artsmom

artsmom BSN, LPN

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All Content by artsmom

  1. Certification

    artsmom replied to artsmom's topic in Case Management

    CCM, and thank

  2. Certification

    artsmom posted a topic in Case Management

    I would like to get certified as a case manager. I have reached out to a few programs I found in a Google search but no one responded to my inquiries. Can anyone recommend a program that I can go...

  3. ‘Patron saint of Patience’ is at end of her rope. Please advise.

    artsmom replied to Mapleandhoney2468's topic in Home Health

    Tough situation. Under who's orders are you currently practicing? If his prior MD is signing order's you should be covered there but it sounds like you (because of the way the patient is behaving) are...

  4. Useless

    artsmom posted a topic in Home Health

    I had two patients in one day tell me how useless I was and VNA in general. I generally like my job, a lot, but it got me thinking- except in the very obvious cases, am I useless? I educate a lot, but...

  5. Useless

    artsmom replied to artsmom's topic in Home Health

    Thanks for the reply. I don't typically ask people what they expect from me, normally I think it Is obvious to them & us. I was just really thrown off having 2 people tell me how useless I was. I...

  6. I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    artsmom replied to SafetyNurse1968's topic in General Nursing

    My immediate response would be to r/o a stroke, check kidney functions, check for any tick-borne illness since he works with animals

  7. New to Homehealth

    artsmom replied to MomtaRN2B2020's topic in Home Health

    Everything about it is totally different from the hospital setting. Give yourself at least 6 months to determine if you like it or not, at first it's like being a new nurse, everything is new and it's...

  8. Pleurx drains

    artsmom posted a topic in General Nursing

    Hi- just wondering if anyone can help/enlighten me. I am a HH nurse and have taken care of many patients with pleurx drains, so I am very comfortable with the use of them as well as possible side...

  9. Pleurx drains

    artsmom replied to artsmom's topic in General Nursing

    Yes, perhaps she did confuse the abd/LLL, though she pointed to her mid abdomen when I asked her to show me where it hurt. I had taken off ~450ml when she screamed out and yes, it was the 1st time it...

  10. CNAs sleeping on the job... What can I do as a new nurse?

    artsmom replied to jessica0rae's topic in First Year After Licensure

    I don't believe that is true. I work in home health but the CNA's are under my

  11. Complete SOC if patient does not qualify?

    artsmom replied to MotoRN34's topic in Home Health

    First- clarify the VNA role in care of the pt- which is not indefinite 7 days per week care. This patient is bed bound and has a stage 3 so they qualify for services. Ensure, especially if they are...

  12. New to Home Health and Confused

    artsmom replied to deefizzle's topic in Home Health

    That's a lousy preceptor! Bp that high you definitely call the MD, and if I couldn't reach them I would send the pt to the ED. In the home you're the eyes, you are the only one doing the assessment...

  13. Hiring manager offered position, HR said no and won't tell me why.

    artsmom replied to MiloRN's topic in General Nursing

    I agree with this as a possibility. Someone used me as a reference without checking first so when I got a call about them, I was honest. Nothing slanderous, but definitely truthful. Had they asked me...

  14. DESPERATELY seeking for an advice!

    artsmom replied to sweetmaryRN's topic in Home Health

    I've been a visiting nurse x4 years, my best advice? Run fast & far. There is so much to home care that you are setting yourself for some major problems. The pay structure is also atrocious. I am...

  15. Do you have a territory?

    artsmom replied to onedayitllbeme's topic in Home Health

    I have a designated territory and am automatically the case manager of all patients in my 2 towns. However our bigger towns typically have 2 primary nurses and the new patients are assigned to...

  16. can you do an oasis c2 recert just for HHA services?

    artsmom replied to kembers's topic in Home Health

    A recert visit alone without any clinical need does not count as a skill. It seems like the company is just lucky at this time. I worked for a company that got bagged for massive Medicare fraud, your...

  17. Offered a job in HH but I'm not sure about this one.

    artsmom replied to MostlysunnyRN's topic in Home Health

    This does not sound good at all. How are you expected to chart without a laptop? The territory may not be so bad if you can schedule everyone in a row but there are so many other red flags. A lot of...

  18. How often do you do med reconciliation?

    artsmom replied to KSU-SN's topic in Home Health

    Our policy is each visit. This is not practical but I try my best. Cardiac/high acuity patients I do the rec each time, things change often and I don't want them confused about anything. Daily wound...

  19. can you do an oasis c2 recert just for HHA services?

    artsmom replied to kembers's topic in Home Health

    You cannot do an oasis recert just for an aide, you are correct that it needs to be skilled. As for your 2nd question, it sounds sketchy but I am unsure the legality behind

  20. Is home health that bad?

    artsmom replied to trinan71's topic in Home Health

    The documentation in home health is what drives many people away. Learn to use your time effectively- schedule enough time in between appointments to finish up as much as you can, don't push it off...

  21. Is home health that bad?

    artsmom replied to trinan71's topic in Home Health

    Yup, it's all about working for the right agency too. I always tell nurses in orientation- give it at least 6 months before you decide if you like it or not and 2 years before you know enough to feel...

  22. Confused

    artsmom replied to JoanaJ24's topic in Home Health

    Our LPN's set their own schedule, it would be really hard in home health for another nurse to dictate the time of your visit unless it's for a med admin or something that would be timed for anyone. My...

  23. Raises in Home Health nursing

    artsmom replied to msteeleart's topic in Home Health

    I worked for a poorly run home health agency w/no regards for the nurses- no raise in 2 years. I then switched to a highly reputable VNA that cares very much about the staff & their reputation,...

  24. Do you feel like you make a difference?

    artsmom replied to RN416's topic in Home Health

    Yup, what Libby said. I've been doing this for 3 years now but only feel like I have helped people in the past year or so. The biggest area is when they first come home and are very anxious, just the...

  25. Question from non-nurse

    artsmom replied to Imnotanurse's topic in General Nursing

    As a home health nurse I frequently ask the SW's to see my patients/families. Some are great and try to offer up as many resources as they can, others are lackluster. What I see most often is that...