KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Effectively Managing Your Case Load

    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...
  2. Hiring Measures -LPN to RN-does this sound right?

    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...
  3. Orlando Nursing Pay ? Anyone heard anything good?

    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....
  4. OASIS

    Can you be a bit more specific about which parts you need help
  5. MRSA and Home Care

    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...
  6. interested in home health care in miami

    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...
  7. Too good to be true?

    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...
  8. Too good to be true?

    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...
  9. Scrubs or Street Clothes

    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...
  10. Scrubs or Street Clothes

    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
  11. IV Bumex in Home?

    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...
  12. We had problems out of YOUR patient.

    And is the company motto, "It all starts here with you"? I wouldn't be
  13. Wear and Tear,your thoughts......

    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...
  14. "Fee Basis" Exemption for Home Health Nurses

    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...
  15. Pre and post transplant home infusions

    Holy moly! And I thought we had some sick ones on our service. I wouldn't do it either. Good luck with your
  16. Considering home health and have a few questions.

    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...
  17. Any Advice Or Help Would Be Great

    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...
  18. Question on Psych Home RN Position

    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...
  19. Too good to be true?

    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...
  20. IV Bumex in home?

    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...
  21. Lengthy visits

    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...
  22. IV Bumex in home?

    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...
  23. Plane Tree Model

    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,...
  24. Lengthy visits

    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...
  25. Lengthy visits

    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...