KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. MD Office Referrals

    KateRN1 posted a topic in Home Health

    What are your agency's requirements for a referral that comes directly from the doctor's office? Will you take a referral if the doc hasn't seen the patient in 30 days? Or if the referral is "RN...

  2. Pros and Cons

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

    Pros and cons are very individual. What is a pro for me may be a con for you. For example, I like being solitary, autonomous, and on my own for the most part. Many people miss the cameraderie of...

  3. Employee retention

    KateRN1 replied to anticoagulationurse's topic in Home Health

    I think it's a mixed bag. I've seen a lot of nurses and therapists go into home health thinking that it's great hours, flexible, and basically an easy job. True, the hours are generally better than...

  4. License Endorsement

    KateRN1 replied to Roller's topic in Florida Nursing

    Just make sure that it states it's approved by the FL BON and you should be

  5. question-moving to FL

    KateRN1 replied to astin's topic in Florida Nursing

    The job situation here is dismal as best, particularly for new grads. If you're planning to take NCLEX in your current state and endorse your license over, then be aware that many places will not...

  6. Case Manager Pay

    KateRN1 replied to Pooksmom1996's topic in Home Health

    Our full time field nurses are salaried but are expected to do 30 visit points per week. SOC = 3 points Recert = 1.5 points ROC = 2 points Discharge = 1.5 points Revisit = 1 point We are in...

  7. MD Office Referrals

    KateRN1 replied to KateRN1's topic in Home Health

    Which hasn't been revised in five years or so. I've searched the policy manual too, to no avail. If there's something in there that spells it out, please *please* give me a clue where it

  8. MD Office Referrals

    KateRN1 replied to KateRN1's topic in Home Health

    I have looked all over CMS for some sort of rule/regulation/interpretation to guide this little p*ssing contest between nursing and marketing, but I can't find anything. All I can find is that it...

  9. MD Office Referrals

    KateRN1 replied to KateRN1's topic in Home Health

    Okay, here's the deal. I didn't have time to post much information with the first go-round, but now it's Friday and I have all weekend to stew on this. With it being the end of the month, our...

  10. MD Office Referrals

    KateRN1 replied to KateRN1's topic in Home Health

    So no "recent change in status" is required? I'm having a hard time wrapping my head around referrals that come from the doctor's office when they haven't seen the MD in three months. What prompted...

  11. Interested in dialysis- need advice

    KateRN1 replied to davev356's topic in Florida Nursing

    Out of hospital dialysis centers can be scary for someone who does not have a solid foundation in inpatient dialysis. Often there is one RN covering many patients and most of the machine set-up,...

  12. how late too see a hh pt

    KateRN1 replied to pedspnp's topic in Home Health

    Many home infusion companies have these issues and most employees know upfront that infusion staffing is different from typical home health. Infusion cases are typically paid at a premium rate, with...

  13. M1910 Oasis

    KateRN1 replied to Papercutz's topic in Home Health

    I brought this up in a recent OASIS Answers seminar and was told that the tool must be validated for use with community-dwelling seniors. I didn't see anything in the FRAT to indicate that it has...

  14. LPN average wages. Don't want to get duped!

    KateRN1 replied to sweetpickle's topic in Florida Nursing

    Some of it depends on what part of the state you're in. Wages are lower in the northern and panhandle parts of the state than in

  15. Nursing supervisor of Home Health Agency

    KateRN1 replied to Kyasi's topic in Nurse Management

    The DON at my agency has recently been talking to me about taking over as ADON. I've never worked at an agency that had an ADON and my requests for clarification of the role have been met with a lot...

  16. insurance requested medical record

    KateRN1 replied to nursetobein2009's topic in Home Health

    I don't mean to sound preachy, but let this be a lesson to you (and everyone you work with) about how important it is to document *everything,* even the least little things can add up and make a huge...

  17. insurance requested medical record

    KateRN1 replied to nursetobein2009's topic in Home Health

    If the patient was not homebound, then it was an appropriate discharge unless Tricare has other criteria. The rest of it is a moot point. The case manager manager at Tricare may be requesting the...

  18. insurance requested medical record

    KateRN1 replied to nursetobein2009's topic in Home Health

    I'm still stuck on why the patient was discharged with obvious nursing needs? Did Tricare only approve a certain number of visits? Was the discharge scheduled? In either case, it sounds like the...

  19. Chasing doen pt's

    KateRN1 replied to ilovenursing2009's topic in Home Health

    Not returning phone calls is possibly rude, but certainly doesn't count as non-compliance. Perhaps the patient doesn't know that you expect a call back? Maybe they think you are just calling to let...

  20. Need advice on staff motivation

    KateRN1 posted a topic in Nurse Management

    I am a clinical manager in a large mom-and-pop agency (read: no corporate influences, just the owners). I have only been in my position about a month and have discovered that there are some issues...

  21. Time between patients (and other advice you can give to a newbie)

    KateRN1 replied to tinderbox's topic in Home Health

    A lot depends on the area you're covering. If you're in a rural area with a lot of driving between patients, there's nothing you can do except cluster them as much as possible. It's a lot easier if...

  22. Chasing doen pt's

    KateRN1 replied to ilovenursing2009's topic in Home Health

    Our policy is to call the patient the night before to give them a window of time when you expect you will be there the next day, say between 2 and 4. Then call them when you're on the way to make...

  23. Leaving an agency, giving report

    KateRN1 replied to spejsa's topic in Home Health

    But the ultimate question is what is in the best interest of the patients. Keep that vision and you will rarely be steered

  24. HH and the new HC bill

    KateRN1 replied to mightymitern's topic in Home Health

    Caliotter does shift work in homes which is typically covered by Medicaid and thus state-specific. Intermittent visit home care is covered under the federal Medicare benefit and I can only see it...

  25. Leaving an agency, giving report

    KateRN1 replied to spejsa's topic in Home Health

    I totally agree with Kyasi. When I took over at my last agency for another nurse, neither of us was truly available for a long report process. She wrote out all the report info for me, gave me all...