berube

berube

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  1. 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 ...
  2. 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...
  3. 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
  4. 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?
  5. Big med error and communication breakdown

    Was the bag REALLY empty or looked empty cuz CADD beeps when empty!
  6. 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
  7. 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 und...
  8. OASIS CERTIFICATION

    does anyone know if there are any online courses to take to become certified in oasis? thanks in advance
  9. 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 fi...
  10. 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.
  11. 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 acc...
  12. Am I asking too many questions?

    Love it when new nurses ask questions, shows they are listening and want to learn.
  13. 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
  14. i work for gentiva tho not in a management position, i have worked HH for 20 plus yrs and now at gentiva for going on 4 yrs.....i like gentiva....they hold the clinicians to a "higher level", my manager is wonderful , she treats me like a professiona...
  15. New Grad RN considering moving to SC, advice?

    which are of SC are you interested in?
  16. how to write qow frequency for medicare

    like Kate said, plot it out first on calendar, we typically write 3month2,,,depending on how it fits on the calendar
  17. Tracking nursing activities

    We also were told to choose one response, which ever was more evident with the visit.
  18. best way to treat stage III pressure ulcer

    wound vac does require the wound bed to be less than 20% slough, i have had good luck with Mesalt,,it will debridge the slough and also absorb the drainage.
  19. Tracking nursing activities

    yep we are doing it also
  20. the case load you are describing sounds appropriate for hospice but not home health,,,HH nurses manage anywhere from 20-30+ pts with the quota of 30 units a week......or are you talking strickly about hospice?
  21. I just have to share my happiness...

    also glad to hear a happy story!!! wish you could share that excitement with some of the new nurses we have.
  22. Top Diagnosis

    you need to employ some PT's and target the ortho docs
  23. venipuncture or portable machine?

    lovenox half life is 4.5 hrs
  24. venipuncture or portable machine?

    lovenox half like is 4.5 hrs
  25. Medicare regs

    does anyone know how you would go about reporting to medicare that a particular agency is not following "the rules"...for example 48hr admission to HH after hospital stay....this agency lets the admissions just pile up and sees them whenever....and ...