tabster224

tabster224

Home health, Cardiac Tele, Doc's office

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All Content by tabster224

  1. On call requirements for per diem visit nurses

    Per Deim at the agency I work for are required to participate in on call. We have weekend on call (friday at 5 to Monday at 8 am) and week on call M-Th (5 pm to 8 am) both are re-imbursed at $200. I...
  2. Resumption of care

    I live in CA (but the same thing went in Indiana and Arizona) We only do a resumption if the patient has been in the hospital for more than 23 hours. If the patient is admitted for 24 hours or more...
  3. Is this doable?

    I worked for a company, salaried and they were usually very good about PTO and not docking me if I didn't get par (altho I had a huge area to cover and they took that into consideration), but I only...
  4. I had a incident here today, I was wondering if anyone else has ran across it, or been on either end of the conversation. I did a SOC today for a patient that had just got out of the hospital...
  5. Contacting the Dr for follow up orders.

    I understand doing that, it makes sense. But I live in So Ca, and sometimes getting a doctor to call me back is like pulling teeth. I never had as much trouble getting doctors to call me back in...
  6. WWYD?

    I know for myself, I would have preferred to verify the results myself. I don't think you did anything wrong. Sounds like the DON needs to
  7. Contacting the Dr for follow up orders.

    lol
  8. Contacting the Dr for follow up orders.

    Thank you for your response. I spoke today with my boss about that situation, and she stated it was the insurance case managers responsibility to let the doctor know. It was an insurance company that...
  9. Contacting the Dr for follow up orders.

    Thanks for the responses. I do understand where she is coming from, and I will most likely from now on contact the PCP before going out to see patient. I doubt the intake people will ever do that even...
  10. Is this normal for HH nursing?

    I had this same issue with the company in Phoenix, even tho they said we had to see the patient one visit a week, they expected us to keep picking up SOC's and turf out our revisits and still see them...
  11. lpn vs. lvn

    This is from the California BVNPT http://www.bvnpt.ca.gov/licensing/application_for_vocational_nurse_licensure_by_endorsement.shtml this is for endorsement. Note plan ahead, it says it can take 10-12...
  12. questions about new HH job

    This is very true, which is why I said to get it in writing before signing anything. I would never go to work for an agency/company that will not spell things out up front and any reputable agency...
  13. My day off...Im the MD for the day?

    Unfortunately very, very true. Like I said, if you say yes they will let you see 10 patients a day, which is not a normal patient load in home health. In Phoenix, when I ended up with sky high BP and...
  14. Is this normal for HH nursing?

    The company I work for (first in Indiana, Arizona now California. altho in Cali at this time we don't have any LVN's doing visits) but anyway, we were told that company policy (this is a nation wide...
  15. My day off...Im the MD for the day?

    I most likely would not have taken my day off to go see those patients. It is hard to really say, not knowing the circimstances of the patients and rules of the agency. If they couldn't have been seen...
  16. NoGo's for non-homebound

    I know about 10 years ago, I was told that same thing ***if a client is able to drive, even if it is a specially equipped automobile, he or she does not satisfy the homebound requirement.*** Several...
  17. questions about new HH job

    I work for a national agency. I have worked for them in 3 different states. It has varied state to state. I live and work in California now, and I get paid per visit, PPV. I get mileage, which they...
  18. My day off...Im the MD for the day?

    Where I work, if another nurse sees one of my patients, she would call the doctor and then call me with report. Altho I have felt like I don't get a day off, this week I was too sick to work, but...
  19. NoGo's for non-homebound

    From the way I understand it, driving is fine, if the patient can't find someone to drive him, then he can drive himself. The operative words in # 1, I think is that he "drives regularly with no...
  20. taking call

    That is true, sometimes I never feel off. I have been sick the last 2 days, and have had to take calls from nurses, doctors I had called the day before that are just now getting back to calling me....
  21. taking call

    I do realize that PT's can't handle medical issues. But the same company in Arizona had a triage nurse on call on the weekend, and during the week. They then send the calls to the respective...
  22. taking call

    I hate on call too, with a passion. I went from one agency in Arizona, to the same company in California and can't believe the difference in the way they handle call. It is the same company!!! Arizona...
  23. Case Management/Utilization Review

    That is a huge help!! Thanks so much!! Off topic here, but I have a old account tabby224, I joined on that account back in 01 i think, I posted a couple post and forgot about the account until right...
  24. Stethoscope cleaning

    I work home health, and wash my hands when I enter the home, then use antibacterial foam (which I buy on my own because I don't like the stuff the company supplies) any time I change gloves, before...
  25. Case Management/Utilization Review

    I live in SoCal atm but plan on moving up north with the next few years. What company in California hires for UR with no experience, I would love to get into this field. I have worked as an LPN first,...