Kaisu

Hospice

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All Content by Kaisu

  1. Kaisu

    Trend for PT doing RN role?

    As far as I know, medicare requires an RN case manager for home health. If no skilled nursing need is identified, PT/OT/SLT can carry the case. Assessing incision/wounds, blood draws, etc are...
  2. I think it depends on what part of the country you are working in. I work with an RN that is experienced and efficient. She does over 6 figures a year but she is very efficient. I am nearing the...
  3. Kaisu

    Looking for advice

    I would think that an agency doing something like this out of the blue is a real "gotcha" and I would not accept it as an employee. Our DON does chart review on a regular basis and brings...
  4. Kaisu

    Unhappy with HH

    What Libby1987 said. It does not sound like a good
  5. Kaisu

    Unhappy with HH

    I felt like I was being a bother too. My DON always told me that she expected questions and would be very nervous and worried about me if I didn't ask. I think your DON is busy, but she does want...
  6. In Western Arizona it is 155$ for start of car, 55$ for routine visit, extra for supervisory visit and/or visits with skills and 48 cents a
  7. Kaisu

    Dignity vs Safety

    I would have looked to see if Joe had a hospice diagnosis. Home hospice services up the level of care and with the son living so close may have done the job. Bottom line is Pete made the decision...
  8. Kaisu

    Unhappy with HH

    In the first two weeks of working home health, I was overwhelmed. I contacted my DON and she cleared my schedule for the next day to allow me to catch my breath. Two things here - 1 - I was...
  9. Kaisu

    Castlebanch drug testing facility

    There is a whole market for products to pass urine tests. These involve everything from fake urine to things that will keep urine at body temperature for hours all held within a belt. Simple to do...
  10. Kaisu

    The BEST of Both Worlds...

    I was a paramedic for 5 years (very busy system, ran 3,500 calls in 911 and critical care transport) and received my nursing license a year ago. I tried med/surg in a hospital and it was so not for...
  11. I got hired twice.... left the first job after 4 months because it was not a good fit. Have a dream job now and loving every minute of it... Graduated at 59. Now
  12. Kaisu

    Older Student/Over 60 years old

    I graduated and passed my NCLEX at 59. I immediately began working, first in Med/Surg and now Home Health. I was a peer tutor (paid by the college) for Anatomy and Physiology, Microbiology, Gen and...
  13. When you are on your own dealing with very complex cases without the support of others, you stay current because you are forced to know what you are dealing with. If you are any good that
  14. Home health as all specialties, requires specialized skills and thus is suitable for some and not for others. Wasting of talents occurs when your personal gifts are underutilized and your weaknesses...
  15. Kaisu

    PQRS WAVE

    Low calcium means a reduction in the calcium gradiant, causing a lengthening of the ST segment. Remember that it is calcium released from the sarcoplasmic reticulum that enables the muscle to...
  16. That fool has frightened you with a threat that has no
  17. Kaisu

    Spooky experience cleaning the attic

    Ditto... home health care nurse in a county that had more opiod prescriptions than people. I have an 84 year old patient that finally said "yes, I'm an addict. I've been taking these pills for over...
  18. I can't answer your question, but it seems bizarre to me that paramedics all operate under protocols and order sets, with far less education and the ability to perform invasive interventions ( IO...
  19. Kaisu

    Buy your own laptop?

    That's a big fat no to that agency. The agency provides the equipment. Unless they are a flimsy, fly-by-night semi scam, in which case, why would you want to work for someone like
  20. If it was easy, any idiot could be an
  21. That I've died out of a state of grace and am in Med/Surg
  22. Kaisu

    Feeling like a failure

    It definitely makes you feel terrible. I think part of the learning experience in nursing school is learning that you can push through even the most difficult emotions. This is a must for a nurse....
  23. I cannot believe what I am hearing. I must work at Utopia Home Health and Hospice. A patient was rude to me. The patient was warned and another nurse was reassigned. She was rude to a second and...
  24. Kaisu

    Licensing Deficiency

    I think what you need to say in your documentation is that "Patient took medications as prescribed". As you state yourself, patient knows his/her meds but is non-compliant. It is common to state...
  25. Kaisu

    Job Offer?!

    Sounds like a pretty decent offer from a pretty decent agency. I think they are light on the time required to complete and 80% charting done in home is optimistic. At least initially, expect to...