berube

berube

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All Content by berube

  1. pay per visit, how many visits to be full time

    one thing i forgot to add: mandatory meeting count as one.(up to 90
  2. has physical therapy done an eval on this patient for safety?? medicare really doesnt care how many aides in on a case, it is the agency, medicare will reimburse for one, so if they send out more...
  3. pay per visit, how many visits to be full time

    6 visits/day, so 30 in a week would be fulltime, we do count soc as 2 visits, roc as one ( i tend to disagree with that one, think it should be 2 also) 1.5 for recert, one of
  4. i would of called the dialysis center, from my experience they are very particular that we do not touch their dsgs,,,i would of told them the situation and gone from
  5. Do you call the doctor EVERY time

    you are 100% correct saying that doing something without a MD order is practicing outside our scope, having said that.....in the world of home health, you work 99.9% of the time with verbal ordres,...
  6. Assault question

    i am sorry this happened to you,,,may i share my experience i jus went thru this week in home health,,,while approaching my patients home (still in my car) 3 men surrounded my car slamming their hands...
  7. Want to work in SC, have NYS RN license

    i moved from MA to SC and was able to get my RN license, check out the BON web page, there you can get the forms you need, it will ask you if you want a temporary license while you wait for the...
  8. i will be interested also in the responses, as i have never heard of home health dialysis, the only thing that i know that comes close is peritoneal
  9. RN doing CNA visits

    oh i agree, when i had to be the "aide for a day", my patients was laughing, i was all thumbs, couldnt find anything and ended up in sweat!! aides have a hard , hard job! kudos to all of
  10. Medicare guidline for mediport

    hi, i have a medicare question---does medicare pay for nursing to flush mediport monthly to maintain an unused port. i have always been able to keep patients on to do this, but am being told now we...
  11. Do you call the doctor EVERY time

    everyone knows we have to have MD orders to anything but in some cases we have to act on instinct and knowledge, most docs are happy we are taking care of the patient in the community, others are...
  12. HomeHealth stress! New and feel like crying

    oh i so agree, once you know what questions are on that oasis you will breeze thru it!!!! i actually start my assessment when they open the door, you can tell alot from how they are walking...
  13. RN doing CNA visits

    the only time i can remember have to fill in as an aide was when we had so many aides out due to the flu and there were patients to cover, that i offered to assists my patients as i was making a...
  14. HomeHealth stress! New and feel like crying

    here is how i would face monday---regroup, dont take on any extra visits, spend a couple of hours organizing your patients and their papers,,,it will get easier, believe
  15. HomeHealth stress! New and feel like crying

    best of luck and hang in
  16. need wound advice

    i sure understand the concerns of doing something without the signed order, but we get alot of "eval and treat" orders from MD's that do not know what to use and they depend on us to figure it...
  17. need wound advice

    if the base of the wound is clean -pink with drainage, i would use an alginate and dry dsg, change it daily for a few days to see the response and then you can decrease the freq., if the base has...
  18. how about taking the clinic job and getting in at the other agency on weekend, everyone is always looking for weekend help, that way you get your foot in the door and will hear about
  19. hi, i will add my "two cents" first 13.50/visit---NO WAY!!!! some visits can take an hour or more depending on what you are doing. like it was said CNA's make more. --is this agency medicare...
  20. Medicare guidline for mediport

    i read that medicare will pay for 90 days only...i dont understand and i cant find the documentation to that, if someone does, i would love to read it.
  21. Medicare guidline for mediport

    hi all--disregard the above thread, i found the answer in some old postings thanks
  22. Gentiva Home Health

    i work for gentiva in SC, my managers support my decisions to admit, discharge, recert my patients,,,everywhere is concerned about the numbers, they are no different than other agencies. i can...
  23. Online CPR Certification

    try