GapRN

GapRN

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All Content by GapRN

  1. Wound supplies for patients?

    GapRN replied to lilu678's topic in Home Health

    Get a SOC folder. Call complaint line. In the mean time, follow the chain of command. Notify the MD of supply issues - let your boss's referral source call the office and ask why they need...

  2. Home Health RNs: mileage reimbursement?

    GapRN replied to iridium54's topic in Home Health

    Wow. Pharmacies aren't really that connected to home health other than your requirements to do medication reconciliation. FYI: There's a difference between nursing at peoples homes and "Home Health...

  3. Home Health RNs: mileage reimbursement?

    GapRN replied to iridium54's topic in Home Health

    You are describing the federal mileage requirements. I have had several jobs where they say my pts will be near me, but I end up working 20 - 30 miles away and all short distances between pts. This is...

  4. charting!!!! I am about to leave home health...

    GapRN replied to principessaGG's topic in Home Health

    I have a lot of issues with HH. I quit a year ago but I miss the pt care. Plus, the industry is so terrible that my 11 years of experience don't seem to be worth much in any other health care

  5. New Nurse Case Manager

    GapRN replied to syronrs14's topic in Case Management

    I don't mean to hi-jack this thread, but it's old, and I can't Ctrl-f "new", "topic" "post" or find any button for new post. I just had a worker's comp phone interview. We talked for 70 min, they...

  6. National Standard Productivity

    GapRN replied to mukluk2's topic in Home Health

    There is NO standard. If someone says there is, they're selling you something. Did you read the first link? That garbage was written for the benefit of investors. The pro's/cons of staff payment are...

  7. We’re all being “fired”! Is this legal?

    GapRN replied to Taylor22's topic in General Nursing

    I'm no expert, but AFAIK the only difference with union/non-union is that (some) unions negotiate a group contract, while each non-union individual must negotiate alone. BUT, once there's a contract,...

  8. Case Manager Tools and Tips!

    GapRN replied to syoung078's topic in Home Health

    XX y/o F lives with ??? Who assists with ADLs. Referred for ST, & SN from MD office for additional speech therapy as ability improves. We have previously seen Pt after she was hospitalized at...

  9. Case Manager Tools and Tips!

    GapRN replied to syoung078's topic in Home Health

    Re: burnout. Look up your state's case law on Exempt status of home health clinicians. If applicable go to your county's lawyer referral service and have them write a letter stating that you are not...

  10. Case Manager Tools and Tips!

    GapRN replied to syoung078's topic in Home Health

    Do a through SOC with SBAR narrative. List phone numbers in narrative for quick reference. Insist that If you are to follow pt, then you get 1st crack at doing the SOC - otherwise you need to review...

  11. Text app rights

    GapRN posted a topic in Home Health

    I had a patient from a SNF who had a unique Dx that I really wanted to follow. I had no experience with this Dx and I could only get orders from nurses memory. The SNF MD said he only transcribed...

  12. Tired of ALFs throwing us trainwreck patients with little to no information on referrals.

    GapRN replied to Patchouli's topic in Home Health

    All the work rolls down hill to the clinician who has no voice in the office, and is barely considered a team member by outside agencies. Most institutions are not even aware that you can satisfy PHI...

  13. Preventing the Looming Public Health Crisis - Nursing Shortage

    GapRN replied to Aetienne's topic in General Nursing

    I graduated as BSN in 2009 & couldn't GIVE my labor away for experience. Pig in a Snake my butt. Nobody cares about anything but this quarter's profits. I ended up in dead-end home health where...

  14. Do you think nursing pay would decrease if a recession occurs?

    GapRN replied to Googlenurse's topic in General Nursing

    We ARE in a recession. Any propaganda to the contrary is aimed at propping up the market long enough for the ruling class to discretely liquefy assets. And yet corporate profits continue. News said to...

  15. I'm back!

    GapRN replied to NurseCard's topic in Home Health

    I've been at several agencies looking for somewhere that follows labor law. We need industry wide labor organizing - I see the same people jumping from agency to agency, and everyone short on staff....

  16. Where to go from home health?

    GapRN posted a topic in Home Health

    Looking for advice on what my resume is good for. I never planned on doing home health, but graduated during the recession and it was either home health or SNF drug monkey. Now I have 10 years of home...

  17. Doing refresher course or start dialysis?

    GapRN replied to ReeShee's topic in Dialysis, Renal, Urology

    I know this thread is old but I thought it was important to warn people off of a refresher course unless it is free and you don't have anything else to do with your time. I graduated 2009 during the...

  18. cover letter advice

    GapRN posted a topic in School

    Hi everyone! I was looking for work and saw a school nurse position that could actually pay my bills so I headed over here.... and spent the next 2 days reading this forum. I'm impressed by how...

  19. Guidance needed to Eritrean home therapy patient

    GapRN replied to AngelKissed857's topic in Dialysis, Renal, Urology

    I'm not sure what you mean by not treating pt as bed-bound, but changing pt/CG behavior is done through age appropriate education. Try telling my 3 y/o to brush her teeth cuz she should! Instead of...

  20. What is appropriate during work hours?

    GapRN replied to Nursetravel246's topic in Home Health

    Flexible. LOL. you can work your 60+ hours per week any time you want! I spoke to a lawyer who said I should get overtime even if I'm paid per visit. those on call weekends should be $480/8hr + per...

  21. cover letter advice

    GapRN replied to GapRN's topic in School

    Do you think that dropping by the school district office a couple of day after turning in an application would help? I was told to physically seek out employers after graduating but in health care,...

  22. Vaping

    GapRN replied to JenTheSchoolRN's topic in School

    I quit smoking 8 years ago and love my vape. Kids vaping instead of smoking seems like progress to me, but no drugs would be better obviously. My thoughts here pertain to nicotine since kids obviously...

  23. Home Health Nurse pay??

    GapRN replied to Okie51's topic in Home Health

    Home health give you 2 options: 1) Do your job well, DC patients with goals met who can take care of themselves, and enjoy a fulfilling pt care experience helping people. But you don't get paid much....

  24. Where to go from home health?

    GapRN replied to GapRN's topic in Home Health

    Thankyou for the advice! @Kaisu - sorry. I did not mean to disparage the entire SNF field. That's just the job I had! they hired me as a PRN admission RN which i thought may help sharpen my assessment...

  25. Home Health and expectations

    GapRN replied to BrianLee73's topic in Home Health

    Expectations are poorly managed. You need to start with sales reps educating MDs on what we can bill for. I tell my intake coordinators over and over to emphasize independence, length of SOC, and...