paddler

paddler

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All Content by paddler

  1. I give up

    paddler replied to paddler's topic in Home Health

    SNF. So far so good, just have to get my head wrapped around punching a clock for the first time in 8 years and being to work exactly on time.

  2. How long?

    paddler replied to 84RN's topic in Home Health

    Took me 3 months to not cry over the endless charting every day. 6 months until I felt competent, and 9 months before I enjoyed every single minute and felt proficient and completely

  3. Men in home health

    paddler replied to Noimanurse's topic in Home Health

    Old post revived, apparently. My husband attempted to work in HH because he saw how much I love(d) it. We lived in a rural area and worked for a small agency, and were the newcomers in town. We...

  4. Need advice on new job offer

    paddler replied to Curious1alwys's topic in Home Health

    Exactly... Also, consider you will not be proficient or efficient for at least 6

  5. Computer Charting and Medicare guidelines in HH.

    paddler replied to kitkat1063's topic in Home Health

    I worked for a HH agency who also used Allscripts. This was after working elsewhere in HH who has Roadnotes. RoadNotes was horrible. CareFacts is also beyond horrible. Allscripts was awesome. For...

  6. Do you feel like this sometimes?

    paddler replied to emilysmom,RN's topic in Home Health

    I'm sorry you're having a hard time. It is discouraging when a patient comes and goes from the hospital, especially when while they were at the hospital no treatments changed and they come home to...

  7. Fed Up with Being Overworked and low pay! Advise???

    paddler replied to Sehille4774's topic in Home Health

    I agree with previous posters. As specialized as you are, in the company's eyes you are completely disposable. I think if you want to protect your sanity, and your family's income you should...

  8. I give up

    paddler replied to paddler's topic in Home Health

    Yay! I just discovered my new job has the cheapest and best medical insurance I've ever been offered as a nurse. When I was a truck driver I had better insurance than I've had in my 8 years as a...

  9. Homebound

    paddler replied to twokidsmom,rn's topic in Home Health

    I agree as above, and I avoid telling people to "be homebound" just so they qualify for services. It seems misleading to

  10. UA specimens

    paddler posted a topic in Home Health

    I recently started working for a different HH agency and they do things a little funny. Maybe it's just me but there is a lot of extra uncompensated work to do... but I shall not digress. For...

  11. Just hired by HHC agency--not feeling very good about it now

    paddler replied to vintagestudent's topic in Home Health

    Getting report is nice. But frankly, all I SHOULD need to know about the case ought to be on the POC. Taking "orders" in a hand-me-down way from another nurse is not orders at all and would never...

  12. Just hired by HHC agency--not feeling very good about it now

    paddler replied to vintagestudent's topic in Home Health

    Not cool that they should allow that. I ALWAYS get my admission charting in within 24 hours and 90% of the time it is completed the same day. It is not okay to send a nurse out (LPN or otherwise)...

  13. Minimum length of time for routine visits

    paddler posted a topic in Home Health

    I realize different agencies may have different requirements for minimum length of visits. My prior agency required 30 minutes, which is reasonable since most visits take at least this long anyway....

  14. Blacklist?

    paddler posted a topic in Home Health

    I am taking over care of a patient from a nurse who quit the company on not-so-great of terms. Apparently the nurse was quite unprofessional in telling the patient way more than she should have about...

  15. Minimum length of time for routine visits

    paddler replied to paddler's topic in Home Health

    I see what you're saying. But, the company gets reimbursed the same whether I see the pt for 30 min or 4 hours, and so do I. Put simply, Medicare reimburses HH on a flat rate (independent of...

  16. How to use map to plot SN visits?

    paddler replied to tulsanurse1's topic in Home Health

    I think my prior agency did it with this: http://www.mapquest.com/routeplanner I just use my GPS. I gave up on trying to "optimize" my day because invariably one person would need to be seen at one...

  17. Blacklist?

    paddler replied to paddler's topic in Home Health

    Thank you, I think it may be something like the Group One thing. No reason to think it's government

  18. Wound vac with compression wraps?

    paddler posted a topic in Wound, Ostomy, Continence

    I've been treating a patient's legs with a Profore 4 layer wrap. She has venous stasis edema (without weeping or cellulitis) and a trauma wound that is not healing for the last 6 weeks. The trauma...

  19. Wound vac with compression wraps?

    paddler replied to paddler's topic in Wound, Ostomy, Continence

    I called the rep. She said the pre-fab bridge is great for this and there are no contraindications for using a vac with compression wraps!

  20. Wound vac with compression wrap?

    paddler posted a topic in Home Health

    I've been treating a patient's legs with a Profore 4 layer wrap. She has venous stasis edema (without weeping or cellulitis) and a trauma wound that is not healing for the last 6 weeks. The trauma...

  21. Wound vac with compression wrap?

    paddler replied to paddler's topic in Home Health

    I called KCI and they said no contraindications and the pre-fab bridge dressing works fine with any compression

  22. Pay cut!

    paddler replied to paddler's topic in Home Health

    Yeah I just started here a month ago and have 4 years HH experience and feel like they did the ole' bait-n-switch on me.

  23. LVN sup visits

    paddler replied to Mandy LVN's topic in Home Health

    I would like to also add that occasionally I would be surprised in case conference to hear the name of a patient I had been assigned to case manage whom I had never seen or heard of that most likely...

  24. LVN sup visits

    paddler replied to Mandy LVN's topic in Home Health

    I always manage to do all of my sup visits every 2 weeks for HHA and 30 days for LPN. However, I have to admit the only reason this is because it was scheduled out for me by the scheduler at the...

  25. UA specimens

    paddler replied to paddler's topic in Home Health

    Yep, it drives me nutts to have to drive to the office for no other reason than to fax something.