KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Are nurses required to do HHA visits in your agency?

    KateRN1 replied to Debra,RN's topic in Home Health

    I am not aware of any Medicare regulation that prohibits skilled nursing and home health aide visits being conducted on the same day, nor any that prohibit the same person from conducting both visits....

  2. Skilled Need?

    KateRN1 replied to JessLPN2RNASN's topic in Home Health

    The skilled need isn't always a task, it can be education or assessment that only an RN can provide. If the patient has a peripheral IV, will it stay in for seven days or will the nurse need to...

  3. Patient Consent to Treatment

    KateRN1 replied to indbletrble's topic in Home Health

    I agree with the more conservative approach. Treatment and assessment are two separate issues. Your initial contact with the patient is to determine if s/he is appropriate for home care services. I...

  4. PICC line dressing change: am I in trouble?

    KateRN1 replied to Wheretogo's topic in Home Health

    So I'm wondering if you had a PICC line dressing change kit or if this was something cobbled together from individual parts and pieces and if it was all

  5. Working for family directly, setting up meds

    KateRN1 replied to 84RN's topic in Home Health

    Any non-skilled care agency should be able to do this. You can also refer them to Geriatric Care Managers in your area, check with caremanager.org for resources. This is something that you can do in...

  6. Can I make acetic acid??

    KateRN1 replied to xoNurseRNxo's topic in Home Health

    Wow, not usually a currently recommended practice as it inhibits growth of healthy tissue and encourages pseudomonas. Not to mention that daily dressing changes disturb the wound bed and lengthen...

  7. "medicare" charting

    KateRN1 replied to kgarfield2000's topic in Home Health

    The important things are to document homebound status, medical necessity of home care, your billable skill, and what follow up is required. There is no requirement--anywhere--that you document a...

  8. breaking into homecare

    KateRN1 replied to sbostonRN's topic in Home Health

    If you want to do Medicare intermittent visits (vs shift work), your best bet is to find out everything you can about OASIS. If you can afford to attend training classes on your own, I would highly...

  9. "But for me, 98.4 means I have a fever...."

    KateRN1 replied to abbaking's topic in General Nursing

    Many times patients aren't trying to be annoying, they really don't know any better. They may truly believe that 99 is a fever or whatever. But it really sucks to be the patient trying to tell a...

  10. The Mockery of Nursing

    KateRN1 replied to Old.Timer's topic in Patient, Colleague Relations

    As a home health nurse, this is one of my favorites: I'm a new grad who has been offered a position as a DON ofa home health care agency. This is a new start up and they know I don't have much...

  11. New to Home Health any pointers?

    KateRN1 replied to RachelRN2011's topic in Home Health

    That's what I've carried for years but thankfully have never had a claim (knock on

  12. What kind of bag do you carry?

    KateRN1 replied to oldlady2dog's topic in Home Health

    Good news--it's on sale now! Rolling Med Med-Old Style | Hopkins Medical

  13. My time here is done

    KateRN1 replied to NRSNFL's topic in Home Health

    NRSNFL, do we work together? :) Best

  14. Are nurses required to do HHA visits in your agency?

    KateRN1 replied to Debra,RN's topic in Home Health

    I have done it and enjoyed every minute of it. I admitted a patient who'd had shoulder surgery and requested a HHA 2W2 just until the cast was off. They were short a HHA, so I was asked by the...

  15. Home health and family life?

    KateRN1 replied to vbgniner's topic in Home Health

    Really, when you get right down to it. it's kind of like asking "How long is a piece of string." Everyone's experience is different based on many things, like agency, location of the country, paper vs...

  16. The Mockery of Nursing

    KateRN1 replied to Old.Timer's topic in Patient, Colleague Relations

    A month? You're a better person than I am! I don't think I'd last a week. They cancelled the home ec-type classes at my daughter's school due to budgetary concerns--the same year that the football...

  17. The Mockery of Nursing

    KateRN1 replied to Old.Timer's topic in Patient, Colleague Relations

    This thread cannot die now! Not after I've spent the better part of three evenings reading all *66* pages! Okay, so I have this silly idea that people should do their jobs, do them well, ask...

  18. You may not be homebound if....

    KateRN1 replied to itsgr82cre8's topic in Home Health

    Love it! I may have to use that some

  19. Real Nursing

    KateRN1 posted a topic in Home Health

    I was having a discussion with another manager today and it dawned on me that a lot of home health care nurses don't think of what they're doing as "real nursing." They behave in ways that are far...

  20. Do you use manual or automatic BP?

    KateRN1 replied to emilysmom,RN's topic in Home Health

    I've always used a manual. I don't like the automatic

  21. Real Nursing

    KateRN1 replied to KateRN1's topic in Home Health

    And I got to stewing over this little tidbit, too--I see so many nurses who accept a position as DON with no home care experience. I see it in real life, I see nurses come to this forum who clearly...

  22. What motivates you to go to work every day?

    KateRN1 replied to NurseLoveJoy88's topic in General Nursing

    My addictions to food, shelter, and

  23. 5 top things

    KateRN1 replied to maddybears's topic in Home Health

    1. It takes at least 6 months of full time case managing to get really good at being a case manager, sometimes longer. It doesn't matter how long you've been a nurse or under what circumstances...

  24. Help!! How to document clinical info narrative

    KateRN1 replied to RNBSN95's topic in Home Health

    Try again. That's my email address. Plenty of others have used it without

  25. Home Caregiving Experience

    KateRN1 replied to HandsfromtheHeart's topic in General Nursing

    I am an RN now but started my career many years ago as a CNA and home health aide. I did both CNA and non-medical care but always through Medicare-certified agencies. The non-medical care was...