tabster224 replied to Mandy LVN's topic in Home Health
It is possible that the wounds could be a IAD (incontinence associated dermatitis), I am not saying they aren't stage 2's PU but I did have a patient that when she sat in urine and/or feces she would...
tabster224 replied to nurse955's topic in Home Health
I have worked for 3 different agencies. Those 3 agencies have done a transfer to inpatient facility without discharge (Oasis transfer). If they come out of the hospital before the end of episode, then...
tabster224 replied to swilliams1970's topic in Home Health
That's is also what I thought. How is it a duplication if the patient is paying for the caregiver. Medicare is only paying once. I guess I just don't understand how it could be considered duplication...
tabster224 replied to swilliams1970's topic in Home Health
I was told at my old job that Medicare guidelines no matter what you have to offer home health aide care. Even if they are in assisted living where the facility gives showers twice a week. I also (in...
tabster224 replied to NurseRoRo's topic in Home Health
I worked for them in Arizona, but not as an MCP, worst home health experience ever. All I can say is the office I worked for (in AZ) has gone through MCP's like crazy in the last 3 years. Last count...
tabster224 replied to beatrice1's topic in Home Health
I honestly think you need at the minimum 1 year med/surg experience before doing home health. Your feelings of you not knowing what is going on in the nursing world is the reason why. Without the...
tabster224 replied to twokidsmom,rn's topic in Home Health
LOL, no I am not. I love my job but I will not wear myself out again for the love of money. The stress isn't worth it. I ended up with shingles last year from the stress of the job (and let me tell...
tabster224 replied to twokidsmom,rn's topic in Home Health
Did I read right and you had 4 SOC's and 4 visits on Saturday, 4 visits on Sunday and 8 visits on Monday??? When did you find time to chart? All I can say is WOW!! and I would run fast the other way...
tabster224 replied to Lucky724's topic in Home Health
I have a friend that worked for Nightingales in Arizona and he likes it. Says it is a good company, but he works PRN and was told he had to start doing call. Not sure if that is office to office or...
tabster224 replied to lovingtheunloved's topic in Home Health
If you have hospital experience, they will snap you up in a second. Most people that work home care, case manage (esp if you work full time). If you work PRN some agencies don't let you case manage,...
tabster224 replied to Antonia RN's topic in Home Health
Very well said Kate. Unfortunately some cases you have to cut your losses. Getting closed for fraud, the company closes because they can't afford to stay open you lose your job because your patients...
tabster224 replied to Antonia RN's topic in Home Health
You are not required to recert a patient at the end of the cert period (or at least I've been told that in several different agencies I've worked). Where do you live? I live in Arizona and AZ and CA I...
tabster224 replied to sweetsugar's topic in Home Health
What I meant to say, and I do apologize, I was in a hurry when I wrote that reply, is that all I can speak for are the branches I worked for at the time I worked there. You are right, I don't know...
tabster224 replied to sweetsugar's topic in Home Health
My question to you is why do you just mention Amedisys? There are other companies involved in this "investigation". " Senate Finance Committee had launched an investigation into the practices of...
tabster224 replied to pat8585's topic in Home Health
The agency I work for offers benefits for full time (32 hours and up). The benefits are good, and cost about $55 (depends on what you select for your benefits) per week. I know others in our area...
tabster224 replied to IndianaHH's topic in Home Health
Wow, what Gentiva did you work for? Was this when they took over a smaller homecare company. I have dealt with many, many people at Gentiva and only ran into a couple of nasty ones. The office I work...
tabster224 replied to IndianaHH's topic in Home Health
Well, I've worked for Gentiva on and off for 22 years. First in Indiana, then Arizona, and now California. I like the company, obviously. There are good and bad people in every company (office). The...
tabster224 replied to meriposa's topic in Home Health
I worked for a company in Arizona, 32 hours per week. I met my par on Thursday morning, first visit, so I made plans on Friday afternoon. I ended up with 30 visits (at 32 hours I was suppose to have...
tabster224 replied to DrBunn's topic in Home Health
I agree with HHheart. Stay away from palm pilots/handheld phones. I worked for a company that used Homecare Homebase, and it worked ok, they then switched to their own program, still using handheld...
I was wondering what everyone's company pays for precepting new nurses. My company has asked me to precept new nurses. My reimbursement is as follows: If I do the visits and she tags along, I get the...
tabster224 replied to tabster224's topic in Home Health
I can't imagine precepting for nothing extra. It is your time, takes longer to do visits, and is time consuming on the preceptor part. They should give you a bonus. You could usually do more visits in...
tabster224 replied to tabster224's topic in Home Health
Thanks for the reply. She asked me if I thought I was being cheated and I told her I had to go home sit down and look at things, and I would let her know. I am going to go back to her and show her the...