ttouslee

ttouslee

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All Content by ttouslee

  1. Bag barrier paper

    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 option??
  2. mileage

    We are reimbursed .55 per mile. We are licensed in 4 counties, basically if the agency accepts the client, we are expected to drive there.
  3. Medicare Charting Guidelines for HH

    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 charting) no way you can remember specifics after a long ...
  4. Dr. orders for OTC meds

    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 field? Please provide me the regulations that require...
  5. Dr. orders for OTC meds

    thank you for the input!
  6. Fall protocol

    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 have nothing in place for an incident like this. If ...
  7. Start up of a free 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 only be V/S and simple nursing assessment. Lots of ...
  8. Fall protocol

    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 refused. PT visits 3 days a week and OT 5 days a...
  9. 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 much.
  10. Nurse to patient ratio in ED

    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 the code team.
  11. Start up of a free 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 second one considering the offer.
  12. Start up of a free 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 though.
  13. When is Dr. order required?

    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 nurse that she did this. We have had discussions at l...
  14. breaking down charts

    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 anything with someones signature is kept. H & ...
  15. Bag barrier paper

    Thanks everyone, appreciate the input
  16. Bag barrier paper

    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 home.
  17. How many employees are needed for 100 patients?

    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. Tammy
  18. Inadequate orientation

    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 train my staff and am available any given moment f...