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 to the lab within 30 min so i know its not that, t...
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 have about 2 hrs of free time a day, HH has evolv...
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 I have been in HH FOR 28 yrs and soc date is soc ...
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 visits in r agency would not be tolerated.
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. Now i do. NOt get back very much for corrections
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 someone with no HH exp
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 office is open and running. What kind of orientation w...
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 done.
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 phone and tell them the exact thing i just did and th...
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 auditors so i know how u feel. Also ,ake sure u are wea...
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 middle of ur barrier, one side clean one side dirty...
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 opinion