hoolahan

hoolahan ASN, RN

Home Health

Member

All Content by hoolahan

  1. Not a bad day today... started back per diem today. 6 cases, all in the same township. Not my usual zip codes though, so I did waste some time and scheduled visits akimbo, instead of in a line...
  2. Productivity...groan

    Does anyone in case management or in particular disease management have to meet productivity "numbers?" As in how many assessments per week, contact with members per week, etc... My manager is...
  3. How many of you have ever removed Jackson Pratt drains? If you have never removed them yourself, but have watched them be removed, you would feel comfortable doing it on your own? I would esp like to...
  4. I have been on about six interviews this month, and I am appalled at the stupidity of this process. Does anyone at all think up original questions any more? My last interview consisted of a woman,...
  5. I feel like I should be called the Orkin Nurse, and instead of a backback, I should carry an orificenal of roach-killing chemicals. I need a roach repellant perfume or something. Yesterday MONSTER...
  6. Hedis 2005...

    Has anyone gotten their assignments yet? On the road yet? Are you using laptops or paper tools? This is my first year. Everytime we hear the data is ready, it has to be re-run, so we continue to wait...
  7. Removing Staples....

    I had a great day today, but did have a problem removing someone's staples. Lady is s/p R TKR, and that alone is bizzare, I have never had a surgeon want us to remove staples for TKR. I have done lots...
  8. titration of cardiac IV drips

    I don't know of anything like what you are asking for. I can only offer that titration should be based on the half-life of the drug, and the effect it has within that time frame. In the CT unit I...
  9. Gas prices are killing me, how much does your agency reimburse?

    40.5 cents a mile. It went up 3 cents and gas went up 60 cents a gallon! Not much left over for wear and
  10. Basic Home Health Care Charts

    Just do what many of my patients do, they get a notebook, and just write in it. Some family's leave me notes in there, or questions, and I answer them, usually only things like "Please order more...
  11. I find this to be a very accurate portrayal of the attitudes I have encountered. Is it right? Of course not! But why fault the program or writers for doing an honest job? To sugarcoat it is to do a...
  12. Hedis 2005...

    Ah, rub it in why don't ya! Just kidding, that sounds cool. Are you finding the diabetes and HTN measures very time consuming? I am assuming you are doing these, but I know the commercial MCO's do...
  13. any such thing as Male RN's in home health?

    She means Rustyhammer, one of the admin's on this forum, used to do home care. We have several male nurses at the agency I work for. It has never been a problem. It really isn't any different than the...
  14. Hedis 2005...

    Well, we got our assignments the end of the second week of March, and I got most of the appointments scheduled the following week. I have 4 counties in NJ, a total of 700 charts and over 250 sites. I...
  15. Advice needed - Should he be fired?

    I empathize with the situation. I agree that he should be let go. Your staff needs to know that you will follow up with your expectations, and it will give them faith in you, that you will not allow...
  16. I cant keep doing this....

    OMG, your agency is just like mine, except that we only covered one county, and we never had to cover the whole county except for rarely on the weekend. That kind of traveling is too much. I would go...
  17. dreading going into work tomorrow

    I did! Good to see you here. Well, you know, doo-doo happens. We can't all be saints 100% of the time. If they complained to management, I suggest you give them an apology and move on. A simple, I...
  18. Typical Day For A Home Health Nurse | Life of a Nurse

    I used LOL = Little Old Lady, way before the days of lol on the internet. Just ask, and we'll explain
  19. Getting the Labs there on time?

    I never had to worry about this much, since I work the suburbs and city and am never too far from a hospital. So I will try to shed a little bit of light, but I am by no means an expert. 1. We had to...
  20. Responsibilities of Home Health Nurses

    Thanks for the plug Karen. Melissa, feel free to quote me, or print out anything from my site. I PM'd you
  21. A new NY HHC nurse....maybe?

    Sounds pretty good to me Kathy!! I think the $65 for admit is low, (Between 75 and 85 by me) BUT, if you don't have to complete OASIS for peds, and well mom and baby, then your paperwork may not be...
  22. What did you need ot start?

    My agency supplies everything, and I won't repeat what is said above. I also do like my own tympanic thermometer, but I also have a digital oral thermometer in case I run out of covers, or I want a...
  23. What is that word that I am looking for?

    I am looking in my Estes Assessment book, maybe erythema nodosum, but that name makes me think it is very red, but if you are talking about what I am picturing, it is not
  24. Typical Day For A Home Health Nurse | Life of a Nurse

    I don't think you are doing anything wrong at all. I think you must be in a tough area. If you were in NJ, they would eat you right up with maternal/child experience, maybe the areas they will send...