KateRN1 replied to Jasminecol17's topic in Home Health
I'm still working on my organizational skills, and I find that what works at one agency doesn't always work at another agency. Currently, here's what's working for me, subject to change at any...
KateRN1 replied to anangelsmommy's topic in Private Duty
The short answer to your question is "yes." The scope of practice for an LPN and an RN are different, and you are not considered to have a year of experience as an RN until you've been working as an...
I'm in Jacksonville, thanks to the economy went back into nursing after 4 years staying home with kids, and the highest offer I received was $25/hr with nearly 20 years of experience under my belt....
KateRN1 replied to Willow Moonsidhe's topic in Home Health
I just wonder how exactly they knew it was the home care staff that spread the MRSA? Did they culture every other patient at the agency? All the nurses? I find it much more likely that it was...
KateRN1 replied to labrador4122's topic in Home Health
Florida is a scary place for home health care, with Miami probably the most dangerous area, in terms of bad agencies. Your best defense is a good offense. Learn all you can about Medicare home...
I've been with my current agency a little under 6 months--long tenure with this place for an RN, in fact I've got the most nursing seniority in the agency at the moment. I recently did the math and...
I know you've all been waiting anxiously for an update on my situation, LOL. I actually worked out my notice for the old agency, last Friday 1/29 was my last day, and was the only nurse to work out a...
KateRN1 replied to nurse42long's topic in Home Health
I did home care in rural Missouri years ago, directions like "turn left at the third cattle guard," so I hear you. Still, never went out in street clothes, but I can see the benefits. I did often...
KateRN1 replied to nurse42long's topic in Home Health
Scrubs all the way. Easier to work and move around in, far more comfy than jeans. I've never done visits in street clothes, even after hours and don't ever plan on
Background: elderly fragile CHF pt with weight gain of over 10# in 1 week since admission, tight lungs with bibasilar crackles, 3+ BLE pitting edema, regular meds include Bumex 2 mg PO BID. Today, doc...
With 20+ years of bedside nursing, I have chronic low back pain, one herniated disk and two bulging disks, and chronic anxiety. Moved to home health to avoid lifting and 12-hour shifts, hoping to...
KateRN1 replied to sweetsugar's topic in Home Health
I will not take a per-visit position, salary only. In my last round of job-hunting, I wouldn't even interview with an agency that paid per visit and I told them that upfront. If enough nurses refuse...
KateRN1 replied to ybstressed's topic in Home Health
A decent home health agency will provide you with standard-issue supplies such as a digital thermometer and covers, b/p cuff, gloves, barriers, etc. A good place will also give you "car stock" for...
Before you make a drastic decision, I agree with the above posters, particularly with the depression evaluation. If you can't identify a particular problem with the job, maybe the problem is with...
KateRN1 replied to Willow Moonsidhe's topic in Home Health
We had a psych nurse at my agency and most of her visits were for depression, caregiver teaching on Alzheimer's management, personality disorders, setting goals/boundaries, that sort of thing. I...
Well, I officially signed up today. Need to do some computer-based training (how I hate that crap) and then start ride-along next week. Fortunately, I have used their standard forms in a previous...
Background: elderly fragile CHF pt with weight gain of over 10# in 1 week since admission, tight lungs with bibasilar crackles, 3+ BLE pitting edema, regular meds include Bumex 2 mg PO BID. Today, doc...
KateRN1 replied to prettygirllpn's topic in Home Health
If your patient is stable, non compliant, and not teachable then it sounds like you don't have a skill = non-billable to Medicare. These are the kinds of cases that are going to be denied for the...
They got a PRN nurse to do it the first day, but B/P was so low next day pt went to the hospital where they didn't keep pt. PRN nurse refused to give further doses. Pt now in hospital with fluid...
Think "Welcome to Club Med." You're about to become a customer service professional rather than a healthcare professional. All whims and demands of patients and family are to be met with cheerful,...
KateRN1 replied to prettygirllpn's topic in Home Health
To be perfectly honest, I've looked nut can't find an actual ruling on it in any of HHA manuals, they are so very freakin' vague, but I'm gonna keep looking. Every HHA I've ever worked for has had...
KateRN1 replied to prettygirllpn's topic in Home Health
Medicare has a 30 minute policy. A visit is not billable to Medicare unless the length is at least 30 minutes and a skill was involved, be it wound care, teaching, whatever. Assessment itself...