,,BUT if you have 9 or 10 visits a day, which happens alot where i am as we have no help then...

  5. Best vehicle to use for visits????

    berube replied to JenRN22's topic in Home Health

    of course a gas effecient car would be the best,,,,BUT and it is a big one.......if you buy something "just because" and you are working the the rural areas you want somethig reliable not just good on...

  6. What is the best way to be paid?

    berube replied to jurico's topic in Home Health

    i have been paid all three ways and each has its pros and cons. i think alot of places are converting to the pay per visit schedule. i am currently paid per visit and have yet to be low on visits, so...

  7. Yet Another Question

    berube replied to Willow Moonsidhe's topic in Home Health

    if the patient was transferred to hospice you only needed to do a discharge oasis,,,a roc is after an inpatient stay of more than 23

  8. Advice PLEAAAASEE

    berube replied to chenoaspirit's topic in Home Health

    first let me say, i feel for your patient....i haven't had a patient like you are describing but did have a private insurance patient that went out patient for PT and ST (parkinsons) and they allowed...

  9. What about these?

    berube replied to KateRN1's topic in Home Health

    the notice of discharge for medicare patients, needs to be given anywhere from 2 - 14 days before the discharge,,,,,i have heard of agencies having the patient sign it at soc so that it is not...

  10. last day of recert, sent pt to hospital, what paperwork do I do?

    berube replied to chenoaspirit's topic in Home Health

    you do the transfer oasis, and you can check off the box that says "transfered to an inpatient facility, discharged from agency" that would eliminate having to do a summary.....if you check the one...

  11. New OASIS

    berube replied to anticoagulationurse's topic in Home Health

    if you do a google search for Oasis-C manual chapter 3, it goes over each item and the rationale for answering it...."good

  12. Need some help. Venting/ questions!!

    berube replied to KaitRN's topic in General Nursing

    i know in MA you don't need a masters to do school nursing, tho there is a certificate/testing (separate from boards) that you do need to obtain,,, i agree doing HH (which i have done for almost 25...

  13. noncomplian patient...what to do?

    berube replied to chenoaspirit's topic in Home Health

    this just happened to me this week,,,,,long story short....stage iv on sacrum,,pt refusing every recommendation, each visit i would document pt noncompliance,,even told the pt that he had the right to...

  14. Love my old peeps.

    berube replied to sistasoul's topic in Geriatric, LTC

    have you considered home health, majority of our patients are elderly, and our goal is to keep them safe in their own homes with adequate knowledge of their disease

  15. PICC line blood draws and flushes

    berube replied to spejsa's topic in Home Health

    no high tech visits at our agency

  16. does anyone here know anything about radiation therapy?

    berube replied to johnnyDoGood's topic in General Nursing

    yes radiation tx is giving treatments to cancer patients, BUT...it involves alot, almost an exact science, depending on how deep you get into it.....and a kind caring tech can make a difficult...

  17. Steps for changing an ostomy bag

    berube replied to marissab208's topic in Wound, Ostomy, Continence

    i also give them written instructions to follow, doing a new step with each home

  18. Medicare Supplies

    berube replied to spejsa's topic in Home Health

    keep some small bottle of normal saline so you can always do a NS wet to dry until you get your supplies. start out with a small stock, one way of learning what to keep in your trunk is to run out of...

  19. Teaching and When to get out

    berube replied to nurse42long's topic in Home Health

    we are suppose to stay in for 3 weeks after the wound is healed, again many factors contribute to this (type of wound, payor source, patient,

  20. Scrubs or Street Clothes

    berube replied to nurse42long's topic in Home Health

    scrubs here, just easier to launder etc.....and don't forget the roaches!!! opened a front door this week and they came down, from the looks of the outside, i had an idea what the inside looked like...

  21. We had problems out of YOUR patient.

    berube replied to KatieNoelLPN's topic in Home Health

    think i still work for them!!!!! i love the statement---"it's your patient"........no it's not MY patient, it is a patient of (name of company) that i am

  22. canNOT find a job in No FL....moving

    berube replied to FLgal's topic in General Nursing

    you will need to obtain your license in SC as FL is not part of the compact, and because it is not part you FL licence, or you can put FL on the inactive list if you will not be using it. i live in...

  23. Looking to move to SC from Boston

    berube replied to HDfatboy's topic in General Nursing

    moved here myself from new england,,,the pay is definitely lower by quite a bit,,the cost of living is lower tho,,,,RN for 37 yrs making $27/hr in the myrtle beach area. the area is beautiful tho....

  24. Too good to be true?

    berube replied to KateRN1's topic in Home Health

    hope the next 2 weeks go by swiftly!!!! we can do anything when we know there is light at the end of the

  25. Start of care orders

    berube replied to Sana2007's topic in Home Health

    i should clarify that, we are home health and this is the first one i have worked at that does not have a medical director. other agencies, we could use the medical director to help us out when we...