hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

  1. HH regulations

    hoolahan replied to lossforimagination's topic in Home Health

    It takes the newbies a minimum of 6 months to begin to put together the big picture, please don't ever say you're empty headed! You are learning, and like most of the rest of us, we are given the...

  2. You know it's going to be a bad visit when....

    hoolahan posted a topic in Home Health

    ....you open the door, and the odor of urine gags you. Today, I got a resumption for a pt who is well known to me, from when I was her case manager 3 years ago. She was a problem then, and we still...

  3. Do Agencies have copies of Educational materials?

    hoolahan replied to DaSuperRN's topic in Home Health

    Dasuper, I get a lot of great info from the manufacturers in the web. So, if you want info on Shiley trach's and trach care, go to their web site, e-mail them or call and ask if there is a video tape...

  4. Shift nurses in Homecare, a question...

    hoolahan replied to hoolahan's topic in Home Health

    DaSuper, I simplify ,my charting whenever possible, so if there is a check box for something, I will NOT write a narrative, it should be assumed that you are following your agencies policy, and that...

  5. Shift nurses in Homecare, a question...

    hoolahan posted a topic in Home Health

    I am doing quality reviews for an insurance co, and I had a case where the mom of a child alledged the nurses gave her child a wrong dose of a med. I read through 6 months of 487's, notes, etc...but I...

  6. Shift nurses in Homecare, a question...

    hoolahan replied to hoolahan's topic in Home Health

    Thanks justbonny!! That was a big help. I am used to doing al my own orders for visits. Plus we don't have a daily medex, just a list we are supposed to update. A new med list is generated with any...

  7. Just want to sat hi!!

    hoolahan replied to bonjon's topic in Home Health

    Bonjon, yes thank you very much, that is exactly what I needed. So basically, cardexes shouod be updated but aren't. I suspect it is because the same nurses stay with a pt for a long time, in many...

  8. Just want to sat hi!!

    hoolahan replied to bonjon's topic in Home Health

    Welcome bonjon. Would you read my thread on homecare shift nurses? I'd be interested in your opinion. Or I can just ask you here. How do you document meds/med changes in the home? Do you use a kardex...

  9. Shift nurses in Homecare, a question...

    hoolahan replied to hoolahan's topic in Home Health

    I agree med erros go on an incident form and do not go in the chart. But say, hypothetically, the nurse charts that she arrived at the home, and was not admitted, because parents said "We didn't know...

  10. Novice seeking advice from expert CM

    hoolahan replied to minneRN's topic in Case Management

    PS everything you want to know about Medicare can be found at http://www.cms.gov There may already be info that you need there re CHF requirements or standards of care for

  11. Novice seeking advice from expert CM

    hoolahan replied to minneRN's topic in Case Management

    What kind of setting are you in? Managed care? Hospital? You could ask a social worker about resources, but if you are in an HMO type setting, I imagine your area served in larger than say one county....

  12. Shift nurses in Homecare, a question...

    hoolahan replied to hoolahan's topic in Home Health

    Really Ren?? When I was a supervisor, I had to document every call in the progress notes, from family anyway. So, if a family was verbally abusive to you, you wouldn't document that? I always do, in...

  13. Shift nurses in Homecare, a question...

    hoolahan replied to hoolahan's topic in Home Health

    That is the thing ren, there are orders for that period of time. Also, when we ask for the complete medical record, that should be the complete record. If there is nothing to hide, it shouldn't be a...

  14. Gentiva

    hoolahan replied to par08's topic in Home Health

    I know of one person who worked for them in PA, he hated it. Said the pay was poor, and workload unreasonable. Mind you, this is

  15. Question re pharmacology testing for HH application

    hoolahan replied to suziwin's topic in Home Health

    Hi Suzi, Of course every agency is different, but it is probably the same tye of NCLEX med question test that you'd take in a hospital, etc... It just tests your broad range of med knowledge. I home...

  16. New Homebound rule???

    hoolahan replied to CardioTrans's topic in Home Health

    Thanks Karen. I always wondered how my agency would get away with that, because when they decided to make that change, because we were so short on HHA's, they told many patients to get a PCA through...

  17. New Homebound rule???

    hoolahan replied to CardioTrans's topic in Home Health

    Very interesting Karen. I didn't know about this at all, perhaps because I am not in a participating state, or because I am very per diem now. So, can I ask if this would be your interpretation of...

  18. Top 10 Certification Deficiencies Cited During Inspections

    hoolahan replied to Shell7280's topic in Home Health

    Sadly, I have seen much of this in action. It is helpful for nurse new in the field to see this kind of info, so they know why supervisors get on their case about documentation. It also helps you to...

  19. Top 10 Most Frequent Complaint Intake Reasons

    hoolahan replied to Shell7280's topic in Home Health

    Yikes! It seems like some of these may be specific to a PCA, or home health aide agency. Welcome back

  20. New Homebound rule???

    hoolahan replied to CardioTrans's topic in Home Health

    This is the latest that I am/was aware of... http://www.cms.gov/manuals/11_hha/HH00.asp Home Health Agency Manual Manual Transmittals through Transmittal Number 305, dated August 1, 2003, are...

  21. New HH Nurse

    hoolahan replied to becky0201's topic in Home Health

    http://housecalls-online.com/index.htm This site, in my opinion, has the most helpful info you could ever find. You will have to explore all the links, but it is enormously

  22. Researcher doing a study on home health nurses: I need your help.

    hoolahan replied to clueless researcher's topic in Home Health

    MY apologies to clueless researcher. She has PM'd me and has provided me with enough info that I am satisfied she is legitimate. I have asked her to do the same here, in as much as she is comfortable...

  23. Ever had 2 pts die on you in 1 day?

    hoolahan replied to Tony35NYC's topic in General Nursing

    In my first few months in ICU we had a day when 3 died in a day. The first was a burn pt, severe burns of face chest and neck, he lost his airway during report, due to edema, anesthesia could not get...

  24. Delivered a baby today!

    hoolahan replied to pebbles1977's topic in Ob/Gyn

    Wow pebbles, OB is so NOT my passion in nursing, but the excitement in your post, made me feel it through your eyes and hands, and that must be very thrilling indeed! Good job!! All of you OB nurses,...

  25. Coverage when out sick

    hoolahan replied to shammy's topic in Home Health

    Well Shammy, I didn't say it wasn't the norm..unfortunately, I think it happens too often. But what we must do is learn to say NO and mean it. The minute you give an inch, they use you to death. Save...