KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Government Investigation of Amedisys

    KateRN1 replied to sweetsugar's topic in Home Health

    The government did this to themselves. When they pay an agency the same rate for 7 therapy visits as for 8 therapy visits (or 9 or 10), then they will automatically see "free visit" for visits 8-9....

  2. Maxim to Pay $150 Million Fine for Fraud

    KateRN1 posted a topic in Home Health

    Read here:

  3. Flu shots for homebound?

    KateRN1 replied to CabanaDay's topic in Home Health

    The agency must have a license to store and transport medications. Our agency does not, so we do not provide flu vaccines. In theory, we will administer a flu shot if the patient has a physician's...

  4. Just quit my "dream job"

    KateRN1 replied to bostonbakednurse's topic in Home Health

    What

  5. Is this a typical experience?

    KateRN1 replied to JustBeachyNurse's topic in Home Health

    I have more time now to sit and address a few of the issues, was posting in a hurry earlier. It sounds like you were expecting "skilled nursing" visits but this agency apparently does shift cases,...

  6. Is this a typical experience?

    KateRN1 replied to JustBeachyNurse's topic in Home Health

    Three words: Run Like Hell. Not a safe situation for you or for the patients. When home health agencies hire new grads, there's usually a reason. They want people who don't know what they don't...

  7. Parrot Bite

    KateRN1 replied to twokidsmom,rn's topic in Home Health

    Write up an incident report, contact your HR rep who handles work comp for your agency, and see the work comp

  8. Pay per Visit

    KateRN1 replied to ittybittybabynurse's topic in Home Health

    You can ask for a ride-along day to see if home health is really your cup of tea. Many places are willing to do that to avoid training someone who doesn't work out after a month or

  9. ICD codes and labs and the law

    KateRN1 replied to tiroka03's topic in General Nursing

    Yup. If doc writes an order for labs, s/he should be including diagnosis or suspected diagnosis. If the nurse is taking a verbal/phone order, s/he needs to ask what diagnosis this is referencing....

  10. skin tear not healing

    KateRN1 replied to twokidsmom,rn's topic in Home Health

    I'm no wound care expert, but I'll do my best. First, assessment. How long has he had it? What comorbidities (diabetes, etc)? Anything else that might prevent healing? Does it appear infected? If...

  11. Need Advice-Agency LVN renting room from Family

    KateRN1 replied to maryen's topic in Home Health

    More about boundary violations from: The NCSBN Lippincott, Williams, and Wilkins (CEU article) National Center for Competency Testing College of Psychologists of Ontario (geared toward psych...

  12. Need Advice-Agency LVN renting room from Family

    KateRN1 replied to maryen's topic in Home Health

    I don't think anyone said anything of the sort. Separate home with a locked door, clear boundary there. You're not renting a room from the patient in the same home. You're not assigned to the...

  13. Need Advice-Agency LVN renting room from Family

    KateRN1 replied to maryen's topic in Home Health

    Looks like someone else needs to evaluate their own boundaries. Seriously, if you see nothing wrong with this arrangement, you need to really take a course in professional ethics and research...

  14. Psych

    KateRN1 replied to morecoffeepls's topic in Home Health

    We do have psych nurses who do intermittent visits, but not enough to keep someone busy 40 visits per week--which is far too much in my opinion; 20 -25 would be more like it. It's really very much...

  15. Volunteer.... in what exactly?

    KateRN1 replied to RNOTODAY's topic in General Nursing

    Try free clinics in your area. I know that the clinic where I volunteer would kill to have a student nurse for triage and room cleaning so that the licensed/experienced nurses can focus on patient...

  16. Questions about Home Health - considering a job! Please help!

    KateRN1 replied to muesli's topic in Home Health

    The questions you ask are very specific to the agency for which you work as well as the type of home health care (intermittent visits vs. extended care). You would do better to ask the agency...

  17. New Grad and HH

    KateRN1 replied to Iammblessed2011's topic in Home Health

    I have to respectfully disagree. With the nature of skilled intermittent visits, the nurse is expected to have a certain level of experience and autonomy. I think we can all agree that the first...

  18. nightmare HHA to work for (long vent)

    KateRN1 replied to hopesgramcracker's topic in Home Health

    Two weeks prior to discharge is fine, but it must be presented to the patient at least 48 hours prior to discharge. Any employee of the agency can have the discharge notice signed. I really think...

  19. nightmare HHA to work for (long vent)

    KateRN1 replied to hopesgramcracker's topic in Home Health

    The HHABN should be presented at the time that the services are reduced. The discharge notice (aka Notice of Medicare Non-Coverage or EDN) should be presented at least 48 hours prior to the date of...

  20. New Grad and HH

    KateRN1 replied to Iammblessed2011's topic in Home Health

    Pediatric home health and Medicare/skilled intermittent visits are two entirely different things. Pedi home health I would think would be somewhat easier for a new grad, given that it's one stable...

  21. Amedisys

    KateRN1 posted a topic in Home Health

    I've been offered a full-time position with this company. I've read all the ugly threads here and at indeed.com. I understand that they are probably not the best HHA to work for. However, I've been...

  22. Employer not paying, what to do?

    KateRN1 replied to FAITHFULRN01's topic in Home Health

    If you didn't fill out an application or sign any papers, how do you have proof that you did any work for him? How would you prove a labor

  23. nightmare HHA to work for (long vent)

    KateRN1 replied to hopesgramcracker's topic in Home Health

    One phone call is all it takes to get the ball rolling. However, the OIG can take years to investigate cases if they don't have any kind of documentation or someone willing to talk to them about the...

  24. Duties as a Home Health Nurse and Oxygen Therapy

    KateRN1 replied to iridium54's topic in Home Health

    Diagnosis code = icd 9 code. Easy enough to find. Do a google search. HCFA no longer exists and has been replaced by CMS. (I think that was in 2001 or so, not completely sure of the date.) Your...

  25. nightmare HHA to work for (long vent)

    KateRN1 replied to hopesgramcracker's topic in Home Health

    This is not a vent, it is a valid concern. From what you describe, it sounds like there are some serious issues that need to be addressed. I've noticed in home health that quite frequently there are...