Kyasi

Kyasi

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All Content by Kyasi

  1. A bad day in home health...

    Kyasi replied to CFitzRN's topic in Nurse Management

    I'm relieved to hear that I don't have the only really dumb HHA's working for me. I struggle with the same issues. On Fri. I gave 3 write-ups for the same stuff. I could've fired all 3 but gave...

  2. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    I still find it unbelievable that they have you do this before they ever interview a person.

  3. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    Blackcat99, Lot's of fingerprints are rejected but it usually has nothing to do with the person being fingerprinted and everything to do with who does the fingerprinting. You would think that the...

  4. New grad, new to home health - overwelmed

    Kyasi replied to okhhnurse's topic in Home Health

    When I started out doing what my agency calls Case Management, I didn't get my own patient load for at least a month. I went out on visits with other nurses watching them for about a week. Then I...

  5. pregnant

    Kyasi replied to sinawahi's topic in Home Health

    Congratulations on your pregnancy. Hang in there, the first trimester is the worst. Don't, I repeat, don't take your prenatal vitamins in an empty stomach. Please just take my word on this. If...

  6. Foster parent for medically fragile child

    Kyasi replied to Blackcat99's topic in Private Duty

    I took care of a child on a vent for 9 yrs but I went home at night and didn't have the responsibility for 24/7. So I don't say that lightly. It takes a special person and thank God for these kids...

  7. Foster parent for medically fragile child

    Kyasi replied to Blackcat99's topic in Private Duty

    Ventmommy, You are a hero. Blessings to you. It's so nice to see someone who has the right motives!

  8. Foster parent for medically fragile child

    Kyasi replied to Blackcat99's topic in Private Duty

    I was a foster parent about 28 yrs ago for 'hard to place kids'. Back then I got about a $55.00/month stipend. The medically fragile child I referred to earlier... the family gets $1400.00/mo,...

  9. Foster parent for medically fragile child

    Kyasi replied to Blackcat99's topic in Private Duty

    Sorry I wasn't clear, they only get the nurse for 13 hrs/day for one child. The others they have had were emotionally handicapped so they got more for them monthly too. And believe me, if the poor...

  10. Foster parent for medically fragile child

    Kyasi replied to Blackcat99's topic in Private Duty

    The stipend for taking a medically fragile child is very good in my state. I know one family who had one foster child and was trying to get more so the wife could quit her job. They do also get...

  11. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    We do not charge for TB or CPR at my agency. I just hired a HHA who went through all the hiring requirements (it actually only cost her 5.00 for her county background check) If they have lived in the...

  12. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    And the main point here is that the agency does get more Medicaid reimbursement for an RN than an LPN so they are choosing to keep that for themselves. That is dirty business!

  13. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    Most states require that an RN be in management positions in Home Health Agencies. So an LPN as a nursing supervisor isn't even an option. I think most people here are talking about field staff...

  14. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    The fingerprinting itself is not expensive, it is sending it to the state for analysis that is costly. Blackcat, what I said about time limits may not be true elsewhere, I was just saying what our...

  15. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    Very strange. I'd sure want some assurance that there was work available for the hours you are available. The problem with getting all the background checks and then getting copies of them if you...

  16. It cost me $59.25 just to apply for a job?

    Kyasi replied to Blackcat99's topic in Private Duty

    Wow, I definitely would not spend all that money without an interview first. I always interview applicants first to determine whether I even want to hire them. If I don't, I don't even discuss what...

  17. Paper Oasis in 24hrs

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

    This is where working for a Medicaid only agency has an advantage. Our funding has nothing to do with what is on Oasis. The Oasis is required by the state but has nothing to do with Medicaid...

  18. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    Unreal! I can't believe this! The fact that you were paid less than a LPN and that others thought that was ok. Are you still working there???

  19. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    Where I am, we have no choice. Labor laws require we pay overtime to all employees. I have employees who beg to work extra hours but not for overtime and I can't do it because of the Labor laws....

  20. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    Bingo! It could be all of the above. The reason isn't because they don't get enough reimbursement for the RN.

  21. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    This still sounds strange to me. Any of our field staff Skilled Nurse positions can be filled with either a RN or LPN but if this is Medicaid you are talking about, the reimbursement is commensurate...

  22. RN told she will now get LPN wages

    Kyasi replied to Blackcat99's topic in Private Duty

    Below I've copied and pasted a post I made on Medicaid reimbursement a while back. While no company can afford to pay the entire reimbursement they get because there of office overhead, state...

  23. Disclosing Medication Errors During Interview Process?

    Kyasi replied to MICCU-RN's topic in Nurse Management

    I am only allowed to verify position, date of hire, and when employment ended. Nothing about whether I would rehire the employee. When we check references, most places have the same policy. So I...

  24. Medicaid pay reduction for RNs

    Kyasi replied to Luv2care0907's topic in Home Health

    As of July 1, reimbursement went down a few cents on RN's, LPN's and HHA's but the overhead took a big upward jump that more then covers the difference. So in essence there was actually a sizable...

  25. How to say goodbye?

    Kyasi replied to angellee15437's topic in Private Duty

    What exactly does that