CabanaDay

I would add to bring the food/snacks and water/drinks in a cooler and use the disposable "blue ice" packs. In addition bring your own napkins/utensils. It makes a good impression that you are self-sufficient, there to work, and not some unwelcome hou...

One way to gauge a typical pay rate in your area is to call a private duty agency and ask what they would charge for the services you are expected to perform. One-half that number should be your starting pay rate. Another method would be to call a p...

What are some reasons a client currently receiving SN and PT visits from a Medicare Certified Home Health Agency in Florida would not be offered the flu shot? I'm looking for the logistical or profit driven or Medicare rule reasons that seemingly mus...

Hi, I'm being offered a case in Tampa, FL 4 days a week, all in a row, 'round-the-clock for $100 a day. Sleep when the client sleeps eat what the client eats. I'd prepare meals and a meal is provided for me. Help with light housekeeping, ADLs, bathin...

You said you were in Miami, FL. Here is a link to search by Facility (including Home Health Agency) state inspection reports. Click on "Search by Facility Type/Location" to get started. You can try choosing "Home Health Agency" and enter a zip code, ...

A bladder holding 10 liters, 2.6 gallons, of urine? Wow, just wow!

I work for both companies. I have not worked 12 hour shifts for Maxim. But for both companies I am never allowed to make the schedule the way I want it. I take breaks only if a competent family member is present and notified. I worked 12 hour shifts ...

I'll agree there is a growing availability of technology based products targeted to the aging-in-place market. But there really isn't a growing need. Technology based products for aging-in-place seniors work no better in the home than they do in faci...

Working as an HHAide for a licensed Home Health Agency. Client has diagnosis of Alzheimers. No skilled care in the home. No Medicare licensed Home Health Agency in the home. Client is lucid, firm, and articulate in refusals of Personal Care... shavi...

I'll add that if something seems abusive, stop. If you witness neglect, including self-neglect, report it. But I'd also like to ask, in the absence of strong Nursing Management support, what good ways can HHAides use to educate family members that th...

Client is incontinent of urine and feces and alone overnight 8 to 10 hours. I do bath visits. Client's shirts, sheets, pillows, everything are often soaked in urine. Maybe it's not out there. But I'd like to find an overnight diaper in a pull up. Fam...

I received samples of the Abri-Flex Extra Pull-ups and Abri-Let booster pads. Indeed these are superior products. Abeena is a country of Danish origin. The packaging has instructions for donning and doffing the Pull-on Briefs in sixteen languages com...

Yes! Thanks. NorthShore. Also trying Prevail Adjustable Underwear which has the polymer beads (granuals). By weight based guess it appears we need to contain about 1300 cc. Well, the guard pad currently in use is part of the problem. Think designe...

I agree but I have done Medicaid bath visits where Medicaid provided top of the line briefs --- the ones with dry granuals inside instead of absorbent fibers. They seemed to hold a liter and a half. But they were unlabeled. And a year ago. Yes we tr...

I disagree. Millions of men and women manage their own nocturia every night by wearing absorbent incontinence pads or fitted briefs, or both. They sleep, or at least stay in bed, for eight hours or more, get up, wash up, and away they go with their d...

Ha ha ha! I used the term diaper in this forum in hopes that would better clarify the difference between, well Pull-up Adult Briefs and, um Adult Briefs. I'm terribly sorry Diane if reading the word diaper offended you.

I don't understand the question. Please elaborate.

I too believe the missing piece in all this is family member education. There is nothing in my agencies' home folders, or admit packets, educating the families about boundaries. At meet and greets with nursing management, where everyone sits around t...

Agencies/Employers must provide PPE under federal law (OSHA). No one remembers the seeming duplcitous Bloodborne Pathogen education/CEU/in-service for both OSHA and a BoN approved providers to be/remain employed? If you complain, as someone did at on...

My clients' (several) Care Plans were written by an RN nearly eight months ago. Each has a term of six months and expired more than a month ago. All clients have had significant changes in condition that have been acknowledged orally and those change...

Practical Management Strategies for Diaper Dermatitis provides the data I sought regarding the combination of urine, and feces which is a reservoir for Candida albicans (yeast), that discourages cornstarch based powders. In a warm, humid, and high pH...

For adult patients incontinent of urine and feces who may go eight hours (or more overnight) without changing, is powder containing cornstarch less than ideal? I ask in HH because I hope patients in hospitals and LTC aren't going eight hours without ...

Strange how experience varies. Last year I received my flu shot at a popular pharmacy chain's clinic from a single dose vial. This year was from a popular grocery store pharmacy via a Fluvirin single-dose syringe.In the intervening days from my initi...

Well, were I you I would advise my Agency of a possible conflict of interest. Also, I'd make sure those trips to the grocery store were infrequent or for periods of relatively short duration.

As much a question as a statement, but: Couldn't this be a HIPAA violation of the worse kind (using PHI for financial gain)? Unless the room up stairs in the family duplex was advertised to rent to the public, it is likely that the existence of the r...