KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Paper Oasis in 24hrs

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

    I've always been required to turn in OASIS within 24 hours and never had a problem with it. I don't understand what takes people so long, really, but that's just me. I once did 8 SOCs and 4 or 5...

  2. LUPAs and reimbursement

    KateRN1 replied to anticoagulationurse's topic in Home Health

    If I remember correctly, the per-diem rate is about $120. As stated above, if you take into account all of the overhead that is required to even start that patient, then LUPAs do indeed lose

  3. How long it took you to complete your first few admissions?

    KateRN1 replied to Blackheartednurse's topic in Home Health

    The agency gets reimbursed by the episode, not by the length of the visit (or by a daily rate if it ends up being a LUPA), so don't worry about how long it takes you to do it. In a roundabout way,...

  4. New Grad Home Health

    KateRN1 replied to kasendamiles86's topic in Home Health

    If your mom is a home health nurse, have you asked her if she thinks you're

  5. New Grad Home Health

    KateRN1 replied to kasendamiles86's topic in Home Health

    Just my humble opinion: If you are not able to work smartly and efficiently, as well as build teams in a LTC/rehab environment, you will not be able to be an effective home care nurse. Are the other...

  6. New MC should I change to VA?

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

    I don't think that the reduction in reimbursement rates will affect much except for utilization rates and better accounting of supplies. Every time changes are made in reimbursements, from back in...

  7. Looking for guidance from a few HH vets.

    KateRN1 replied to eriksoln's topic in Home Health

    If you need full time with benefits, best to make sure that you secure a full time salaried position, rather than a prn visit-rate-only position. Don't accept a position that doesn't give you what...

  8. Supervisory visits

    KateRN1 replied to metalRN's topic in Home Health

    How long is the patient out of town? If you can't get in to do a sup visit, then how is the aide getting in to be suped? Do it as soon as the patient comes back and document very carefully that...

  9. Looking for guidance from a few HH vets.

    KateRN1 replied to eriksoln's topic in Home Health

    There is a six month learning curve for experienced nurses. It doesn't matter where you come from or how much you know, home health is a different beast. You must learn an entirely new concept of...

  10. Does anyone knows any good book on documentation?

    KateRN1 replied to Blackheartednurse's topic in General Nursing

    Because you're in home health, documentation books geared towards hospital nurses are not going to be of the best use to you. Try these books for information on home health reimbursement and how to...

  11. How often do you have to call APS?

    KateRN1 replied to RN1263's topic in Home Health

    You really need to get an MSW in before you call APS as well as notify the physician that a referral is being made. Patients have the right to make their own decisions about where and with whom they...

  12. Supervisory visits

    KateRN1 replied to metalRN's topic in Home Health

    Why is the patient out of town? I would be questioning homebound status as well as the need for a HHA if the patient is out of town long enough to prevent a supervisory

  13. Do you need to be "Chemo Certified" to give chemo?

    KateRN1 replied to pcbnurse's topic in Home Health

    Consult your agency's policy and procedure manual, but as a general rule, no, you don't need to be chemo

  14. LPNs and Verbal Orders/IV Therapy

    KateRN1 replied to HealthyNurse's topic in Home Health

    LPNs do not do IVs because our insurance carrier doesn't allow it. For LPNs to do IVs, we'd have to up our insurance coverage to the point that it would be prohibitive. Yes, they take orders, no...

  15. How do you determine the homebound status for the homeless?

    KateRN1 replied to shondaRN's topic in Home Health

    I hope there's been a referral to

  16. Is this safe in the home setting....IM Lasix, huge dose!

    KateRN1 replied to Timetochange08's topic in Home Health

    If the patient is on the list for kidney transplant, s/he should already be on dialysis, which is likely a much better route for massive

  17. Case Management

    KateRN1 posted a topic in Home Health

    Our agency went to a primary nurse case management model at the beginning of the year, shortly before I started. I came from an agency that also used that model, so I am an old hat as both a field...

  18. I want to take my patients with me to my new HH job.

    KateRN1 replied to dyvegurl's topic in Home Health

    Poaching patients is very unprofessional behavior and would be very

  19. Help! Any Home Health RN'S in Ocala Florida?

    KateRN1 replied to pepitofeliz's topic in Home Health

    Omni is also a good company to work

  20. PT only cases and d/c oasis

    KateRN1 replied to Papercutz's topic in Home Health

    AnnaedRN is absolutely

  21. LPN's being on call

    KateRN1 replied to anticoagulationurse's topic in Home Health

    Our LPNs can sign up for call but it is not required. I don't like it because they cannot do initial visits or OASIS assessments. IMHO, only an experienced RN should be placed in an on-call...

  22. New grad, new to home health - overwelmed

    KateRN1 replied to okhhnurse's topic in Home Health

    The situation you describe is exactly why I discourage new grads from home health and discourage my agency from hiring them. Home health can be quite overwhelming to experienced nurses, no way does a...

  23. What is your average case load for Home Health nurses?

    KateRN1 replied to allyira's topic in Home Health

    Unfortunately, right now my two full-time RNs have a case management load of 40-50 patients each, about a third of which are therapy-only, no no nursing revists, aside from the 1M2 for 30-day...

  24. Pts need PT/OT only

    KateRN1 replied to BabaLouRN's topic in Home Health

    I concur with all of the above. If there is no skilled need and it's the policy of your office to have RNs complete OASIS assessments, those RN visits for therapy-only cases are non-billable and have...

  25. Pts think Home Health is permanent

    KateRN1 replied to BabaLouRN's topic in Home Health

    Assuming that you are doing Medicare-paid intermitten visits, refer the adminis the Medicare Benefit Policy Manual, Chapter 7 as well as the Medicare Conditions of Participation for Home Health...