Kyasi

Kyasi

Member

  • Content

    202

  • Visitors

    4,788

  • Followers

    0

  • Likes

    5

All Content by Kyasi

  1. Spilled coffee on nurses notes and other things

    Kyasi replied to smartnurse1982's topic in Private Duty

    You wouldn't believe what is on some of the documents turned into our agency. A few drops of coffee or formula is ok but sometimes I can't determine what it is and feel the need for gloves before I...

  2. Give prn meds because Mom said to give it?

    Kyasi replied to Blackcat99's topic in Private Duty

    Why not ask the Nurse in charge of the case to add 'for increased congestion' to the Benadryl order and 'for temp over 101 and discomfort' to the Tylenol order? Simple fix. She can make the changes...

  3. How to say goodbye?

    Kyasi replied to angellee15437's topic in Private Duty

    Why not just tell them the truth? When you started it was supposed to be temporary but you so liked them all that you continued for 7 years longer than you planned. Now it's getting more and more...

  4. What to do? Very likely family using, selling, etc pt's meds

    Kyasi replied to NurseG77's topic in Home Health

    @Caliotter3- I have heard of this. We have been asked several times to 'share' a client but refused. We had enough staff to cover the case without another agencies help and we got the cases...

  5. What to do? Very likely family using, selling, etc pt's meds

    Kyasi replied to NurseG77's topic in Home Health

    Ditto to what everyone else said about the drugs. Another question that pops out at me is that there are 2 nurses from 2 different agencies in the home. Duplication of services? What are the payor...

  6. HHA 485 for client with just an aide, no skilled nurse

    Kyasi replied to linda106511's topic in Home Health

    Interesting how different agencies do things, or maybe it's different state to state. My agency is Medicaid only. On a simple HHA case, our 485 is 1 page long. We list current DME's, all...

  7. HHA 485 for client with just an aide, no skilled nurse

    Kyasi replied to linda106511's topic in Home Health

    80% of our clients have HHA's only so we write lots of 485's. I'm not sure what specifically you are asking though. Where on the 485 are you having difficulty? On our frequencies, we write: HHA...

  8. Old Nurse, New Job

    Kyasi replied to okwurn1's topic in Home Health

    Hmmmm...... they rolled out the red carpet, called you an expert and then they don't want to pay you more to take this position? Something doesn't sound right here. Why make a lateral move unless...

  9. Switch from CCU to Home Health...

    Kyasi replied to BarbieRN09's topic in Home Health

    My hospital background was ICU, PPU, Post Pump, ER, Labor Room, and Cath Lab. Then I quit nursing altogether to have my kids. After 4 1/2 years of not working at all, I decided to go into home care....

  10. Protocol for Going on trip with Patient

    Kyasi replied to Gingilly's topic in Home Health

    Jen, Sorry, but somehow notification of your reply ended up in my spam mail. I just found it. I'm so glad that you went on the trip. Sounds like a few frustrating moments but it was a good...

  11. Protocol for Going on trip with Patient

    Kyasi replied to Gingilly's topic in Home Health

    While it is not really a 'vacation' it will be a change in environment, which is good for both the child, family, and the nurse. Kids like these rarely get a chance to do something like this and it...

  12. New Nurse : HH prep - guide me please

    Kyasi replied to jackson6355's topic in Home Health

    I don't have any books to guide you, just a word of encouragement. I put my nursing career on hold for 4 1/2 yrs to have my children and then started back doing home care. I had a background in ICU,...

  13. Protocol for Going on trip with Patient

    Kyasi replied to Gingilly's topic in Home Health

    I am checking with my daughter about this. She has worked for the Make A Wish Foundation and is currently a 'wish granter'. I'd be very surprised if you were expected to sleep in the same room. I...

  14. Patient Frequencies

    Kyasi replied to Willow Moonsidhe's topic in Home Health

    I think there is a real difference b/t Medicaid and Medicare frequencies. I can see for Medicare where you would write them for shorter time frames. I work for a Medicaid only agency so all of ours...

  15. Patient Frequencies

    Kyasi replied to Willow Moonsidhe's topic in Home Health

    Here are some examples of how our agency writes frequencies: we generally always give a range so we don't have to write Missed Visits if a client cancels or we can't staff the shift for some reason....

  16. fed up with the families

    Kyasi replied to smartnurse1982's topic in Private Duty

    "It seems a lot of families,esp the mothers, are looking for friends instead of nurses. You could do everything right but if another nurse,esp a bad one, oversteps her bounds and comes dropping in on...

  17. Case Manager Pay

    Kyasi replied to Pooksmom1996's topic in Home Health

    Pooksmom, Sorry to be responding so late. Lots of things going on right now. First, let me say, I work for a Medicaid only agency, so I can't speak to what Medicare or insurance reimbursement is....

  18. Case Manager Pay

    Kyasi replied to Pooksmom1996's topic in Home Health

    If you love the job, stay with it... I do have to respectfully disagree with you though... if they weren't making money, they would fold. I do the monthly billing for my branch office and I'm...

  19. should i stay on this case?

    Kyasi replied to sdlpn's topic in Private Duty

    The problem here is that as a Nursing Professional, once you are aware of what you consider child abuse or neglect, you are legally bound to report it. If you don't, you can be held liable when/if it...

  20. Have you ever been unable to make a scheduled visit?

    Kyasi replied to Poi Dog's topic in Home Health

    Your agency would definitely have a policy on this. If you are on the schedule and don't make it for whatever reason, it could be looked at as a No Call, No Show. You would definitely not want that...

  21. Need help with my 485

    Kyasi replied to redbird4058's topic in Home Health

    Interesting how other agencies do this. My agency is so particular about how frequencies are written you would think God himself came down with stone tablets with the rules on how to do it. Maybe...

  22. Help with Staff Moral

    Kyasi replied to NurseDawn10's topic in Nurse Management

    Dawn, I don't know that I have any real answers for you as my situation is different. I have hired my nurse case managers from a pool of nurses I worked with in the past who were friends and unhappy...

  23. Need help with my 485

    Kyasi replied to redbird4058's topic in Home Health

    I would write SN 1h/d, 1-2d/wk x 9wks. On the weeks there were no visits, we would have to write a missed visit note explaining why the visit wasn't needed. Writing 0/week would never be allowed....

  24. Case Manager Pay

    Kyasi replied to Pooksmom1996's topic in Home Health

    Pooksmom, I think I'd be looking for another job. At the very least, you should be paid mileage and you shouldn't be taking work home. Our charting has to be to be triple locked each night and...

  25. Case Manager Pay

    Kyasi replied to Pooksmom1996's topic in Home Health

    Have you ever figured out how many hours you actually work in a week and dividing that by your gross pay? I'd be curious as to how it works out per hours. Many years ago, I got paid per visit plus...