KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. The Home Care Dialysis Patient

    KateRN1 replied to Twink's topic in Home Health

    Concentrate on the disease processes that led to the renal disease--diabetes, HTN, etc. Management of those disease processes and all that goes along is probably your best

  2. HH Vital Signs to Include Pulse Ox?

    KateRN1 replied to indbletrble's topic in Home Health

    The issue isn't with physicians, the issue is with auditors and accrediting bodies and whether you're following the POC and your own internal

  3. Qualifications for DON designee or alternate?

    KateRN1 replied to ziadollface's topic in Home Health

    No, they're not always. I am a designated alternate and didn't have to go through the credentialing that the DON did. Best to check with agency policy manual and/or accrediting

  4. Home Health Nurses, how many opens and visits do you have a week?

    KateRN1 replied to owleyes's topic in Home Health

    Are these Medicare intermittent skilled visits? If so, I'm a little worried. If not, then disregard all that follows. Medicare requires all visits to be skillable and billable, so a 20 minute visit...

  5. Lack of basic care--appalling!

    KateRN1 replied to kool-aide, RN's topic in General Nursing

    A few years back (more or less) I read an article about a patient who suffocated from build up of oral secretions. I wish I could give that article to every nurse, nurse manager, and hospital CEO as...

  6. HH Vital Signs to Include Pulse Ox?

    KateRN1 replied to indbletrble's topic in Home Health

    SpO2 readings are so tricky in home care and it's really a ridiculous situation. If you include it as required with all vital signs and it's not done, you have a deficiency for not following the POC....

  7. Offered HH position - accepted - now worried....

    KateRN1 replied to Marshall1's topic in Home Health

    I whole heartedly disagree with the above. Home health is a completely different beast from the 90s. We've gone from fee-for-service to IPS to now PPS based on OASIS HHRG and therapy projection for...

  8. Qualifications for DON designee or alternate?

    KateRN1 replied to ziadollface's topic in Home Health

    Check your policy book or your accrediting

  9. Ideal New Hire

    KateRN1 posted a topic in Home Health

    Thought I'd share my ideal for a new hire, and see what others look for in a new home health nurse. I want someone with at least five years of varied professional experience, prefer med-surg but...

  10. Ideal New Hire

    KateRN1 replied to KateRN1's topic in Home Health

    Oh yes! Truthfulness--very important! Caught one out in a lie today. So sad.

  11. Seriously thinking about quitting

    KateRN1 replied to twokidsmom,rn's topic in Home Health

    Each agency is different in terms of visit frequencies, etc., and I'm assuming (maybe wrongly) that you're doing Medicare skilled intermittent visits. So my first question is why are you seeing each...

  12. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    I was sorry to see this disappear from the front page without some more feedback. Anyone else want to chime

  13. Seriously thinking about quitting

    KateRN1 replied to twokidsmom,rn's topic in Home Health

    Maybe I don't understand. You said 22 patients. Does that mean you have 22 patients to case manage, 22 patients to visit? Or 22 visits to do? Honestly, that doesn't seem like much to me with what...

  14. rude office manager

    KateRN1 replied to wildtulip's topic in Home Health

    First question is why didn't you have a marketer pick it up? Why harrass someone on an order from April? Second question is are you sure there isn't something wrong with your fax machine? I know...

  15. How do you determine what is a good facility BEFORE you work for them?

    KateRN1 replied to CNA&student's topic in General Nursing

    When I was considering relocating, I did the "mystery shopper" thing. I went to several different hospitals on the weekend and just found the tele floor. Once there, I was very upfront, told them...

  16. How far do you go?

    KateRN1 replied to meriposa's topic in Home Health

    Here's an email that went around at our agency a couple weeks ago, addressing the very situation. Place names changed to protect the innocent (as well as the guilty!). (We cover a six county region,...

  17. Licensing question for a new grad in HH

    KateRN1 replied to MBrickle's topic in Home Health

    Best thing would be to contact your state board of

  18. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    And that's another thing, there's really two different kinds of home health care. The first, as described above is what's called "shift work" or sometimes private duty although that is a bit of a...

  19. Providing Home Health Aide services when patient has hired caregiver

    KateRN1 replied to swilliams1970's topic in Home Health

    It depends on the scope of the other aide. Some are not able to do ADLs, they only do IADLs per their written care plan, which is why it is important to coordinate with the other agency. If,...

  20. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    Can we hear from some hospital nurses? I'd love to know what the common perception is. I remember a few years ago when my MIL landed in the ER. When the ER nurses found out that I'm also a nurse...

  21. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    I whole heartedly agree and wish that this thread had been left in the general forum for just that reason. Pretty much only home health nurses visit this forum (or those who are interviewing or...

  22. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    No, I really think you hit the nail on the head. Hospital nurses look down on home health nurses like it's not "real nursing." Well, I'm here to tell you that it is more real that anyone can...

  23. Why is home health considered an "easier" area of nursing, suitable for beginners?

    KateRN1 replied to klone's topic in General Nursing

    I have 20 years of experience in home health care. I second the very strong belief that new grads are not appropriate for skilled home health care. Long term care with stable patients (shift work...

  24. Home Health Happy Hour

    KateRN1 replied to sboudreaux's topic in Home Health

    :cheers:

  25. Home Care Survey

    KateRN1 replied to nurse955's topic in Home Health

    The new survey guidelines concentrate much more on the delivery of patient care. Friends at other agencies have given me the following tips that they were cited for: * on the service agreement: SN...