HealthyNurse

HealthyNurse

Functional Medicine, Holistic Nutrition

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  1. RN with fitness backgrounds???

    HealthyNurse replied to jmtrn0904's topic in Nursing Career

    I've been interested in combining my love of fitness with my nursing background since I was in nursing school. I'm certified through the American College of Sports Medicine as a health and fitness...

  2. Any holistic health Nurses involved with yoga

    HealthyNurse replied to natalio's topic in Holistic

    hi yoga nurse! i visited your website and there is a lot of great information. however, it's not really clear how to become a yoga nurse through your program. where do you do the teacher trainings?...

  3. RN Personal Trainer

    HealthyNurse replied to smkiya's topic in General Nursing

    Smkiya- Any update on your progress? I am anxious to hear if you passed the test and have done anything with your new certification

  4. Any entreprenurial nurses out there?

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

    Thank you for this post! I've been thinking a lot lately about turning more to my health and fitness interests and starting an in-home personal training business that focuses on those with "at-risk"...

  5. Health care reform/future of home health

    HealthyNurse replied to pnhopeful's topic in Home Health

    The face-to-face encounter must occur with the certifying physician within 90 days prior to the SOC or within 30 days after the SOC. The reason for the visit be related to the primary reason for home...

  6. Starting A Home Health Agency

    HealthyNurse replied to OBRN4U's topic in Home Health

    Agreed with the above. Also, you may want to do some research into health care reform and how that is affecting the home health industry. I do not want to discourage you from something that is truly...

  7. Face-to-Face Rule

    HealthyNurse replied to KateRN1's topic in Home Health

    I see this as a HUGE challenge facing home health care. It is going to require a lot more work on the part of the physician to document the face to face encounter. Unfortunately, I see that as being...

  8. New QA nurse in home health

    HealthyNurse replied to moskalyn's topic in Home Health

    This has to do more with the Medicare Conditions of Participation. Per the Medicare COPs, it must be a qualified RN or therapist that makes ANY changes to the plan of care. So technically, an LPN...

  9. RNs opening cases, LPNs making all revisits?

    HealthyNurse posted a topic in Home Health

    Does anyone work for an agency in which RNs are responsible for performing the SOC (and any subsequent OASIS assessment) and then the LPNs make all the revisits? My agency is moving toward using this...

  10. RNs opening cases, LPNs making all revisits?

    HealthyNurse replied to HealthyNurse's topic in Home Health

    This is also what we are seeing in my agency- lots of issues related to inappropriate follow-up, not reporting issues to the RN case manager, and very serious incidents resulting. It is

  11. RNs opening cases, LPNs making all revisits?

    HealthyNurse replied to HealthyNurse's topic in Home Health

    I would argue that it IS different from LPNs working on a hospital floor, because the RN can easily go into the room and visualize the patient on the hospital floor, if need be. In home care, there...

  12. New grad, new to home health - overwelmed

    HealthyNurse replied to okhhnurse's topic in Home Health

    Good for you for recognizing that you couldn't handle this situation. Unfortunately, it's a common situation, at least in my agency, where you are doing an admission and there is not a med list...

  13. New grad, new to home health - overwelmed

    HealthyNurse replied to okhhnurse's topic in Home Health

    Wow, I'm sorry to those new grads that have been placed in this situation. IMHO, new grads absolutely do not belong in home health. The job is far too autonomous and requires too much critical...

  14. LPNs and Verbal Orders/IV Therapy

    HealthyNurse posted a topic in Home Health

    What are LPNs able to do at your agency? Specifically, can they take verbal orders from a physician or otherwise alter the plan of care? If they do take verbal orders, are the orders co-signed by an...

  15. Best RN jobs to have more time for children/family

    HealthyNurse replied to babblingbrook's topic in Nursing Career

    Agreed about home health...it is a job that you are never truly "done" with. You may be done seeing patients, but there is charting to do, follow-up calls to make, etc, ect. It is great in many...

  16. Laywer to Nurse - does JD help?

    HealthyNurse replied to IamAng's topic in Nursing Career

    One area you may want to look into is risk management- a part of health care quality. This is an area where the RN-JD combination will definitely help you. However, you will need some amount of...

  17. RNs opening cases, LPNs making all revisits?

    HealthyNurse replied to HealthyNurse's topic in Home Health

    Willow- Does Amedisys use this model as

  18. RNs opening cases, LPNs making all revisits?

    HealthyNurse replied to HealthyNurse's topic in Home Health

    Thanks to everyone that replied! To those whose agencies are currently doing this, is it with all patients regardless of payor source, or just your managed care

  19. Progress note

    HealthyNurse replied to Sana2007's topic in Home Health

    Thanks for the clarification. With these definitions, we include a narrative progress note in the recert/discharge summary once per 60-day episode. There is a small narrative section where we...

  20. RNs opening cases, LPNs making all revisits?

    HealthyNurse replied to HealthyNurse's topic in Home Health

    The RNs will still be full-time...they will still be listed as the official "case manager" and carry a large caseload double the size of a typical caseload. They will be responsible for keeping up to...

  21. What to do when the agency is beyond the help of a QA?

    HealthyNurse replied to erroridiot's topic in Quality Improvement

    I know this was posted several months ago- Did you resolve the issue? Is it very common to come across agencies that have no QA/QI? I work in home health and I can't imagine this...my agency has a...

  22. Case Management

    HealthyNurse replied to KateRN1's topic in Home Health

    I have a description that I can share- however, I won't be able to get to it until next week due to vacation. Please give me your e-mail and I will gladly send

  23. vna

    HealthyNurse replied to kimmyrae722's topic in Home Health

    Any agency worth working for will supply you with the necessary equipment. We do not allow our nurses to use equipment that we do not provide because of the liability associated with it- we can't...

  24. Progress note

    HealthyNurse replied to Sana2007's topic in Home Health

    No, we do not write monthly progress notes. The visit notes stand as the only required documentation, in addition to any notes of communication that takes place with the patient or team members...

  25. Home Health assessment

    HealthyNurse replied to HomeHealthRNTX's topic in Home Health

    At any visit, regardless if it is an OASIS timepoint or not, you should be doing a full head to toe physical assessment. Depending on what is going on with the patient, I try to organize and focus my...