ttouslee

ttouslee

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All Content by ttouslee

  1. Bag barrier paper

    ttouslee posted a topic in Home Health

    What is everyone using for the barrier paper for their home health bags. We have been using infant scale covers cut in half but are just about out. Need to reorder or would like it if I had another...

  2. mileage

    ttouslee replied to nursehoagie's topic in Home Health

    We are reimbursed .55 per mile. We are licensed in 4 counties, basically if the agency accepts the client, we are expected to drive

  3. Medicare Charting Guidelines for HH

    ttouslee replied to roach930's topic in Home Health

    I agree with the others here, documentation should be completed by end of day. I tell my staff if they do not want to chart at the visit, they have to have it written on paper (we do computer...

  4. Dr. orders for OTC meds

    ttouslee posted a topic in Home Health

    I feel very incompetent in even asking this question but had little to no training to home health. Is it required to have dr. orders for items such as tylenol or stool softener in the home health...

  5. Dr. orders for OTC meds

    ttouslee replied to ttouslee's topic in Home Health

    thank you for the

  6. Fall protocol

    ttouslee posted a topic in Home Health

    Hi everyone, does anyone have a fall protocol that they wouldn't mind sharing? We had an incident of an aide discovering a client had fallen with injury. I did not like how it was handled, but we...

  7. Start up of a free clinic

    ttouslee posted a topic in Ambulatory Care, Clinic

    I hope someone can help me with this. I am the administrator of a Home Health agency. However, my CEO has asked me to research and start the process of opening a free outreach clinic. This would...

  8. Fall protocol

    ttouslee replied to ttouslee's topic in Home Health

    The client did fall at home, lives alone. We always do a fall risk, which he is/was a significant risk. Safety measures educated with all visits. client has frequent falls, needed to be in a NH, but...

  9. What will electronic charting do to all our man hours

    ttouslee replied to HHN2472's topic in Home Health

    We do electronic charting and about the only thing it saves, is your hand from cramping from all that writing. It might be some faster but not

  10. Nurse to patient ratio in ED

    ttouslee replied to 1fastRN's topic in Emergency

    I work in a small hospital, in ER we work with one RN and one EMT. At about 4-5 pts I will call the supervisor who then will come to help out. When a true cardiac comes in it is one on one, besides...

  11. Start up of a free clinic

    ttouslee replied to ttouslee's topic in Ambulatory Care, Clinic

    Thank you for the ideas, I will certainly add those ideas to my list. I am still interested in additional thoughts on how to actually run the clinic. We have the main building and one nurse, with...

  12. Start up of a free clinic

    ttouslee replied to ttouslee's topic in Ambulatory Care, Clinic

    I do have our attorney working on the disclaimer for nurse protection. Quess I was really hoping for some ideas on setting up the clinic. Must not be a topic of interest

  13. When is Dr. order required?

    ttouslee posted a topic in Home Health

    I am needing to verify when a dr. order is required in home health and when its not. We have a client that requested our aide put ace wraps on her LE. the aide placed them and notified the primary...

  14. breaking down charts

    ttouslee replied to jbellard03's topic in Home Health

    We do computer charting, but its amazing how much paperwork is still in the office charts. When we breakdown the chart, all Dr. orders, including referrals, F2F, signed 485's, are kept. Pretty much...

  15. Bag barrier paper

    ttouslee replied to ttouslee's topic in Home Health

    Thanks everyone, appreciate the

  16. Bag barrier paper

    ttouslee replied to ttouslee's topic in Home Health

    I don't know the state reg on a rolling bag but would think the same principale would apply, that there needs to be a barrier between bag and surface in the

  17. How many employees are needed for 100 patients?

    ttouslee replied to enesberg's topic in Home Health

    We aren't as large as 100 clients but from my experience I would say you ned minimum of 5 full time RN's. Good luck with that contract, that will be great for your agency.

  18. Inadequate orientation

    ttouslee replied to PeacockMaiden's topic in Home Health

    I have to disagree with a few of these comments. There is not a lot of money to be made in Home Health. It is the agency you are working for that has a problem. I take it very personal to properly...