HealthyNurse

HealthyNurse

Functional Medicine, Holistic Nutrition

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  1. Home Care Survey

    HealthyNurse replied to nurse955's topic in Home Health

    Having worked on the other side of home care, I realize that it is very challenging to contact some physicians. From the survey side, it's not the surveyor's concern how challenging it was to get in...

  2. boss forging documents

    HealthyNurse replied to Bee_home care's topic in Home Health

    You would give them one week before reporting??? That is unacceptable...she should have been terminated immediately for the harassment/bullying. You should demand immediate termination and if not,...

  3. Fraud or not?

    HealthyNurse replied to Gommer's topic in Home Health

    No, this is not okay. It is considered fraud because they are asking you to back-date the discharge and you were not even working at the agency during that time. If I were you, I would be...

  4. Home Care Survey

    HealthyNurse replied to nurse955's topic in Home Health

    As far as the tag with the highest frequency of being cited on survey, I couldn't say for sure. I can tell you that the biggest issues that I see are related to documentation and communication. An...

  5. Home Care Survey

    HealthyNurse replied to nurse955's topic in Home Health

    What is your role with this agency? Are you the owner? I'm a state surveyor in another state. The best advice I can give you is to read and understand the Medicare Conditions of Participation for...

  6. What would you do in this situation????

    HealthyNurse replied to arabstarRN's topic in Home Health

    You have a right to be treated respectfully, even while you are in the patient's own home. Your agency should have a list of rights and responsibilities in the patient handbook and it should be...

  7. Interested in befriending a home health nurse

    HealthyNurse replied to imkatgirl's topic in Home Health

    Congratulations on your new position! Do you have any specific questions? I've worked with several different EMRs in home health care. If done properly, they can save a lot of time. However, I've...

  8. how to write qow frequency for medicare

    HealthyNurse replied to terlyn's topic in Home Health

    No, in home health care, you want to give yourself some flexibility. We just don't write orders like that in home health care. If you were to write an order "every other Sunday", you would be held...

  9. Any Registered Nurses that are state surveyors???

    HealthyNurse replied to 1964nurse's topic in Geriatric, LTC

    I started my job as a state surveyor and I couldn't agree more! It is such a positive working environment and it is the first and only job that I've had where I can truly say that I enjoy going to...

  10. OBQI in Home Health

    HealthyNurse replied to KateRN1's topic in Quality Improvement

    1.) The best way to improve employee documentation in terms of accurate OASIS data collection would probably be a combination of group and individual education. How much time and resources are you...

  11. advice: tout your own horn!!!

    HealthyNurse replied to IHeartPeds87's topic in General Nursing

    I agree with the overall idea behind your post. I think that most nurses are humble and modest about the important work that they do and what they contribute to health care delivery. But I disagree...

  12. Is it only hard for Asn and Bsn nurses to get hired?

    HealthyNurse replied to UpstateNyDollCna's topic in General Nursing

    Usually those with an MSN do not work at the bedside as RNs. They work in different roles as advanced practice nurses, nurse executives, or administrative roles. If you are talking about getting an...

  13. Kind of fed up with things...possibly nursing in general

    HealthyNurse replied to JStyles1's topic in General Nursing

    There are so many options that you could look into, both within nursing and outside of it. Try a different specialty, such as home health, public health, urgent care, etc. You could look into...

  14. Medicare Survey

    HealthyNurse replied to Tender HH RN's topic in Home Health

    Those are all some great resources. I would recommend that you start with the CMS Home Health Benefit Manual (https://www.cms.gov/manuals/Downloads/bp102c07.pdf). Also, the State Operations Manual...

  15. CHARTING AND DOCUMENTATION help!

    HealthyNurse replied to MsRN247's topic in Home Health

    I often find that home health nurses forget to document a complete head-to-toe assessment with every visit. It doesn't matter if you've seen the patient 10x or 200x before- you still need to document...

  16. Tracking nursing activities

    HealthyNurse replied to kat7464's topic in Home Health

    HMarieD is correct- this is a new Medicare requirement. What you should determine is what you spent the majority of your visit doing. Obviously, for most visits, you may be doing all three or a...

  17. Nursing Home Business

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

    Hello Kiwinarz! In the United States, the nursing home industry is highly regulated by the government. In fact, it is probably the most regulated aspect of health care. There are a lot of federal...

  18. Is this legal?

    HealthyNurse replied to RN1263's topic in Home Health

    Is this a private duty agency or Medicare-certified? From your description, it sounds like a private duty agency and I'm not familiar with those regulations. My initial thought would be that it...

  19. Please help me... How to get in the QA/QI field:)

    HealthyNurse replied to lifein08's topic in Quality Improvement

    I currently work as a state surveyor. I have a background in QI and staff education within my specialty area. I also have a master's degree in health care administration, with a specialty in quality...

  20. Nursing Writing Opportunities?

    HealthyNurse replied to mAGGI315's topic in Nurse Entrepreneurs, Innovators

    I've done writing assignments for an online learning system designed for nurses within my specialty area. These are online courses that the organization you work for would assign you to as part of...

  21. Honest opinions needed

    HealthyNurse replied to CareRx's topic in General Nursing

    I agree that you should spend some time shadowing a few nurses before you make your decision. I always enjoyed math and science as well and you do have to be prepared that nursing is an applied...

  22. Please help me... How to get in the QA/QI field:)

    HealthyNurse replied to lifein08's topic in Quality Improvement

    When you say "nursing education", what is it that you do exactly? Are you in clinical staff development or do you teach at a college/university? As an educator, you are working in a field closely...

  23. Talk to me about orientation

    HealthyNurse replied to KateRN1's topic in Home Health

    This is not technically "in the field" orientation, but what I found from working in the role of a home health educator is that having a course that includes an overview of home health services,...

  24. Resigning after 2 weeks as DON- Advice please!

    HealthyNurse posted a topic in Nursing Career

    I started a job as a director of nursing at a home health agency 2 1/2 weeks ago. I knew immediately that it wasn't going to work out. By the end of the second day, I was considering going home and...

  25. nurse wanting a masters in something other than nursing

    HealthyNurse replied to RN-DC's topic in Nursing Career

    Can you give some more details on what you see yourself doing in a sports-medicine related field? With the MSN, you could go for FNP and work in sports medicine. If you are more interested in...