paddler

paddler

Member

  • Content

    162

  • Visitors

    7,570

  • Followers

    0

  • Likes

    1

All Content by paddler

  1. Getting a Home Health job

    paddler replied to LisaMR's topic in Home Health

    Hi, welcome back to the work force! While I can't comment on how it will go getting back into the field, I can say that you will have to be persistent with Home Health specifically. I have worked at...

  2. Cheapest NLNAC RN to BSN online program?

    paddler replied to paddler's topic in Online Distance Learning

    Soon to be

  3. HH Vital Signs to Include Pulse Ox?

    paddler replied to indbletrble's topic in Home Health

    As long as the agency provides the pulse oximeter! If not, it's sucky to require someone to take a SPO2 when they have to purchase their own

  4. Heavily draining rectal wound

    paddler posted a topic in Wound, Ostomy, Continence

    Hello, I work in home health which, of course, involves a lot of varying wound types. Struggling with this one and I would like to approach the surgeon for another solution. My patient had a...

  5. Heavily draining rectal wound

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

    Thanks! Still no antibiotics, still foul purulent drainage and low grade fevers. But, the vac seems to have finally kicked into gear and is managing the drainage and is finally staying in place....

  6. Seriously thinking about quitting

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

    I wanted to quit every day for the first 6 months. But, I've since managed to pare down on as much of the "crap" that sucks up sp much time (like stepping foot in the office as little as possible to...

  7. inservices

    paddler replied to tx2007's topic in Home Health

    IV, KCI wound vacs, occasional stuff that counts for CEUs. THat's

  8. How many admissions can you do or have been asked to do in one day?

    paddler replied to RN1263's topic in Home Health

    I have done 4 admits in a day on a few occasions, 3 would not be unheard of on a busy

  9. Shorted on paychecks

    paddler posted a topic in Home Health

    I started as a RN Case Manager with my current HH employer about 6 weeks ago. I have 3 years of HH experience. So many flaky things! When I started I was told I would be paid hourly until I was up...

  10. Portable scanner

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

    Would the documents be attachable to the patient's electronic record in any way? If not, then I assume the scanner is for your own use so you don't have to keep a paper file on the

  11. Help! Having hard time transitioning from acute to HH

    paddler replied to rnkwissie143's topic in Home Health

    When I first started HH I remember thinking the same thing. "But, what am I DOING for this person?" in a task oriented manner. You are right, there really is only so much teaching a chronic diabetic...

  12. Is this legal?

    paddler replied to RN1263's topic in Home Health

    Before I became a nurse I was a home aide, and was Nurse Delegated by state law and it was acceptable to give meds as long as I was delegated (taught by an RN) to do so. Washington

  13. I need suggestions for a lab kit

    paddler replied to Cthulhu's topic in Home Health

    I've been using this one for the last 3 years and it works great to hold just enough of what I need and I replace items PRN when I am at the office. Holds enough for like 5-6 blood draws....

  14. Good move to HH?

    paddler replied to ladybop's topic in Home Health

    Good day: My schedule is set first thing and doesn't change. Patients are home when they said they will be. I am able to chart as I go and assessments move smoothly. Doctor's offices call me back so...

  15. Salary???

    paddler replied to RNratched's topic in Home Health

    I used to be salary at a different agency. My base salary was $62K. There was pay above the base salary. Salary was not based on hours worked but on Visit Equivalents. I got paid $25 on call for a...

  16. Verbal Orders

    paddler posted a topic in Home Health

    I was calling a PT/INR result to the ordering MD office and the nurse had the gall to ask me to fax the result to their office. I explained nicely, that I was presently sitting in the patient's home...

  17. Unlocked OASIS

    paddler posted a topic in Home Health

    My HH Agency recently went from paper to computer charting. One of the things they are requiring is to leave the OASIS unlocked until the coder updates her coding stuff, and they will lock it. What...

  18. Unlocked OASIS

    paddler replied to paddler's topic in Home Health

    I realize there are keystroke programs and such that can track who touched the chart and when and even what they did. However, in these cases you have to know to go look for the information. It is...

  19. When do you document

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

    Also, It sounds like your Agency charts on paper? You may want to consider going to an agency with computerized charting (if you can) so that you can chart in the home, and not have to type out your...

  20. Unlocked OASIS

    paddler replied to paddler's topic in Home Health

    I have no problems with the OASIS questions at all. I've been doing HH for 3 years. And I also start from the bottom and go up, and consider ability and safety, of course, when choosing an answer....

  21. notifying pts the night before visit

    paddler replied to BabaLouRN's topic in Home Health

    I too wait until the morning of to call them for the reasons mentioned by the OP. If I spend half an hour arranging my schedule and get a call the next morning from the scheduler wanting me to fit...

  22. Face to Face Encounter

    paddler replied to momsnurse1's topic in Home Health

    What I don't understand is what's to keep a doc (who, let's face it probably doesn't actually read the stuff we send them for signature anyway) from just signing the FTF even if they have not seen the...

  23. When do you document

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

    I document almost everything in the home, and usually the narrative later as it takes some time to make an intelligent sounding visit note and I cannot seem to do this while paying attention to the...

  24. NoGo's for non-homebound

    paddler posted a topic in Home Health

    Hey all (I lost my prior registration info so I had to reregister - I used to be anticoagulationurse BTW)- But anyway, I've been in HH for a year now. LOVE IT! The learning curve for the OASIS and...

  25. NoGo's for non-homebound

    paddler replied to paddler's topic in Home Health

    One time during an admit assessment I asked an elderly patient and her daughter if it is difficult to leave the home in any way. She screwed up her face and said, "Not at all." and proceeded to...