KateRN1 replied to HealthyNurse's topic in Home Health
Our agency also utilizes this model and it can work well if applied appropriately. About half of our cases are opened by the RN and staffed by the LPN for revisits. The RN generally makes the...
KateRN1 replied to CardioTrans's topic in Home Health
Any updates on this product? Our agency is considering switching and I have concerns about the use of PDAs. How is narrative documentation completed? Can one write witha stylus as with a...
KateRN1 replied to Timetochange08's topic in Home Health
I wholeheartedly disagree with Caliotter. There are tons of things you don't know about management if you've only been out in the field. I would not recommend taking a DON position without having...
I thought I'd share this situation with you all, hope that it can help someone else down the road. We've all had those patients who are PITAs for some reason or another and we want to deal with them...
KateRN1 replied to peacetou's topic in Home Health
A thick skin, a huge amount of common sense, the personality to meet patients where they are and not where you want them to be, the ability to see beyond what someone says into what they mean, the...
KateRN1 replied to peacetou's topic in Home Health
Don't forget the hours spent in the car which can have consequences as well. Most cars are not made for long-haul driving. Carrying a heavy visit bag, with or without laptop for documentation, is...
KateRN1 replied to caryrey02's topic in Home Health
First place to start is the CMS website for Medicare Home Health. Second place is the OASIS Answers and read all of the Q&As to learn the nuances of scoring the OASIS assessment. There's an old...
Just a word to the wise: you never know who is reading your posts on Allnurses.com. You never know how your posts may influence a possible employment position, positivey or negatively. When you...
I found out I was pregnant with DD when I decided to go back to school for nursing. I took A&P1 and nutrition my first semester and basically aced them. Took the next semester off as DD was...
In the field, neat, clean, non-wrinkled, plain color scrubs with lab coat if it's chilly. In the office, professional business-casual attire. If I have to go out to the hospital or doctor's office,...
KateRN1 replied to Sensoria17's topic in Home Health
I guess it depends on where you work. Our protocol for an INR >4 is to draw a stat level, so nurses who are doing PT/INRs must be able to draw blood and we have lots of PT/INR patients. We have a...
KateRN1 replied to themoreyouknow's topic in Nursing Career
I have personal business cards that have my personal contact information. I have always given one out after a job interview and carry them with me in my purse for networking
Whoever said home health nursing has obviously not done it. The stress is quite a bit different than inpatient settings, but I can assure you that it is plenty stressful. Patients and physicians...
KateRN1 replied to tinderbox's topic in Home Health
Teaching on pursed lip breathing, avoid using chemicals for cleaning, avoid triggers such as dust and fragrances, how to clean nebulizer equipment, what to do in case of emergency or power outage,...
At our morning meeting on Friday, the HR director, together with our interim DON, instituted a "no complaining policy." No one in the office is allowed to complain about anything, as managers, we are...
Congrats on finding not one, but two jobs! In my experience, the float CNAs (and nurses) always got the worst assignments and were generally not treated well. I would go for the tele position, but I...
I would be concerned if you weren't worried. The new grads who think they know everything scare the crap outta me. Be open and embrace new ideas, new technology, new
KateRN1 replied to anticoagulationurse's topic in Home Health
While I understand that this is all an attempt at being humorous, the reality is that our sexual selves don't shrivel up and die just because the rest of our body does. We can joke all we want about...
After a bit of research, I found the source of this policy. Turns out there's a book The No Complaining Rule and I plunked down my $20 to Barnes and Noble this morning to get the rest of the story...
KateRN1 replied to rvraneses's topic in Home Health
For ROC and recert, it's really easy--document what is addressed in the 485. Look at your goals and document whether or not patient achieved the goals, if not, why, and if more treatment is needed or...
We definitely don't d/c for a patient who is out of town for a dr's appt. We have lots of folks who go 150+ miles to the VA hospital and stay overnight, or several nights, for testing and...