RNDixiechick
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INS has a policy book that is pretty good. Also a Standard of Care Book.
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Thirty-one bags work great. The ones with pockets on the outside.
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Thirty-one bags work great for nursing bags.
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I started in home health in June. I have days when I feel very incompetent. I have been a RN since 1994 but nothing has prepared me for home health. It is very easy to drowned in paperwork. I find it helpful to do charting in the home. It is too easy to forget or get caught up. One thing I am learning is to stay out if the office as much as possible. It is hard to focus and meet deadlines and the phone calls get me further behind. I go to coffee shops or the library to get caught up without people talking to me or giving me phone calls. We have LPN's that do all visits an RN doesn't need to do and an LPN in the office to make calls to the docs. This really helps! I usually do 2-4 visits a day. We have a new executive director and I hope she doesn't make any major changes! Organization is a key factor in this job. Deadlines and required paperwork regarding transfers, Sup visits, ROC's, recerts and SOC are very important and if missed cause big headaches for the company and the nurse. It's been nice to vent! Good luck! I love reading others ideas and helpful hints!
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I started home health in June and I have learned so much! I have been an RN x 20 years, mostly management. This is an entirely different world! The paperwork is astonishing. Everything is time dependent and it matters! A couple of weeks ago I forgot to do a transfer on a pt that was admitted to a hospital. Medicare asked to see the chart and we were dinged for not having appropriate order of the pts care. On the other hand, our small agency, was just named in the top 100 agencies in the nation. Everyone at work is telling me it takes at least a year or more to grasp the whole concept. I am having a difficult time figuring out what situations/diagnosis meet the criteria to be admitted or continued. Take lots of notes and ask questions. Don't get frustrated!! Good luck!