KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. How physical is home health?

    KateRN1 replied to Caffeine_IV's topic in Home Health

    I'm an RN with back problems. In my experience, HH has been less hard on the back than med-surg floor

  2. Are slumps in home health normal?

    KateRN1 replied to KatholikosRN's topic in Home Health

    I'm in Florida and April through September/October has always been a slow season for us. When the snowbirds make their way down south and cold/flu season kicks in, that's when we tend to get busier....

  3. Have you ever done this

    KateRN1 replied to emilysmom,RN's topic in Home Health

    Harrassing the MD is outside of your responsibilities and you should not be expected to do that. You notified the physician of your concerns, I assume that you have it documented, and you advised the...

  4. Home Health vs LTC -- HELP!!

    KateRN1 replied to Nurse01234's topic in Home Health

    If it ain't broke, don't fix

  5. Am I doing a good job?

    KateRN1 replied to emilysmom,RN's topic in Home Health

    Have you had an annual review? If not, ask your supervisor. Ask your peers. Ask someone who you know doesn't like you, because that person will give you an honest answer if you're not doing well...

  6. Assessment is finished, now what?

    KateRN1 replied to Farmorethanrubies88's topic in Home Health

    Where is your 485 Plan of Care? That is your treatment plan and tells you exactly what needs to be taught, what skills need to be performed (eg wound care, IV, etc), and when patient is ready for...

  7. Help with Salary Request

    KateRN1 replied to little2one's topic in Home Health

    What would you think if someone offered you a supervisory position in an ICU or a med-surg department or a surgical setting? I dare say that you wouldn't feel qualified. The same is true for home...

  8. Memorial Weekend

    KateRN1 replied to emilysmom,RN's topic in Home Health

    It is up to you to set your boundaries. Please don't expect other people to respect your boundaries if you are not willing respect them yourself. Best

  9. Bringing kids/hubby to work with you?

    KateRN1 replied to threebrats46's topic in Home Health

    I don't think there are any laws against it, but certainly most agencies have policies against it and for good reason, such as those described above. Think of any other practice environment--would...

  10. Oasis question

    KateRN1 replied to MomRN0913's topic in Home Health

    OASIS data collection rules dictate that you have five days from the SOC date (which is day 0) to collect all of the information required to complete the OASIS SOC assessment. Your office rules on...

  11. What to do? Alcoholic and discharge too soon

    KateRN1 replied to annaliz's topic in Home Health

    What kind of agency accepted this referral? Seriously. Who admitted this patient? Is this Medicare home care? This patient is not appropriate for home care and it's not a safe situation for any...

  12. Long term care ADON considering home health. Advice needed.

    KateRN1 replied to gerRN23's topic in Home Health

    And search this site for stories about Amedisys before you

  13. How many agencies do you belong to? How does working for diffident agencies work?

    KateRN1 replied to 50kn's topic in Home Health

    I work full time for a Medicare agency, but since I'm in a management position, I can't work per diem for another Medicare agency, so I do Geriatric Care Management for one agency and home health aide...

  14. Can appropriate boundaries be rebuilt?

    KateRN1 replied to kparry's topic in Home Health

    I have a power point presentation that specifically addresses boundaries in home health care. If you'd like a copy of it, feel free to email me at katern1 at hotmail dot

  15. Literacy issue

    KateRN1 replied to KRaney's topic in Home Health

    This is a tough situation, for sure. Some suggestions: Color coding med bottles with administration charts, pictures of what not to eat with the universal "no" symbol (circle with line through it),...

  16. Question about LTC facilities that do not accept Medicare

    KateRN1 replied to Morainey's topic in General Nursing

    I'm so sorry for your loss and for the additional family issues this has created for you. Please consider hiring a Geriatric Care Manager to assist with your grandmother's needs, including placement...

  17. really need advice.

    KateRN1 replied to oatmeal's topic in Home Health

    You can also try the Florida Home Care Assoication at www.homecarefla.org. They will probably be a lot easier to reach than the BON and will have info specific to home care. Best

  18. Tutoring?

    KateRN1 posted a topic in Nursing Educators, Faculty

    I left nursing education a few years ago, thoroughly disgruntled with nearly everything about it. The attitude of my holier-than-though program administrator (a Bible-thumping Christian who once...

  19. Anyone familiar with Kindred (LTAC)

    KateRN1 replied to mindlor's topic in Long Term Acute Care

    You're a new grad. Take what you can get. LTACH is just about the best possible experience a new grad can get,

  20. Advice on home health practices

    KateRN1 replied to tmcolema's topic in Home Health

    No one can "make" you do anything. You can either do it or not, and accept the consequences of your actions. You can inform your employer that you will not work 14 days straight and that you will...

  21. Treating "Air Hunger"

    KateRN1 replied to newbiepnp's topic in Home Health

    Air hunger is typically experienced by end-stage COPD patients who are CO2 retainers. Increasing oxygen delivery rate would likely knock out the impetus to breathe. Although IPPB isn't first line...

  22. Patient Consent to Treatment

    KateRN1 replied to indbletrble's topic in Home Health

    Consent to assess is not the same as consent to treat. No way would I have done anything other than assess without a signed consent form. What if you had the consent signed first, but after you...

  23. How do you say no

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

    Which part is bothering you? That you are the only (apparently not so willing) RN at the company? Or that the Dr may call your administrator REALLY MAD? If you cannot (or are unwilling) to do...

  24. I joined this site for positive inspiration

    KateRN1 replied to SushiJoe's topic in General Nursing

    Welcome to All Nurses! I would caution you not to disregard those posts that you view as "negative" or not inspirational. If you want inspirational, go pick up Chicken Soup for the Nurses Soul....

  25. Patient Abandonment by Physician???

    KateRN1 replied to TammyG77's topic in General Nursing

    Patient would be better served by a pain management specialist than a primary care physician at this point. A behavioral health eval may be useful to rule out drug seeking and to treat the...