paddler

paddler

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All Content by paddler

  1. Oasis Pay

    paddler replied to julie0320's topic in Home Health

    I live in NV and get $130 for an SOC because it literally takes at least 3 hours to chart the thing with our absolutely ridiculous charting system. However, when I was working for a different agency...

  2. You may not be homebound if....

    paddler replied to itsgr82cre8's topic in Home Health

    My car gets stuck in the snow in your 1/4 mile driveway and you shoo me out of the car so you can get me out of my rut after shoveling the show away. (After I just discharged you, of

  3. Oasis Pay

    paddler replied to julie0320's topic in Home Health

    I get paid per visit. Presently I get $130 for a SOC, $80 for a ROC or Recert, and $50 for routine visits, which I think is fair. If I am working non visits (trainings, meetings, etc). I get paid...

  4. Orders in Home Health

    paddler replied to gmsr's topic in Home Health

    Yes, in home health 98% of the time the doc orders HH to go out and make a recommendation as to what the appropriate wound care should be. Very rarely do I get specific wound care orders originating...

  5. Point of care labs (PT/INR & glucose)

    paddler posted a topic in Home Health

    Does anybody else for for a HH agency who will not allow nurses to collect point of care labs such as PT/INR fingersticks or glucose

  6. Government Investigation of Amedisys

    paddler replied to sweetsugar's topic in Home Health

    With good software it is completely possible to finish the OASIS assessment in the home while interviewing and assessing the patient. I prefer to do it this way. In a previous job I was usually able...

  7. Foam Dressing

    paddler replied to jmn126's topic in Home Health

    I personally prefer Allevyn too! I think it's AWESOME! I think the difference it makes when compared to other foam adhesive dressings is that is sort of wicks away and locks in the drainage much...

  8. is BSN necessary for work in Home health, hospice, private duty?

    paddler replied to pear8's topic in Home Health

    Nope. Happy ASN

  9. Reimbursement based on population?

    paddler posted a topic in Home Health

    I heard something at work today about the agency reimbursement from CMS being based on population of the patient area served by the company. Some agencies in large metro areas getting $12,000 for a...

  10. Reimbursement based on population?

    paddler replied to paddler's topic in Home Health

    Thanks Kate, yep I get that. I do fine on my OASIS scores, I understand that my assessments affect reimbursement, I just meant I don't deal with or have knowledge of the money end of things...

  11. hourly vrs. productivity!!!!!!!!

    paddler replied to julieanneb's topic in Home Health

    First, are your medical benefits based on a minimum number of visits or productivity a week (despite the number of HOURS you actually work?) If so, part of why you might be feeling pressure to...

  12. Point of care labs (PT/INR & glucose)

    paddler replied to paddler's topic in Home Health

    The problem is we have to do venipunctures and live in a rural area where the lab result can take up to 48 hours to come back. In my opinion this is not best practice for PT/INR checks where you need...

  13. Point of care labs (PT/INR & glucose)

    paddler replied to paddler's topic in Home Health

    Ahhh that might just be it! Thanks Kate! (looked it up and CLIA waiver is only $150 every 2 years, so not sure what the issue is). But, I'll bring it up with

  14. Point of care labs (PT/INR & glucose)

    paddler replied to paddler's topic in Home Health

    It's the agency I work for that does not allow the RN's to do point of care testing. Can't do glucose checks

  15. Behind the times?

    paddler posted a topic in Home Health

    I have been working HH for almost 4 years, and just started at a new rural agency that seems to be about 10 years behind the times. Their software for charting is literally 10 years old and is...

  16. Homebound?

    paddler replied to hhrnohio's topic in Home Health

    How do they get there? Is it a taxing effort for them to do so? If not... not

  17. New nurse..recently started home health. Being videotaped?

    paddler replied to floridanurse06's topic in Home Health

    I too, would refuse the

  18. Government Investigation of Amedisys

    paddler replied to sweetsugar's topic in Home Health

    The OASIS set is gathered to provide this information. You can see the results for individual companies here:

  19. What's your policy or protocol for vacs?

    paddler replied to homehealth_rn's topic in Home Health

    Our policy is the same. However, I have gone out a 3 am for a wound vac malfunction when I was familiar with the situation and the wound and knew that with the amount of drainage the wound was having...

  20. Is this a typical experience?

    paddler replied to JustBeachyNurse's topic in Home Health

    THis agency sounds like a total joke. Quit

  21. Pay per Visit

    paddler replied to ittybittybabynurse's topic in Home Health

    I second that! I did a ride along day before taking the job just to make sure I was really interested. I

  22. Pay per Visit

    paddler replied to ittybittybabynurse's topic in Home Health

    Pay per visit is great if you are efficient. Probably not so much if you spend lots of time at home charting after the visit, or if you spend lots of time driving. My rate on the East Coast is ok,...

  23. skin tear not healing

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

    if the wound is not infected try just tegaderm or a hydrocolloid and leave it on as long as possible, up to a week. Remove after 7 days and

  24. Psych

    paddler replied to morecoffeepls's topic in Home Health

    Working in HH I have not yet come across a psych nurse who does HH visits. I would think the employer might be a government agency rather than a for profit intermittent type thing you see most of the...

  25. nightmare HHA to work for (long vent)

    paddler replied to hopesgramcracker's topic in Home Health

    Hopes, I am shaking my head reading all the stress you have been through with this situation. Kudos to you for being forthright, thinking for yourself and for investing so much effort to understand...