KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. I Need Yur Advice Please

    The experience of an RN is far beyond inserting foleys and proper trach care. Please don't confuse bedside nursing as being task-oriented. It's not about what you do in a day, it's about all that...
  2. COS - C

    Thanks for the tips. I think I will take along some of those highliter-colored sticky page pointer-outer things so that I can mark as I go any areas that they point out as being "testable." It's been...
  3. passwords?

    Sounds like a case for the corporate compliance team. If you have proof that she is altering your documentation, that is also a case for the Board of Nursing, I think. If you don't have a corporate...
  4. Home Care Fraud - How to escape.

    That sounds like a Medicaid or Medicaid-waiver case, which is not necessarily subject to the same Conditions of Participation that Medicare is--depends on the
  5. COS - C

    How many questions was the exam? I noticed that they only give 2.5 hours for
  6. $22.78

    I'm also in FL, but a little north of you. Cost of living is not a factor for HCA hospitals, in the least. "But you get paid in sunshine" doesn't help pay the rent. You basically have two options,...
  7. What do Home Health Nurses Keep in their Trunk!!!

    Oh, yeah. What Caliotter said. I also have a set of scrubs, along with a change of underwear, socks, and Crocs. Haven't ever had to use them, but there they are, just in case. Also a spray bottle...
  8. What do Home Health Nurses Keep in their Trunk!!!

    Oh, boy. It'd be better to take a picture than try to explain, but I'm too lazy to go out and do it. Okay, in the trunk we have: 1 large flat Rubbermaid box (the underbed storage kind) with wound...
  9. Discharges and pay???

    Home health is a whole 'nother world of nursing, with its own set of guidelines that sometimes make no sense. It will probably take you six months to a year, maybe more, before you really feel like...
  10. Please advice...YOUNG cancer patient and I feel helpless

    Sounds like your psych nurse doesn't want to face it either. Write your order as: MSW referral for community resources. I still recommend getting a hospice consult for yourself. The major agency...
  11. Oops, you're right Berube. No discharge OASIS necessary as the transfer is considered the last OASIS, but the agency still has to discharge the patient and she will be a SOC when she comes out if you...
  12. To the RN I just had hospital orientation with today....

    To the New Tech Who Oriented With Me Today: I've only been an RN for less than a year and I'm still uncomfortable with all that I am supposed to know. Sometimes I miss the days when I "only" took...
  13. Mobbing support - threats, hostile work environment

    Interesting . . . . I didn't hear a self-assessment of your role in the situation, other than that of "victim." Lateral violence is never to be condoned, but my first question to anyone is "What was...
  14. Filling out orders to include sup visits?

    Sup visits don't have to be included in your POC, but the agency I'm with now does include them in the 485, for both LPN and HHA. Sup visits may depend on your state. In FL, LPN sup visits are every...
  15. Please advice...YOUNG cancer patient and I feel helpless

    She needs a referral to Hospice, IMO. If she's not ready for hospice, then a behavioral health consult (psych nurse) is in order. If you don't have psych nursing available through your agency, then...
  16. You will do the transfer oasis and then a non-visit discharge. When the pt comes out of the hospital, she will be a new
  17. Discharges and pay???

    I think the OP is asking how she gets paid for a "non-visit discharge" when she is paid per visit. This is part of the problem that I have working on a pay-per-visit basis, there is so much that is...
  18. Filling out orders to include sup visits?

    RN to perform LPN supervisory visit every 60 days. RN to perform HHA supervisory visit every 14
  19. The date of the transfer is the date that the agency learned of the transfer. If we're notified of hospital admission two days after the fact, then that date is what is put for the transfer date....
  20. CE classes for RNs in Florida

    I like RN.com. Unlimited CEUs for $30 and I enjoyed the content, not just plain ol' black and white text. Any just about everybody will send them to CE Broker, but you still have to pay for their...
  21. Opinions, Is this illegal?

    From my experience at Amedisys *eat Cheerios at desk in morning, popcorn and other snacks in afternoon *talk on phone all day but not to clinicians unless . . . . *call clinicians for trivial matters...
  22. HELP!

    The first issue I see is that daily dressing changes are rarely indicated. It disturbs the wound bed too much and is likely to do more harm than healing to the wound. And Dakins is so caustic to the...
  23. OASIS nurses??

    I think it sounds like they're having LPNs do the revisits while you do all the stuff that requires an RN--meaning you will end up getting paid less per hour than the LPNs and will have far more...
  24. OASIS nurses??

    Well, considering that an average SOC takes me at least 2 hours in the patient's home and then another hour or 2 afterwards to complete, I'd have to say that $100 per SOC would be about right....
  25. Simple Drug Teaching Sheets

    Oh, finally found one myself: