MaheaRN

I have been a hh nurse for 3yrs. I agree that organization is the key. It will give your clients confidence in you because you will look like you have the situation under control. Take these 2 senarios:#1. Hh nurse comes over, washes up, gets set up by pulling out a ziploc bag and lays out all supplies on a chux she has on the kitchen table.#2. Hh nurse comes over, washes up but then realizes she left something she needs in the car. She goes out and comes back as you watch her nervously looking thru her nursing bag digging around pulling things out for about 5 minutes. Then she finally puts her things on the table and says "ok then, are we ready to get started?"

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You did the right thing. We just got surveyed and this topic came up. We will start implementing med recociliation at each nsg visit if needed, as well as therapy visits. I also think it would be a good idea to fax over a copy of medication list obtained at SOC and have MD and treating RN both sign so we are both on the same med treatment plan. If the MD wants to make changes, he can. Many times, hospital d/c meds are different from pre-hospital meds and PCP is not aware. Also follow up w/PCP if no rtn fax by next day.

:nurse:As a home health nurse, I can tell you by experience how difficult it is to remain in compliance. MCR spins even the most dedicated. It is completely normal to go in with entirely good and honest intentions and find yourself having to well...do somethings that make you want to run far away. There will always be compliance issues and questionable requirements but that's why home health is a GREAT challenge. I have been in the heart of it for 2 years now, and am learning new things every single day. We are forced to check, double check and triple check everything we do, and believe me when I say this; it is like playing the hardest chess game ever... stay at least 5 steps ahead and you just may be ok. If your supervisors/DON are not on the same wavelength as you are, protect YOUR license and quit on the spot.

As a home health nurse, I can tell you by experience how difficult it is to remain in compliance. MCR spins even the most dedicated. It is completely normal to go in with entirely good and honest intentions and find yourself having to well...do somethings that make you want to run far away. There will always be compliance issues and questionable requirements but that's why home health is a GREAT challenge. I have been in the heart of it for 2 years now, and am learning new things every single day. We are forced to check, double check and triple check everything we do, and believe me when I say this; it is like playing the hardest chess game ever... stay at least 5 steps ahead and you just may be ok. If your supervisors/DON are not on the same wavelength as you are, protect YOUR license and quit on the spot.

I graduated 2 years ago... and believe me when I say it was just as hard to land a job as a new grad back then too. I wasn't an A student, no awards of any kind and kept praying I would make it to graduation. What I did after graduation was literally mail out about 30 cover letters with a dinky little resume, I called each place I mailed my resume to and introduced myself asking them to please consider me for any nursing position that may come up. It took about 2 months for 6 responses. Be humble. Pray A LOT. Stay focused. Don't come across as being a know it all. But be confident. Aloha.

I would have charted the facts and my nursing action only. I would have left out the entire statement of the patient complaint and taken it up with the RT and a direct nursing supervisor as a witness. If this were to somehow ever make it to a court of law, you would find yourself right in the middle of things. It would be patient's word vs RT's documentation and not yours.