AmPmRnoncall

Maintaining professional boundaries is very hard but very important to protect yourself and your license. I'm sorry this happened to you but for the sack of you livelihood..stay away... Sometimes the worst professionals are the worst reporters the th...

I worked 12 years for a children's hospital based home health agency. i was a case manager for 8 of those years and did alot of driving(covering 11 counties) and absolutely loved it. the agency put alot of money into my training and certified all of ...

LPN's can always make out. they just had a big shift where I use to work. Past tense. I quit. They hired another nurse with no home care experience and I was in charge of training her. She told me what she starting making an hour (4 dollars an hour m...

I have administered blood, cerezyme, IVIG, IV steroids, Remacaid, in the home. Sometimes the closest hospital was 40 minutes away with a rural volunteer fire ems. Clients should always have had there first dose in the hospital and not be a high canid...

Can anyone tell me how their agency handles missed cert visits. Right now, our director is mandating that if our cert visits are missed, we have to discharge then re-admit that patient into our agency. It is creating way to much work if we are too ea...

Can anyone help me. I have worked for my pediatric home care agency for 7 year now. We had a medicare auditor do an onsite visit for our medicare licensure. She is telling my director that even long term pedicatric patients need to be recerted every...

Can anyone cite the CMS's requirment on pedicatric certification and also clarifying missed cert periods....

2 things to ask on your interview. "how long is orientation?" (which should be no shorter that 4 weeks) and up to a year with a mentor. #2 "what is the service area I am expected to cover?" (you sould only be expected to do 4-5 visits per day. EXPEC...

I know what you are going thru. I won't bore you with my own account. BUT, what comes around goes around. My old supervisor who kept putting all the pressure to do visits on me was terminated after I made an anonomys call to our compliance officer an...

My agency payes all of us nurses by the hour. I make 25.00/ hour with a 0.43$/mile. I am responsible for up to 3 counties but if I am oncall, I'm responsible for up to 10 counties. I get 25$/ night week night for carrying pager and get my hourly rat...

My home care only does admissions up to 9 o'clock at night. Anything after that needs to have a good reason why we are sending a nurse out. I am the charge nurse every other week and I won't go out if I can handle it over the phone. I can't say that ...

Hey everyone.... Who hates those long hours of on call... Tell me what oncall is like at your agency.. Where I work, the PRN's pick up as little as possible and get away with it... It's up to us 1 full time and 1 half-timer(ME) to pick up at least 4-...

To all you experienced home care nurses. We just started something new. Our 485's are entered into our data system by a data processer, then reviewed by one of our RN coordinators for accuracy, then signed by the coordinator. As an example:: J.Smith ...

Our PRN's do case management (which I think is a joke). And they get paid more than me and I have a much larger case load. Anyway... Just venting.. I wish you the best on your interview and it will be the best job you ever had.:chuckle :caduceus:

Hang in there.... It takes a long time. I worked for a small hh agency once that bragged about being all computerized. WHAT A JOKE... I was constantly going back and reentering and reprinting... And I had 6 years of home care experience to boot.. The...

I do both after-hour visits and triage. Gets a little hairy sometimes. But most of the clients are peds and answering questions. If I am unable to triage a complications, I'll then go out. If it is in an area that I know is not safe after my assessme...

Don't give up... It gets better.... Just call if you need more help.. I know how frustrating it can be... Just keep going.. It's worth it! Lois RN:balloons:

Do you have a pallative care MD on staff.. I work at a children's hospital that has a pallative care MD and She is the BEST. I do homecare and she came out at 2:30 AM to help me with a 1 year old dying at home. Sounds like with your patient, the MD's...

One of the biggest problems I run into is running into the office for a sec and get suckered into and hour-long problem solving issue with my co-workers, who are RN's but haven't done any clinical nursing for many many years. Organize the best you ca...

Boy... Have you opened a hornets nest with me.. This is one of my BIGGEST pet peeves... I try my best to call all my clients either the day or night before. I get better compliance with calling the night before. When admitting them, I even try to set...

Hi Everyone, In regards to cell phones: My agency provides a company cell phone with the stipulation that it only be used for patient calls. Which sometimes my bill is well over 70$. I usually get called on the rug and have to justify the calls. I ha...

Hi Patti, I work for a hospital based pediatric homecare agency and drive about 15-200 miles a day with 5-7 visits per day. I cover rural/urban areas. I'm an hourly employee so I get paid for my travel time. As far as paperwork, I usually end up taki...

Could anyone please tell me how to get my IP number. I've called the medicaid line and all I get is an answering voice mail. I've been in home care for 8 years with 4 of that as a high-skilled RN. I'd like to go back into private duty but as a IP, an...

Hi everyone. Glad to find a venue for information. I'm the only FT home health intermittent RN for a Children's Hospital in Akron, Ohio. I have a number of PRN's that fill in, but sometimes there availability isn't enough. The area I cover is about a...

Hello again everyone.. My census is usually about 25-30 visits per week with putting about 150 miles on my car aday....