nurseinmo

jeannepaul what is the census of the hospice you work for? I just interviewed for a job that sounds a lot like what you are doing. I was told they would pay an hourly/salaried rate for the time and a per visit "bonus". The current census is 47. W...

I have seen this happen as well. I think sometimes when those "other" hospice agencies are trying to build in a new area they go above and beyond what they would normally provide to try to boost their reputation if you know what I mean. I am curren...

Anyone out there use this system? What are your thoughts on it, any advice or tips? Our agency just installed it with the plan to "go live" on July 1 (the day I started) but there were so many flaws we had to go back to the "old" system for a few w...

I have worked for the same HH agency (hospital based) for 2 years now. In that time we have had 6 directors... we recently had a survey that apparently didn't go like they thought it should. One of the issues that was brought up was our 485's. Now...

That's what we have been trying to tell her!! I thought maybe something had changed as far as the 485 was concerned; I think she is just mis understanding what the surveyor meant. There is no talking to this woman, I have tried and it has just gotte...

My situation was a little different. As a new grad, I did about 3 months of med surg nights and then I worked in a long term care facility for the developmentally disabled, the same facility I had worked at as an aide and an LPN. With about one yea...

Anyone got any ideas? Thanks in advance!

Until recently our LPN was on call as well, with an RN back up in case of something outside of her scope. She is the only one of us who doesn't live in town and several times would call whoever her backup was and have them make the visit so she didn...

Yes the ones I am thinking of are Medicaid only patients. we only do initial, 60 day, and d/c summaries for the Medicare patients. Apparently the story goes that it was sort of a "billing" thing that they weren't paying so the agency would send alo...

Does anyone know anything about doing 30 day summaries for medicaid? I am fairly new to HH and was recently told I need to go back and do 30 day summaries on all my mcd patients....billing says that we don't need them anymore but I want to be sure. ...

Thank you so much! I have looked everywhere and have yet to find anything that says this is required but wanted to see if it was something I was missing.

Here is one with several useful things on Diabetes.... Diabetes Education and Research Center - Teaching Materials

We are allowed to wear either scrubs or street clothes but no jeans. I do know of another agency that does allow denim but not blue...they are allowed to wear scrubs if they wish as well. I do genearally wear scrubs unless I go out after hours or I...

THANK YOU!! That does help quite a bit actually. I wish they would let us use the paper forms for ours, esp since we don't do OASIS on infants and we usually don't see the moms as patients. The last time the people from this software company was he...

We have just gone through some software changes and we are a very small agency and none of us are really "baby nurses" if ya know what I mean.. anyway, my question is, what are "must chart" things for a well baby visit? I am going to have to rebuild...

Wanna move to "middle of nowhere" MO? We have a good agency as well. Just filled the open position but I don't look for this one to last long based on a lot of what she said today. :) The good ones are out there! :)

We are also a very small agency with a "new" director (she was a field nurse before w/the same agency) who just found out she has cancer. We typically take call once every three weeks from Friday evening until the next Friday morning and the directo...

I feel you pain! I worked at what sounds like a very similer facility until recently and we went through this very same struggle with the management. The way our facility was set up we had one building on each side of a main highway that runs throu...

I work in an MRDD long term care facility that is operated by the state and we have an individual who is somewhat MR but also has numerous other issues. He had been on Clozaril but had to be taken off due to agranulocytosis. We went through months ...

Took NCLEX-RN today, and for all those people who told me that the LPN test was harder....you lied! I had the min questions for the PN test 4 years ago and passed, left the test feeling ok; this time I had close to 160 q and felt like there were a L...

That is perfect! Thanks so much!

I have to come up with an assessment for my on-line transitions class and I am having some difficulty following some of it. 1. what is pupil consensuality, and pupil convergence (on a neurological assessment form) and what do I put in the blank. The...

Hi all! I have recently begun an LPN to RN transitions course before starting RN school in Janurary. I am in despirate need of help! This course is online and only 2wks long so there is a lot of info crammed together and right now it is a bit overw...

That makes sense, thanks!