KateRN1

KateRN1

COS-C, Risk Management

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All Content by KateRN1

  1. Giving report on admit, recert, roc

    In every office that I've worked in, that report from the field nurse is used for staffing the case, developing the calendar, identifying current and future needs, and for anticipation of any issues....
  2. Staff Splitting

    I sent an email invite, no response
  3. Staff Splitting

    I have a situation that I'm not sure how to handle and would appreciate any advice. I work in a home health office and we have a new clinical manager who is making some waves. I realize that a new...
  4. interviewing for a ft/rn hh position

    OP, you are asking for specifics where we can only provide generalities. Comparing an unknown hospital with an unknown home care environment is nearly impossible. Every day, every agency, every...
  5. Don't forget time management skills, the ability to deal with patients on their own level, prioritization, learning to be self-sufficient, problem solving, independent and critical thinking skills,...
  6. Staff Splitting

    It continues. Morale is sinking further, manipulation is continuing in such a subtle manner that many of those being manipulated don't realize it, fear is becoming the normal emotion. The office...
  7. Bottom Line Pay

    Really, these are questions to ask your would-be employer. Ask if there are current employees you can talk with or if you can do a ride-along to shadow a HH nurse and then quiz the nurse about the...
  8. Bottom Line Pay

    That depends on what agency you work for; if they pay per visit, per hour, or salary; how much driving you have to do; how well you are organized; if you're using computer or paper documentation; if...
  9. Although many private insurers will conform to Medicare requirements, some have their own rules for service and this may be the case with this insurer. Medicare and Medicaid are not the only payers...
  10. It sounds like this is not a Medicare patient, so check with the insurer. My specialty is Medicare home care guidelines, so they may or may not apply to your patient. Although most insurers use...
  11. Tired of being flexible

    You not trapped. You either accept the situation as it is, work to make it better, or leave. You have all the options. You choose. Empower
  12. Check with your agency's policy manual, but this is my recommendation, worth every dime you've paid for it. First step is to determine if the patient is homebound. If she is staying with her daughter...
  13. Paper vs Electronic Oasis

    I've always made more in home health than in the hospital, but it also depends on where you are, what your agency's productivity requirement is, and other factors. I am generally a fan of electronic...
  14. Parents - was nursing school worth it?

    Financially, yes. I am the sole provider for my family of 4 and we do fairly well. Physically, though, is a whole 'nother story. I have severe back issues, will probably never be able to work in a...
  15. Providing Personal Care

    Is she perhaps squeamish that the patient is still sexually
  16. home health care mileage reimbursement

    Whether it is fair or not is irrelevant, this is the path the agency has chosen. Either continue to work for the agency that does not provide mileage reimbursement or look for another agency. It's...
  17. Self-sufficient Nurses

    Most of us in the office have been field nurses. Most of the field nurses have not been in the office. I do get very irate with field staff who think that it's a walk in the park to work in the...
  18. Self-sufficient Nurses

    Wow, that was rude. Try spending a day or two in the office and see what the office staff does and what kind of BS they put up with. You might be incredibly
  19. Staff Splitting

    That's the problem. The DON is under the spell and does not believe that "Kathi" is staff splitting or manipulative. We tried to have a meeting and Kathi turned the entire meeting about herself and...
  20. We will provide pusle oximeter, but that's pretty much it. Nurses are expected to have their own thermometer, blood pressure cuff, and stethoscope for vital signs. Agency policy will vary on the...
  21. Working at home or in office in Home Health?

    With a toddler, a teenager, and a high-maintenance husband at home, I always found it much easier to do case management stuff at the office. Others do not have those issues and may find it more...
  22. Domiciallary setting care help

    A "Muslim" is a person whose religion is Islam. The religion has no bearing on the treatment of the
  23. Surgical Incision

    Yes, it is a surgical wound. See here:
  24. He// to the NO!

    Step 1: Get policy in writing. Step 2: Keep track of hours that are worked and not paid due to policy. Step 3: file complaint http://www.dol.gov/whd/america2.htm#Florida Step 4: Let us know what...
  25. Need help as homehealth office rn

    Oh, hell! RUN!!!!! You should be more than "sometimes kinda scared." They're losing money because they don't have the right, experienced staff to help them make money. Not only that, but if you're...