84RN

84RN

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All Content by 84RN

  1. Would you consider a company car a HIPAA violation

    84RN replied to HHN2472's topic in Home Health

    I don't think it would be a HIPAA violation, unless letting people know that someone in a particular house having a home health nurse visit is considered "protected health information." But I do...

  2. Showing Improvement?

    84RN posted a topic in Home Health

    We keep getting told that we must show improvements in our patients between the SOC and DC. Yes, we can get the wounds healed, teach them about their meds/disease processes/safety in the home, but...

  3. Experienced nurse now inexperienced

    84RN replied to BSNWendy's topic in General Nursing

    I was at home with kids for 17 years --- worked 10 years before that in SICU and L&D. I was required to do a refresher course. Florida calls it "RN Remedial Course" and it's for RNs that have been...

  4. General info about hospice

    84RN posted a topic in Hospice, Palliative

    I'm a home health RN and fairly often we get patients that go to hospice care. Today a patient's daughter was asking me some questions because they're considering hospice for their mom. How much is...

  5. Oldest patient

    84RN replied to MessyMomma's topic in Patient, Colleague Relations

    I work in home health and did some visits on two sisters, both patients. One was 101 and the other 98. The older lady told me one day when I was doing her wound care, "Can you hurry up, I want to be...

  6. Famiy Medicine Residents Shadowing HH Nurse

    84RN replied to KittyLovinRN's topic in Home Health

    How about a patient that needs diabetic teaching, or one that gets frequent PT/INR testing along with adjustments in Coumadin

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

    84RN replied to Malina9559's topic in Home Health

    According to my clinical manager, we are supposed to go ahead and call 911, and if the patient and family refuse to go to the hospital, they can refuse the EMS themselves. But to cover ourselves, and...

  8. IM injection on underweight pt

    84RN posted a topic in General Nursing

    Where's the best place to give an IM injection on a very underweight patient? I work in Home Health and often give B-12 injections. Next week have to give one to a man that's 6'1" and weighs about...

  9. Update on fraudulent visits

    84RN replied to salvadordolly's topic in Home Health

    Amazing. I'm glad you were able to document it. Her poor

  10. Lets talk about $$$

    84RN replied to russki1313's topic in Home Health

    A regular skilled nursing visit usually takes 30-45 minutes, depending on what the needs of the patient may be. For a Start of Care, which is probably like your intake, it's anywhere from 45 min to...

  11. Lets talk about $$$

    84RN replied to russki1313's topic in Home Health

    1. State (city would be nice) South Florida, Broward County 2. Salary I'm per diem and get paid per visit. $75 for Start of Care $65 for...

  12. Dietary Information

    84RN posted a topic in Diabetes, Endocrine Nursing

    I work in Home Health and have a new patient with type 2 diabetes, controlled with both diet and some insulin (Novolog Mix 70/30 twice daily). She also takes Coumadin, so is watching her intake of...

  13. favorite LOLs and LOM

    84RN replied to smurfynursey's topic in Home Health

    While doing wound care on 101 yr old lol, she says to me, "Can you hurry it up, I want to be early for happy

  14. Fraudulent visits - yes I brought it up!

    84RN replied to salvadordolly's topic in Home Health

    I get that this LPN (and others like her) make a lot of money for the HH agency owners, but she's costing all of us in more than just the waste in Medicare dollars. Because of people like this, the...

  15. Fraudulent visits - yes I brought it up!

    84RN replied to salvadordolly's topic in Home Health

    Who is doing her supervisory visits? In our agency (isn't this standard?), the each LPN must have a sup visit by an RN monthly for each patient they see. Have the RN doing her sup visits look at the...

  16. Fraudulent visits - yes I brought it up!

    84RN replied to salvadordolly's topic in Home Health

    Our agency recently terminated an employee for falsifying times on his visit notes. He'd only stay 10-15 minutes at a home and chart that he was there for 30. We're paper, not

  17. Fraudulent visits - yes I brought it up!

    84RN replied to salvadordolly's topic in Home Health

    Does she chart her times in and out of each home? How is it physically possible to do 26 visits in one day? Is this in one building or is she driving between patients? I'd think your administration...

  18. What's good about home care nursing! Please add more...

    84RN replied to Marcia73's topic in Home Health

    When I was returning to the workforce after 17 years at home with kids, HH was the area I wanted for the following reasons: 1. No 12 hour shifts...the hospitals around here all do 12s, and it's not...

  19. PRN Home Health??

    84RN replied to lanorris21's topic in Home Health

    I do prn HH, and generally love it. The only downside is that they aren't obligated to give me any patients if they aren't busy. The fulltime staff get their schedules filled first, of course. so my...

  20. Resume Wording for Home Health

    84RN posted a topic in Home Health

    I'm updating my resume and unsure of how I should word my home health experience, and Googling home health rn resume hasn't helped. I've worked for one agency for almost 2 years, and it's my only...

  21. HH pay

    84RN replied to caspertheghost's topic in Home Health

    I'm per diem in South Florida and my agency pays: $75 for SOC, $65 for Resume of Care/Recert/Discharge OASIS, and $40 for regular visits. The per diem pay structure does not include payment for any...

  22. New nurse / new to HH / tons of questions

    84RN replied to tinyRN72's topic in Home Health

    This is ridiculous. You've been given no training at all, sent out and expected to track down your own patient supplies on wild goose chases? I know jobs aren't easy to find right now, but if I were...

  23. The good, the bad, and the ugly

    84RN replied to R!XTER's topic in General Nursing

    . The ugly: being told by a totally lucid gentleman, "honey, just scratch my balls a little bit." hahahahahahaha, I literally just snorted my tea. Thanks for the

  24. Patient Picking At Clothing/Bed Linens

    84RN replied to 84RN's topic in Home Health

    I'm working up my nerve to suggest hospice to the daughter, but know she's not ready to hear it right now. She has taken her mom (and dad, also our patient) to the ER repeatedly for anything and...

  25. Patient Picking At Clothing/Bed Linens

    84RN replied to 84RN's topic in Home Health

    This patient does have some dementia, but this is the first time I've ever seen this behavior, and I've had her as a patient on and off for almost a year now. She's definitely declined in the last...