jmn126

jmn126

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All Content by jmn126

  1. Home health travelers in florida

    jmn126 posted a topic in Travel

    Hi everyone! Just wondering if anyone is doing home health travel nursing in

  2. Point system for FT

    jmn126 replied to Tampa121's topic in Home Health

    Which agency do u work for? Certainly does not seem right, not ur fault they dont have the units during the week for

  3. travel time

    jmn126 replied to dkozlowski's topic in Home Health

    I am pay per visit, am i reading this correctly, is it a federal regualtion to pay for travel

  4. CHEST TUBES IN HOME

    jmn126 replied to RNFL1991's topic in Home Health

    I didnt know what the tube actually looked like either, so i googled it thank goodness for

  5. CHEST TUBES IN HOME

    jmn126 replied to RNFL1991's topic in Home Health

    I have had pts with the pleurex cath in for a longggggggg time, the dr has removed the sutures tho, as the cath has that end that it cant come

  6. Gulf coast of florida

    jmn126 posted a topic in Home Health

    Considering relocating to the gulf coast if florida, looking like 45 min either side of tampa. anyone do HH in that general area? Any advise?

  7. OASIS Certification Exam COS-C

    jmn126 replied to ROBNH1's topic in Home Health

    I am interested also, the class is never offered locally for me either, but can u tell me how u found the local testing

  8. Lab draws off PICC

    jmn126 posted a topic in Infusion, Intravenous

    Ok, what am i doing wrong,,,,,,drawing labs off of a picc line, the same as i always have, but recently i have been getting called fprom the lab with the dreaded "spec has hemolized" , i get the spec...

  9. Can you have a life AND do HH?

    jmn126 replied to lweatherby's topic in Home Health

    I have been in HH 28 yrs, and my simple ans to this question is NO! If u cover all the bases this job is basically never ending, you r either finishing up today or preparing for tomorrow. I literally...

  10. SOC date and Recertification

    jmn126 replied to Isabelle49's topic in Home Health

    SOC date can not change unless the pt has been discharged. The date u get orders for your recert is the verbal order date, not a new SOC date, If this is new, which i doubt, we have not been doing it...

  11. Discharge date

    jmn126 replied to Tampa121's topic in Home Health

    Date of last visit is last week, date of discharge is the date u do the oasis, visit findings are based on the last

  12. start if care oasis time frames.

    jmn126 replied to babs1963's topic in Home Health

    I did 2 soc today, spent about 1 hr 15 min in the home, 1 hr 30 min on documentation and 30-40 min of travel, so usually 3 to 3.5 hrs per

  13. home health visit time frames

    jmn126 replied to roseone's topic in Home Health

    Medicare requires taht a visit is a minimum of 30 min...if u are making 15 min visists u need to relook at that patient and question urself why u r seeing them! Perhaps discharge is in order. 15 min...

  14. start if care oasis time frames.

    jmn126 replied to babs1963's topic in Home Health

    We are still,on a paper system, that being said , not including any travel time, it takes me 2.5 to 3 hrs to complete a SOC. and i have been doing this for more yrs than i choose to remember. Lol....

  15. Med surg Rn trying to make the leap to Home Health

    jmn126 replied to welch07's topic in Home Health

    HH is hard,,hard enough that to start out being PRN and no exp, is not a good mix. Working it full time it will take u about 6 months to say...i think i understand it. I would not advise PRN for...

  16. Weekend schedule - seeking feedback

    jmn126 replied to savoytruffle's topic in Home Health

    That is a very hard way to start HH u will,be doing mostly admissions, u have to have a very good understanding of the OASIS process, there is minimal supports available on the weekends unless ur...

  17. Is nursing obligated to do blood draw on patient if PT is only discipline?

    jmn126 replied to marylandlpn's topic in Home Health

    The PT is the skill, medicare guidelines state thatbu can do lab work as long as there is a skill service being provided., the one rime visit or complete eval would be up to the agency. But it can be...

  18. What do you do if a patient needs to go to the hospital?

    jmn126 replied to Malina9559's topic in Home Health

    You should still,call the MD, you would let him/her know what is going on, that u want the pt to go to the hospital but family wanting to wait, etc.... I have actually had the MD office get on the...

  19. Difference b/t Oasis-C v. B

    jmn126 replied to juschillin's topic in Home Health

    Additional questions is the only

  20. Inspector/surveyor wants to observe me!!

    jmn126 replied to BNA_Houston's topic in Home Health

    They r also looking to see if every med is on the list, so if ur pt is taking it write it on their list, creams powders etc. remember to include OTC like vitamins. MOM I have been put with many...

  21. Inspector/surveyor wants to observe me!!

    jmn126 replied to BNA_Houston's topic in Home Health

    Make sure. U clean ur hands before going into your bag,when u take ur items out of your bag place them on the clean side of ur barrier when done place the, on the opposite side, so put ur bag in the...

  22. Inspector/surveyor wants to observe me!!

    jmn126 replied to BNA_Houston's topic in Home Health

    Also remember HIPAA, to keep charts locked in your

  23. Inspector/surveyor wants to observe me!!

    jmn126 replied to BNA_Houston's topic in Home Health

    Remember infection control and bag technique,if you have home folders make sure that is up to date, that patient has your 24 hr office

  24. Brand New AFib Question

    jmn126 replied to KittyLovinRN's topic in Home Health

    Good call, i thought A-fib at 100 beats could only be picked up on EKG, but glad u did what u

  25. Case manager deciding when to discharge rather than the RN seeing the patient?

    jmn126 replied to HeadingWest's topic in Home Health

    I actually think it is a good idea to continue to see a pt 1w3-4 after wounds healed just to make sure it stays that way and. Family/staff continuing to follow plan. Just my