KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. No Nurse Supervisor

    KateRN1 replied to spectral_ev's topic in Home Health

    Uh oh, Caliotter, that is just plain wrong! What is this person thinking that the POC cannot be changed? If the patient dies, are you supposed to keep administering meds until the 60 day mark when...

  2. Nervous about Home Health

    KateRN1 replied to pcbnurse's topic in Home Health

    Sad but true, treating many of them like toddlers is the only way to sanity. Give them two choices and ask them to choose, "I can come at 8 am tomorrow or 3pm on Wednesday, which would you prefer?"...

  3. Amedysis

    KateRN1 replied to PALPN4018's topic in Home Health

    I was just coming to post this, but NRSKaren beat me to it. FYI--all the offices have that same Mother Teresa print. Trust the decorating only when it's done by someone in the office, not mandated by...

  4. new RN jobs in Fla?

    KateRN1 replied to Dino's topic in Florida Nursing

    Don't forget to factor in the lousy school system,

  5. Really interested in Home Health

    KateRN1 replied to TazziRN's topic in Home Health

    Willow, my best guess would be the cost of supplies is why they're discharging those

  6. Physician-centric?

    KateRN1 posted a topic in Home Health

    Okay, so I just finished the Blueprint for OASIS Accuracy seminar and something dawned on me today. We're going through the POC synopsis, section M2250, and I realize that so much of what we can...

  7. Need advice on staff motivation

    KateRN1 replied to KateRN1's topic in Nurse Management

    Your assessment is spot on. There is no ownership for problems and no one cares that patients aren't receiving their services. I had a long discussion with the DON today which turned into a...

  8. Young Nurse-New Care Coordinator

    KateRN1 replied to Rebel_Kitty's topic in Nurse Management

    You might start with assessing the situation and making sure that the aides have the time and supplies to do their jobs properly. Many years ago, I was a nurses aide in a nursing home and I can tell...

  9. Can a NP be a primary care provider and work with other health care providers?

    KateRN1 replied to satyadhi's topic in Home Health

    But then your mothers would expect her to stay home and have babies. ;-) Good luck. Check out the Visiting Physicians Association, if they have a branch in AZ, it may be a good

  10. Quality of nurses?

    KateRN1 replied to 4evernrs's topic in Home Health

    I just discovered a diabetic patient who didn't have his feet assessed from SOC and 2 revisits. Pt was referred for wound

  11. Amedysis

    KateRN1 replied to PALPN4018's topic in Home Health

    run!!!!!!!!!!!!!!

  12. Help for bedbound pts - Geri chair?

    KateRN1 replied to kaliRN's topic in Home Health

    I've never seen Geri-chairs used in the home, but have seen reclining wheelchairs and recliners used with some success with a Hoyer lift. I don't think Medicare pays for anything beyond a regular...

  13. need advice

    KateRN1 replied to cymphilly's topic in Home Health

    This is really not to bash the OP, but honestly, this is the reason that new grads shouldn't be doing home health care. I know that most new grads don't choose to go into home health, most would much...

  14. Physician-centric?

    KateRN1 replied to KateRN1's topic in Home Health

    I just posted the COS-C study materials in a separate thread to make it easier to find. If you can print all of it out and keep in a binder for reference, it will make some of the rules much easier....

  15. COS-C Study Materials

    KateRN1 posted a topic in Home Health

    also known as "everything you ever wanted to know about oasis but were afraid to ask, or didn't know that you didn't know." this is essentially what's handed out in every oasis seminar, but the...

  16. Can a NP be a primary care provider and work with other health care providers?

    KateRN1 replied to satyadhi's topic in Home Health

    I would think it might be a little confusing and would not be easy to bill. As a regular RN, you would not be able to bill for your services under Medicare, but would have to realy on the episode...

  17. Physician-centric?

    KateRN1 replied to KateRN1's topic in Home Health

    Willow, I've had the same thing happen to me--accused of practicing outside my scope when applying a non-ordered dressing. On look back, though, it think it was more an issue of how to capture...

  18. language barrier

    KateRN1 replied to mariarn80's topic in Home Health

    First best option is to have a family member in the home who speaks both languages. Second option is to call the AT&T interpreter, although I really hate to do that. If all parties are...

  19. Medicare and Skilled needs

    KateRN1 replied to spejsa's topic in Home Health

    Awww, shucks. :loveya: Not sure why the dressings are BID, unless it's someone who doesn't have a clue about wound care. Maybe the LPN is trying to increase her visits? The HH agency doesn't get...

  20. Physician-centric?

    KateRN1 replied to KateRN1's topic in Home Health

    That's exactly my point, HMarieD! If we are going to have to accept the results, make it a situation where we have some control over

  21. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    I used to do HH in rural Southwest MO. I feel your pain, I really, really

  22. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    I think you did the right thing. Want to move down to Florida and work with me?

  23. PT INR

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    We do it same as

  24. Medicare and Skilled needs

    KateRN1 replied to spejsa's topic in Home Health

    Yes, the patient has issues, but having issues is not a reason to discharge from home health care. Daily wound care is allowed up to 21 days without an end date, after that you need to provide a...

  25. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    "Keeping the doctor happy" is not a skilled need. Clearly she has no idea what she's doing with home health. Consider going somewhere else, when and if you