Short answer: all orders are physician orders. We cannot do anything in home care without orders from the physician. How your agency obtains those is a different story. Many agencies just write...
KateRN1 replied to twokidsmom,rn's topic in Home Health
Sensitive skin and/or allergy to staple components could be the culprits. Could also be the anticipation that it will hurt. It does sting a little, but I've never had them hurt like that. Next...
KateRN1 replied to julie0320's topic in Home Health
30 units is required for full-time employees. We don't have "part time" employees. Everyone else is paid the per-diem rate, including those of us who are salaried in the office and pick up visits...
KateRN1 replied to julie0320's topic in Home Health
I am of the opinion that if you pay by the piece (visit), you will get piece-meal work and the mentality that goes along with it. Pay frequently varies by region as well, so it helps to know where you...
KateRN1 replied to oldlady2dog's topic in Home Health
Best thing is to go to the source, go to cms.gov, then Medicare, then Home Health PPS. All of your federal rules and regulations are there. Then google your state's home care association for your...
KateRN1 replied to sweetmama81's topic in Home Health
Most of what you need to do is to be organized and effecient with your time. Ask other nurses what system they use to keep on top of everything based on how your agency functions. Complete your...
KateRN1 replied to sweetsugar's topic in Home Health
We have a huge 6 county area to cover, so we have a mix of urban and rural. It is possible to do 2 visits in an hour if it is not complicated. We also sometimes have married couples on service and...
KateRN1 replied to sweetsugar's topic in Home Health
Here's where I'm coming from: Average per visit pay in my area is $40 per visit. Most visits are between 30 minutes to an hour, giving an average per hour rate of $40-$80 an hour. If you're spending...
KateRN1 replied to sweetsugar's topic in Home Health
Here's the thing--if you choose to document at your home rather than the patient's, that's YOUR choice and your employer should not be penalized for it. You can sit in the driveway in your car if it...
KateRN1 replied to sweetsugar's topic in Home Health
I have no interest in defending Gentiva, but the above situation is perfectly legit. Many agencies have RNs do all the OASIS assessments to standardize data validity. The PT doesn't do a "secondary...
There is a geographical element to reimbursement, but rural locations are reimbursed at a higher rate than urban in most cases. And please don't think that you don't have anything to do with the...
Are the internists (MDs) also going to be managing laboring moms? That would be my first question. And undoubtedly the answer would be, "But that is outside their scope of practice/knowledge base."...
Wash your hands religiously between patients. When turning over rooms, wipe down all surfaces and remember to wipe the doorknobs/handles, too. Remind other staff to wash hands,
I would not work for Amedisys ever again. Not only are you screwed on the OASIS rates, the amount of work that goes into their OASIS assessments is far and beyond anything I've ever seen anywhere...