HealthyNurse

HealthyNurse

Functional Medicine, Holistic Nutrition

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All Content by HealthyNurse

  1. Have you ever worked as a state surveyor?

    HealthyNurse replied to sasha2lady's topic in Nursing Career

    From the perspective of a home health and hospice surveyor...I do not prey on "weak-looking" staff. I am generally very friendly and respective of all employees of the provider that I'm surveying,...

  2. Starting a Home Health Agency

    HealthyNurse replied to lilian.bello's topic in Home Health

    Hello...I want to PM you, but I don't see the option. Could you please contact me? Thank

  3. RN/LPN Scope of Practice in Home Health

    HealthyNurse replied to nursesandi1's topic in Home Health

    Even if you only suspect that something such as this is occuring, you have a professional and ethical obligation to report it. Make a report to the state department of health, or whoever in your...

  4. home health form 485

    HealthyNurse replied to mewillcare's topic in Home Health

    Hi Dunya- It's not that I don't want to help you, but your post is very concerning to me. I work as a state surveyor of home care and hospice agencies and it is very inappropriate to have an...

  5. how long do I have to be a bedside RN???

    HealthyNurse replied to EDnursetobe's topic in General Nursing

    I worked in acute care for about a year and then moved into home health nursing. I ended up going back to school for a master's degree and then I moved into various administrative positions in staff...

  6. New Grad and HH

    HealthyNurse replied to Iammblessed2011's topic in Home Health

    I'm sorry to hear about your bad experience in the SNF. I think you're missing the point about new grads working in HH though. Agencies hiring them and not providing adequate orientation would only...

  7. Duties as a Home Health Nurse and Oxygen Therapy

    HealthyNurse replied to iridium54's topic in Home Health

    A really nice resource for looking up ICD-9 codes is http://icd9cm.chrisendres.com/. Good

  8. D/C med list vs current list

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

    Medication reconciliation is part of the comprehensive drug review requirement. I think that you made a good first attempt. Even though fax can be a good way of getting the information to the...

  9. Pleurx Drainage-Cheaper Alternatives??

    HealthyNurse replied to CardioHCNurse's topic in Home Health

    The Pleurx drainage kits are very expensive and I've never heard of rigging a foley cath to use in its place. I would think that would be very risky, as far as infection control issues. I did...

  10. 1wk9

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

    I would agree that "1w9" is not an acceptable frequency for the majority of home health patients. Current best practice is to frontload visits, so that the patient is seen more frequently at the...

  11. Giving report on admit, recert, roc

    HealthyNurse replied to Isabelle49's topic in Home Health

    Unfortunately, in the current practice environment, the financial aspect of home health care has to be a concern for everyone in order to stay open and continue to deliver services. It is unfortunate...

  12. Giving report on admit, recert, roc

    HealthyNurse replied to Isabelle49's topic in Home Health

    Okay, I see what you are saying now. I misunderstood...I thought the OP was referring to more of an admission case conference and not just a typical report. Do the office personnel do anything with...

  13. Nurse Author

    HealthyNurse replied to patrick1rn's topic in Nurse Entrepreneurs, Innovators

    That is wonderful!!!! Congratulations! You are absolutely a nurse entrepreneur! I've written peer-reviewed articles for health care journals and I do some freelance writing for various health and...

  14. Giving report on admit, recert, roc

    HealthyNurse replied to Isabelle49's topic in Home Health

    Sorry, but having worked on the other side in quality assurance and management, I respectfully disagree. There is a purpose for care conferences when done appropriately. Unfortunately, the reason...

  15. Pets

    HealthyNurse replied to NurseLoveJoy88's topic in Home Health

    When admitting a patient, the agency's patient rights and responsibilities *should* describe the patient's responsiblity in providing a safe environment for staff. I always explained to patients, if...

  16. Giving report on admit, recert, roc

    HealthyNurse replied to Isabelle49's topic in Home Health

    Many agencies have requirements for "care conferences" or something similar after OASIS timepoints. I think that it can be very helpful to clinicians in ensuring that the patient receives all...

  17. Does home health experience hurt chances of going back to hospital nursing?

    HealthyNurse replied to tinderbox's topic in Home Health

    How are you marketing your HH experience to potential employers? Many nurses/nurse managers that have worked their entire career in acute care settings don't understand what HH is all about. Make...

  18. Are we trapped by our nursing degrees? Is nursing worth it?

    HealthyNurse replied to Lucky724's topic in General Nursing

    I don't feel trapped, at least not since advancing my education. There have been times in my nursing career in which I questioned my career choice. When I worked in acute care, I was very unhappy...

  19. interviewing for a ft/rn hh position

    HealthyNurse replied to rward12's topic in Home Health

    My worst day in HH was still better or comparable to my best day in acute care. I never enjoyed acute care though and even when I was in nursing school, I knew I wanted to practice nursing outside of...

  20. Annual survey and I'm scared

    HealthyNurse replied to LightRain_RN's topic in Geriatric, LTC

    I work as a state surveyor. To answer your question, surveyors do identify staff that are involved in particular citations or in the care of a patient for which there is a citation. Staff are assigned...

  21. Is a per diem HH job less crazy than most f/t HH posts?

    HealthyNurse replied to michiganRN1234's topic in Home Health

    I've worked both full-time certified home health, part-time, and per diem. YES- per diem is much less stressful. In most agencies, you will be able to pick and choose your cases, if you want to...

  22. Feels "not legal" to me...Help?!

    HealthyNurse replied to Holy Guiacamole's topic in Home Health

    I agree with the above posters. Start by reading your state's Nurse Practice Act. Most states will have one, although there are a few states that don't (in which case there will still be a state law...

  23. 60 day summary & home health aide services!

    HealthyNurse replied to nurse955's topic in Home Health

    The above poster is correct. The 485 is a requirement for patients receiving skilled care from a Medicare-certified home health agency. If the patient is only receiving home health aide services, it...

  24. Is Nursing really THAT bad???

    HealthyNurse replied to johnny depp23's topic in General Nursing

    When I worked as a staff nurse in the hospital, yes, I really felt like it was that bad! One of the greatest things about nursing though is that there are lots of options. If you are going to work...

  25. Paper vs Electronic Oasis

    HealthyNurse replied to PandaRN's topic in Home Health

    Hello, I would recommend that you spend some time reading some posts here. Before you attempt to start your own agency, it would benefit you if you work for an agency that is already established...