sweetsugar

sweetsugar

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  1. I've been a home health nurse now for about five years. One of the biggest complaints I have has been "why am I working so much and not getting paid for my time?" I searched through the various...
  2. What to do? Alcoholic and discharge too soon

    I had a patient who met me drunk and naked at the front door every time I went to see him. I kinda drew the line when he pee'd on me,
  3. Home health and family life?

    11-15 patients a day? I call that "drive-by nursing". Sorry, just my humble opinion . .
  4. problem in home health. mandated reporter issue?

    From personal experience, if the patient is A&OX4, oftentimes, nothing happens with the State. They will talk to the resident; and, if the resident feels okay with her environment, they are going...
  5. Documentation altering/tampering...Is this the norm???

    If anyone can prove that their OASIS answers are, indeed, being changed--I would definitely contact a Qui Tam lawyer. With regard to changing benign hypertension to malignant hypertension, this is a...
  6. Need advice on new job offer

    KateRN is absolutely correct with regard to the OASIS collection rules by Medicare. However, 1) the weekend RN should have the option of completing a skilled nurse visit along with the consents and...
  7. Need advice on new job offer

    I can relay from personal experience as someone who did call every other weekend at a rural home health agency--it was a nightmare. I do not understand why but it seemed that the worst of the worst...
  8. You may not be homebound if....

    You might not be homebound if your nurse has to schedule your visits each time before 11:00 a.m. so that you can drive yourself to the casino for lunch and a little slot machine
  9. To all home health nurses who have ever felt pressured by office staff regarding whether or not a patient needs recertified or not, the attached MedPAC Report to Congress dated March 2011 should shed...
  10. Government Investigation of Amedisys

    If there are any nurses (or therapists) out there who have any personal knowledge about how the frequencies are determined by the physical and occupational therapies for Amedisys' Balanced for Life...
  11. Government Investigation of Amedisys

    I agree fully with your last comment--if we are dealing only with skilled nursing visits. I would have NEVER left home health nursing if all I had to do each day was skilled nurse visits. However,...
  12. Government Investigation of Amedisys

    As I said previously . . . we will let the Department of Labor decide about that. As I recall--when I worked at the hospital, if I needed to spend extra time documenting after a crazy shift, I got...
  13. Government Investigation of Amedisys

    We will just have to wait and see what the Department of Labor's viewpoint is on the matter of unpaid overtime. I believe any patient in the home would rather a nurse pay attention to them during the...
  14. Government Investigation of Amedisys

    Actually, just Google the following: Staff Report on Home Health and the Medicare Threshold. That will bring up the October 3, 2011, House & Senate Finance Committee's full report. Very...
  15. Government Investigation of Amedisys

    I did not realize that Gentiva had been fined for fraud. LHC in Louisiana received a $65 million fine in September 2011 for fraud. Both of these fines do not have anything to do with the October 3,...
  16. This is going to be a rather strange post, I fear. I am taking a global health class right now in pursuit of my masters degree. The topic at hand is health disparities between wealthy and poor...
  17. charting pen/marker

    Goodness . . . they are still selling that Scantron system? I wanted to poke my eyes out with that stupid pen by the end of the
  18. Why HH nurses quit

    Please keep us posted of any response you get. That would be quite an incentive to make other nurses take a stand on this unpaid overtime
  19. Why HH nurses quit

    It is NOT about time management. I was a legal secretary in Washington, D.C. before I became a nurse. I type well over 100 wpm. I am organized as all get out. In rural areas, the drive to a...
  20. home health care VENT

    My personal best was when the clinical manager called me to tell me that a patient had called and left a message for her to call him back. She asked if I could call to see what he
  21. Why HH nurses quit

    I cannot stress it enough - complain to the state and federal authorities on labor laws. The Gentiva lawsuit is only a starting point on this issue of unpaid overtime. Contact the attorneys for...
  22. What is the least amount you would work for as a RN?

    My mother and aunt make more than that per hour working at a shoe factory. They don't ever have any complaints about their jobs. They are both in their 60's and tell me they plan to work for as long...
  23. You need a very "thick" skin . .
  24. Roaches are going to drive me out of home care!!!

    I once handed a patient his inhaler as he was becoming short of breath. When I turned it around and looked inside of the thing, it was packed with cockroaches. Talk about gross!!! Then, I thought...
  25. Government Investigation of Amedisys

    With respect to why I only mentioned Amedisys' Balanced for Life program -- I only have knowledge of this particular program. I only worked for Amedisys. The investigation surrounds overutilization...