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Per the CCM website: SECTION 5: Employment Experience Employment experience requirements must be fully satisfied before at the time the application is SUBMITTED. To be eligible for the CCM Exam, you must qualify within one of these categories: Category 1: 12 months of acceptable full-time case management employment experience supervised by a board-certified case manager (CCM). Supervision is defined as the systematic and periodic evaluation of the quality of the delivery of the applicant's case management services. Part-time employment experience will be pro-rated based on a 37 hour full-time work week. Could someone please explain the pro-rated for part-time employment to me? I have sent e-mails to CCM but received no answer. I have worked part-time 16h per work for over two years, just recently upgraded my hours to 24h per week. Thank you, in advance, for your assistance.

It looks like it has been a while since this has been discussed. I have been reading the old posts and have a question. I am new to home health and need to draw blood on an adult from a PICC line: would I be better to use a 10cc syringe, flush with saline, draw waste, draw sample, flush with saline, flush with heparin OR attach a butterfly to the PICC port and attach the tubes to fill? Thank you.

I am new to home health and having difficulty understanding "where the orders come from"... I have been told the RN creates the plan of care including the specifics for dressings/wound care. My previous experience was in a hospital where you needed a doctor's order to do things. I am feeling confused and do not want to get into trouble by acting on my own and not following doctor's orders. Please advise... Thank you.

Thank you for such an informative reply.

Would this advice also apply to a nurse that has been out of the work force for a while? Thanks.

I am new to home health and feeling overwhelmed by all the paperwork and responsibility. I am trying to find a way to "feel comfortable" while going through the "learning curve". I have been told that home health is to be looked upon as something that is short-term and intended to provide a specific skill (which I understand) but a great deal of emphasis has been put on the medication profile... which has caused me to question how much the RN completing the initial OASIS assessment can be accountable for all of the patient's medications and their administration?? I find determining and writing the frequencies of visits very confusing and challenging. I also find the two pages of diagnoses/coding very confusing. Any assistance/advice regarding these concerns would be appreciated. Thank you.