KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    Have you asked your supervisor "What is the skilled need?" That's where I would

  2. Can someone please help me with "The BIG picture"

    KateRN1 replied to gentle_ben_RN's topic in Home Health

    Okay, there are two basic kinds of home health care: intermittent visits (usually Medicare) and shift work/private duty/extended care (usually Medicaid). Intermittent visits: you see several different...

  3. Medicare and Skilled needs

    KateRN1 replied to spejsa's topic in Home Health

    Why do you want to discharge that patient? Wound care is certainly a skilled need, especially when the caregiver refuses to do it. I take issue with the daily part, though, as most wounds do not...

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

    KateRN1 replied to satyadhi's topic in Home Health

    APRNs cannot sign the 485, you will need to have a physician for that. That is a Medicare law and you cannot get around it, regardless of your state, if you want to take Medicare cases. However, you...

  5. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    Not sure what state you're in, but at least in FL we are not allowed to teach/train the ALF staff as that is the responsibility of the facility. ALFs are a tricky business, for

  6. Medicare and Skilled needs

    KateRN1 replied to spejsa's topic in Home Health

    The driving question behind skilled needs is: Does it take a licensed health care provider (a nurse or therapist) for the thing to be done safely? For example, if the patient is on Coumadin and has...

  7. HH visits at ALF

    KateRN1 replied to anticoagulationurse's topic in Home Health

    1) Do you think the ALF is trying to get outside nurses to care for the wound so that there is no real record of the wound on their forms? Thereby avoiding penalties on whatever reports they have to...

  8. DON, Supervisor Medicare Certified Agency

    KateRN1 replied to erroridiot's topic in Home Health

    Wow, an excellent list of questions that covers the nitty-gritty, erroridiot.

  9. DON, Supervisor Medicare Certified Agency

    KateRN1 replied to erroridiot's topic in Home Health

    Trust your gut. You are not qualified for this position, although it may be something you could work into down the road. And training for administrators is not the same as training for a director of...

  10. lvn reporting to a case manager?

    KateRN1 replied to pear8's topic in Home Health

    While what Caliotter says may apply to private duty home care, it does not apply to Medicare home care. As a case manager, I want to be communicating at the very least weekly with the LPN who is...

  11. HH Travel Position

    KateRN1 replied to LTCRN4LIFE's topic in Home Health

    What do you mean by HH travel? A travel nursing agency that is trying to staff for a home health company? I would avoid those. If those agencies can't get locals to work for them, there's a darn...

  12. A few questions about Home Health Nursing

    KateRN1 replied to satyadhi's topic in Home Health

    What are some of the things a home health nurse can not do that most nurses working in hospitals can do? *I don't think there's anything that a HH nurse *can't* do, but there are some things that we...

  13. What was your orientation like?

    KateRN1 replied to HealthyNurse's topic in Home Health

    Orientation? There was an orientation? Seriously, the best orientation I had was from the McHealth company (ya'll know who I'm talking about), which consisted entirely of computer-based modules...

  14. Test Anxiety

    KateRN1 replied to LTCRN4LIFE's topic in Home Health

    And most of the time you'll be able to use a drug book and a calculator, as well as scratch paper and

  15. Anyone heard of Amotec??

    KateRN1 replied to SmilesHeal101's topic in Home Health

    I wouldn't be so concerned if you have an active resume posted on jobs boards like Monster, Career Builder, etc. I still get several calls a week from recruiters even though my resumes aren't...

  16. To return to home health or to stay put in hospital??

    KateRN1 replied to JenRN22's topic in Home Health

    Tewdles, I absolutely agree with you about the amount of time alloted for visits. In my head, the allotted visit time has always been 1 hour, to include the assessment, teaching, and documentation....

  17. Anyone heard of Amotec??

    KateRN1 replied to SmilesHeal101's topic in Home Health

    Try posting in your geographic region, you may have better luck

  18. WEEKEND SCHEDULE

    KateRN1 replied to berube's topic in Home Health

    We have been promised EMRs by this time next year. Holding my breath, 'cause I look so good in

  19. WEEKEND SCHEDULE

    KateRN1 replied to berube's topic in Home Health

    Two words: Baylor shift. 'Nuff said. That was the best aspect of my last agency. If there were weekend SOCs, ROCs, or revisits, the Baylor did them (with a regular RN on call for back up if she got...

  20. Have you ever?

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    And take a day off. It sounds like you need

  21. Have you ever?

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    Willow, another thought. As I review charts, I am keenly aware that I am not seeing the patient with my own eyes, but through the eyes of another clinician who may have more or less experience than...

  22. Have you ever?

    KateRN1 replied to Willow Moonsidhe's topic in Home Health

    Willow, I know you're new at this, so please take my response as a teaching tool. Use it if it applies, and if it doesn't, then disregard. Unfortunately, many nurses who are new to home health care...

  23. Gaining weight in homehealth

    KateRN1 replied to chenoaspirit's topic in Home Health

    :sofahider (I try to limit mine to once a week, generally on Friday as a treat for getting through the

  24. Need advice about Home Health Career

    KateRN1 replied to gentle_ben_RN's topic in Home Health

    It's a lot easier to do home health on a PRN basis if you have set days that you can work, like Mon-Weds, Mon, Weds, Fri, etc. Just saying you can give a day or two here and there definitely doesn't...

  25. Nursing supervisor of Home Health Agency

    KateRN1 replied to Kyasi's topic in Nurse Management

    Challenging, yes, for sure. Thankless, most days. Some days I feel more like kindergarten teacher than anything