KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Need Advice-Agency LVN renting room from Family

    KateRN1 replied to maryen's topic in Home Health

    This is a serious boundary violation at the very least. You should make the agency aware and also consider contacting the board of nursing. This nurse has some issues with professional

  2. Tired of being flexible

    KateRN1 replied to paddler's topic in Home Health

    So are we, doesn't stop us from doing what needs to be

  3. Do home health (visiting) nurses usually work on holidays?

    KateRN1 replied to lsvalliant's topic in Home Health

    We have an RN who is on call for administrative needs with access to get into the office for supplies, fax, etc. Then we have field staff who volunteer to work in the field for the holiday for...

  4. Tired of being flexible

    KateRN1 replied to paddler's topic in Home Health

    Interesting. All of our office staff see patients at one time or another. I'm surprised that other offices don't do the

  5. 1wk9

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

    That is the majority of it. However, it also covers things like marketing materials and providing gifts and free services to patients. Agencies are limited to $10/gift up to 5x/year for a total of...

  6. 1wk9

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

    What your BON allows and what is allowable and legal under Stark law are two entirely different things. Providing nursing visits without charge while the patient is under care with your agency is a...

  7. RN documenting visits not made

    KateRN1 replied to Isabelle49's topic in Home Health

    Yup. Fired several at several agencies for that very

  8. 1wk9

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

    No, you are right on the money in my opinion. The purpose of Medicare home care has not changed at all from its inception. I would ask for some literature that supports the need to change your "old...

  9. Tired of being flexible

    KateRN1 replied to paddler's topic in Home Health

    Turning in your notice *is* your

  10. Agencies that have a good reputation

    KateRN1 replied to pat8585's topic in Home Health

    I agree with the VNA suggestion. I worked for them about 20 years ago and really had a good experience. They are non-profits and tend to pay less than privately owned agencies, but they have a great...

  11. Need Help with discharge

    KateRN1 replied to nurse955's topic in Home Health

    Is this an OASIS discharge that needs to be signed or just discharge instructions from the

  12. How do you say no

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

    No No thank you Not at this time No, but thanks for thinking of me Non (French) Hayir (Turkish) Le (Arabic) Nein (German) Nyet (Russian) não

  13. 1wk9

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

    We really don't have an "average" frequency. Ramping down using every other week visits is common, as is 1M2 for therapy-only cases (our RNs do all OASIS and case management). Patients who have a...

  14. Is OASIS really hard to figure out?

    KateRN1 replied to lsvalliant's topic in Home Health

    Your state's home health association or

  15. 1wk9

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

    Wow, that's some high utilization. We rarely see patients that often and definitely not for "monitoring." Medicare home health is for the subacute phase of an exacerbation or new onset of illness....

  16. Is OASIS really hard to figure out?

    KateRN1 replied to lsvalliant's topic in Home Health

    Yes, OASIS is very hard to figure out. Clinicians who have been doing it for years have difficulty with answering the questions correctly. There is much more to each question than what is written in...

  17. 485 question

    KateRN1 replied to nurseinmo's topic in Home Health

    There is no outline of requirements in Medicare CoPs for DON that I've ever seen. Would love to have a reference for

  18. 485 question

    KateRN1 replied to nurseinmo's topic in Home Health

    If you teach everything in one visit, where is your justification for going back again? Not good. Really not good. Standard Precuations do not need to be defined within the 485, they are...

  19. What is Home Health like

    KateRN1 replied to stewiegriffin's topic in Home Health

    Please review all the previous threads in this forum addressing this question. That's kind of like asking, "What's marriage like?" Everyone has a different

  20. Most Common Patient

    KateRN1 replied to hank1's topic in Home Health

    Ours seem to come in batches. Lots of CHF, COPD, DM, wounds, and right now several IV cases at once, which we don't usually have a lot of, nevermind several at the same

  21. Are you CODEPENDENT?????

    KateRN1 replied to paradiseboundRN's topic in Home Health

    This is very timely. Thanks so much for reviving this thread. I recognize a coworker in this thread and would like to intervene to help her stop the madness of codependence. (Does that make me...

  22. Giving report on admit, recert, roc

    KateRN1 replied to Isabelle49's topic in Home Health

    I've always called report either from the patient's home or on my way to the next visit. The paperwork doesn't have to be completed to generate an OASIS report. Although I'm in management now, when...

  23. Home Health vs Dyalisis

    KateRN1 replied to foxyroxyrn's topic in Home Health

    My last gig in the hospital was dialysis and I really really enjoyed it. If I were to go back to the hospital environment, I would go for dialysis over just about anything else. But I love home...

  24. Question about HH job offer and Advice

    KateRN1 replied to nursenatalie6287's topic in Home Health

    Our agency pays very well, I'm proud to say. We recognize the hard work that everyone does and try to compensate accordingly. Unfortunately, with the cuts to Medicare, I don't know that we'll be...

  25. How many patients to Case Manage???

    KateRN1 replied to bellafay's topic in Home Health

    How long is a piece of string? Much of it depends on what kinds of patients you're seeing, the acuity, the presence or absence of a caregiver, the weather, the paperwork, etc. Generally, at our...