KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Working 12-14 hour days, am burning out.......

    I am a "person in the office" and I take physician orders all the
  2. My med-surg textbooks are long since gone. Teach me about thyroid problems, especially enlarged thyroid gland--symptoms, tests, treatments, etc. Got any reputable online
  3. Teach me about Thyroid Problems

    Yup, BSN a long time ago, 20 years experience now, and fully capable of doing a google search. Which I did. And came up with a bunch of content farms that linked back to themselves or information...
  4. Sounds like a great company. Wishing you all the best. Let me know how they work out, that may be a good resource for us at some time as
  5. Homebound?

    Anytime they receive a check, it is a work program and not an adult daycare. If she wants the patient admitted, she can do it an sign her name and be on the hook for
  6. Homebound?

    Agreed. Not homebound, even in the loosest of
  7. Government Investigation of Amedisys

    $12.5 Million. A pretty penny.
  8. That's a relief. I can't tell you how many people take on a DON position without any field experience whatsoever, no experience with home health at all, and then wonder why they fail. Why would...
  9. Do you have experience in the field as a home health
  10. New to HH.Plz help w some questionsss

    1. False. Medicare pays a flat fee per episode based on the patient's HIPPS code which is determined using the OASIS data collection, projected number of therapy visits, episode timing, and supply...
  11. Watchers vs. Doers

    I whole-heartedly agree with all of the above. Without a doubt. Just wish I could convince the DON of all that as well. I am a huge believer in shared governance. And not just the "everybody takes...
  12. WHY did you choose to work where you did in nursing?

    How long did it take you to find you niche in nursing? Home health. I've been in and out of HH for about 20 years. Been full time in it for the last three. Was it what you expected it to be? Yes...
  13. Watchers vs. Doers

    As a former doer and now a watcher, I am here to tell you that not all doers do it right. Part of my job as a watcher is to make sure that the doers do the right thing. There are lots of doers who...
  14. home health form 485

    I think you are confusing the OASIS with the 485. An OASIS is not necessary to complete a 485 and neither is a 485 necessary to the OASIS. You can have OASIS data collection without a 485 generated....
  15. A new grad should stay away from Medicare intermittent visits but may do well in extended care cases, aka shift work, if provided with a good orientation and assistance available by phone at all...
  16. PDN...Facebook friend??

    Patients/families shouldn't be your friends. Your friends shouldn't be your patients/families. There is no blurring or greying of the lines. It really is very
  17. home health form 485

    I have a very detailed 485 template that was designed to be extremely specific, customizable for indivdualized care, and organized by body system. If you'd like a copy, please PM me your email...
  18. home health form 485

    What do you see as the difference between how to formulate the 485 and how to create one? It seems to be the same thing to me. Unless Dunya is asking about how to create a 485 worksheet that the RN...
  19. Who does the competency checks on the DON

    If the agency is a franchise, it should be addressed in the franchise information. The parent agency should have P&P already in place, follow those. If it is not specifically addressed, it gives...
  20. Dream job if you weren't an RN

    Stay at home mom. Did it for four of the best years of my life and would dearly love to go back to it full
  21. Burnt out on HH after 6 months

    If you want to increase your salary in home care, increase your value. Pursue education on your own, become intimately familiar with Medicare rules and CMS guidance, become a COS-C or HCS-D or both,...
  22. Burnt out on HH after 6 months

    The purpose of home care is, and always has been, to assist patients and families with getting through the acute phase of an illness or the acute exacerbation of a chronic illness. It has never been...
  23. home health form 485

    Perhaps you are not the person who should be creating the 485s. An unlicensed individual should not be creating a 485 whole cloth. Check your agency's policy and procedure manuals for how the plan...
  24. home health form 485

    The 485 is your home health care patient's PLAN OF CARE. It should contain the assessments and interventions that the nurse and/or therapist is expected to perform during the time s/he is caring for...
  25. Burnt out on HH after 6 months

    Just when you think things in home care are settled, they change. For an idea of why salaries are frozen, take a look at the newspaper. Republicans want to privatize Medicare, or at the very least...