Libby1987

Libby1987

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All Content by Libby1987

  1. So TIRED OF IT

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    I love what you've written here and your mindset is actually similar to mine. I can see how it appears that I'm insinuating that the scenarios don't occur. Regardless of what I think does or doesn't...

  2. So TIRED OF IT

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    Agree

  3. So TIRED OF IT

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    I'm considering setting and perception, and the patient experience with dozens of nurses, not

  4. So TIRED OF IT

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    Rolling your eyes doesn't bother me. If they are obnoxious just for not getting their pillow fluffed and demanding 6 ice cubes, not 5 or 7, they sure change fast when they get

  5. RN Home Health

    Libby1987 replied to Cfeucht's topic in Home Health

    With PPV there is no reason to severely financially penalize nurses who are new and take longer to complete visits. You're already working longer for the money and the payment structure will...

  6. RN Home Health

    Libby1987 replied to Cfeucht's topic in Home Health

    I'm about speechless. That rate structure would perpetuate avoiding SOC ("patient didn't answer their phone, oh well I'll just see my revisits..") and discourage you to R/C ("goals met..." followed...

  7. So TIRED OF IT

    Libby1987 replied to ThePrincessBride's topic in General Nursing

    I've been in home health for many years and admitting patients with follow up myself up to 1 1/2 years ago, I still talk to many for questions and some for service recovery. There have been the rare...

  8. Miles on my car

    Libby1987 replied to friendlylark's topic in Hospice, Palliative

    My mileage varied over the years but as a career home health nurse, I agree with above poster about seeing your car as a tool. I've always driven modestly priced fairly efficient cars for work (18K...

  9. Misuse of the ER

    Libby1987 replied to ShortFuse's topic in General Nursing

    When I read these types of posts I'm assuming the OP is using one of the better examples to support their point. So in using a possible fracture that didn't come in by ambulance as abuse, my immediate...

  10. RN Home Health

    Libby1987 replied to Cfeucht's topic in Home Health

    In affordable part of California where you can rent a 3 bd/2 ba home for $1,800 and with experience and doable 5-6 points/day: SOC 130 R/C and ROC 97.5 Routine 65 IV/NPWT: 81 Discharge to agency 71.5...

  11. Patient education

    Libby1987 replied to sunnysideRN's topic in Home Health

    Does your agency provide

  12. Question for Hiring Managers/Directors

    Libby1987 replied to Southpawdown's topic in General Nursing

    If I love someone and want them on my team, despite our formal process managed by recruiting, they're going to hear from me thanking them for coming in, what a pleasure it was to meet them and hoping...

  13. field nurse with offer for clinical manager position

    Libby1987 replied to PCH85's topic in Home Health

    In general and in advance, from the prior visit, I try to commit to am or pm and tell them I will call the afternoon before to narrow it down to no less than a 1 hr window. If they need more, to put a...

  14. Are nurses and doctors equal?

    Libby1987 replied to SisterofMary's topic in General Nursing

    From an acute patient care perspective, the different roles are equally essential. Equally essential anecdotely anyway.. a hospital would implode if either group didn't show up. From a clinician...

  15. field nurse with offer for clinical manager position

    Libby1987 replied to PCH85's topic in Home Health

    Yes, I was PPV, my preference in fact. Some things to try with PPV if you're a case mgr and have some self scheduling ability: Good rapport, communication and coordination with your patients and...

  16. HIPAA Violation, Fired

    Libby1987 replied to kosmopolitan's topic in HIPAA Challenges

    The image of a nurse going to another floor and standing in the middle of the unit looking around like, now where did I put my glasses? ... The assigned nurse didn't know if her patient was going on...

  17. field nurse with offer for clinical manager position

    Libby1987 replied to PCH85's topic in Home Health

    I've done both, twice over (not clinical manager but management nonetheless). I've loved them both but stayed in the field when I needed flexibility for the kids. The clinical manager position is not...

  18. is this worth it?

    Libby1987 replied to amiss8488's topic in Home Health

    I haven't heard of such a practice. We don't do evening SOCs and on call visits are strictly for catheter problems for patients with retention or the uncommon changes in condition that cannot be...

  19. What to do about burn out?

    Libby1987 replied to KalipsoRed21's topic in General Specialties

    I'm sorry for the anxiety and challenges you are facing and I'd like to speak directly to a few things related to your home health job. Home Health is unique in that we manage our compliance and...

  20. Career suicide by switching fields?

    Libby1987 replied to Blondekristi's topic in Nursing Career

    You want to stay tied to a field where you're already burnt out? I made the switch to home health decades ago because I was tired of working every other weekend (I was very young, FOMO). Other than...

  21. Is this legal?

    Libby1987 replied to KJP727503's topic in General Nursing

    This is not a case of you failing to complete documentation, the agency lost months' worth of records. One inaccuracy and you've just either falsified a record or *missed* giving a med. Even if you...

  22. Going to Patient's home without patient consent

    Libby1987 replied to RNBecky84's topic in HIPAA Challenges

    By populated visible community I meant that it wasn't a secluded home that I went to. I don't see where I typed rural community so not sure what you're referencing. No, we don't function like a...

  23. Going to Patient's home without patient consent

    Libby1987 replied to RNBecky84's topic in HIPAA Challenges

    Except that we do catch some time, either to prevent or to send to the hospital to stabilize. If you've been stuck in a chair whether for 24 or 48 hrs, you'd probably accept rescue at either point in...

  24. Going to Patient's home without patient consent

    Libby1987 replied to RNBecky84's topic in HIPAA Challenges

    Leaving a card in of itself is definitely not a welfare check but the visit to the house of an at risk patient with no emergency contact and not answering the phone themselves after agreeing to home...

  25. Going to Patient's home without patient consent

    Libby1987 replied to RNBecky84's topic in HIPAA Challenges

    Those of you who are wrong, and there are some posters in this thread who are very wrong, are giving out incorrect information and that's pretty reckless.. The agency has already received the PHI from...