berube

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!

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.

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

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?

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

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

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!!!!

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!!

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.

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.

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

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

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 professional.....the pay is decent and the benefits are very good. i know there are alot worse agencies to work for....from what i have seem, the interviewing process can be quite extensive so "bear with it"....good luck!!!

which are of SC are you interested in?

like Kate said, plot it out first on calendar, we typically write 3month2,,,depending on how it fits on the calendar

We also were told to choose one response, which ever was more evident with the visit.

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.

yep we are doing it also

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?

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

you need to employ some PT's and target the ortho docs

lovenox half life is 4.5 hrs

lovenox half like is 4.5 hrs

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 see.

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 just says "patient choice"////sure patients have the right to refuse to be admitted on a particular day but from my experience that is the exception to the rule. just not right!!!!( it is because they don't have the staff to cover the admissions)...the patient is the one that suffers.