Libby1987

Libby1987

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All Content by Libby1987

  1. Salary for excutive director/administrator

    Libby1987 replied to TXRNHomecare's topic in Home Health

    I can't speak to TX but I can tell you that after a couple of years with metric improvements you will be very marketable. It's a niche market. My first position, I considered it a well paid...

  2. Can a Manager limit how may days off in a row you can take?

    Libby1987 replied to wasabiRN's topic in General Nursing

    Right?!

  3. 2018 What is the average Home Health PPV rates for PRN RN in Dallas, Texas area?

    Libby1987 replied to Angela-F, BSN, RN's topic in Home Health

    Roughly and regardless of which market, take the average market hourly rate (straight M-F daytime) and multiply X 1.5 for revisit, X 1.75 for discharge from HHS and evals without POC (mid POC), X 2.0...

  4. Bag Technique 101 for Home Care Nurses

    Libby1987 replied to Melissa Mills's topic in Home Health

    I used to have that same question! Bags can be placed on the floor if they're consistently placed on the floor ie wheeled

  5. What nursing skills will I never learn if I start my RN career in home health?

    Libby1987 replied to Lemon Bars's topic in Home Health

    Not Nurse on the Go but I'll agree with everything she says. Assessments and decision making are the big ones. You won't have listened to hundreds of sets of lungs, heard the team (MDs, RNs, RTs etc...

  6. Bag Technique 101 for Home Care Nurses

    Libby1987 replied to Melissa Mills's topic in Home Health

    There are also considerations to how equipment is removed, placed next to the patient, disinfected and replaced in the bag as well as clean and dirty pockets of the bag and which equipment goes where....

  7. Is this normal?

    Libby1987 replied to Cbunyar's topic in Home Health

    I don't think that's the norm with the worst of agencies but it most certainly is not for any reputable agency concerned with quality of care and patient safety. Or retaining employees. You have a...

  8. Charting in the home

    Libby1987 replied to jennispen's topic in Home Health

    Anything faster than 2 hrs for a SOC visit, documentation and follow up is not thorough. I can be very quick but even a straightforward TKR will take min 45 in the home. Anything with medical,...

  9. Home health caseload

    Libby1987 replied to Corkyme's topic in Home Health

    On average we run 18-20 patients with a shared LVN amongst 3 RNs, all straight HH and in pretty consolidated territories, the overall service area is a mix of urban, suburban and rural areas. Some of...

  10. Charting in the home

    Libby1987 replied to jennispen's topic in Home Health

    Glad to hear it's helping! For charting SOCs etc, it depends on the patient/home situation. For those who would enjoy your quiet company and allow you to concentrate, it can be mutually beneficial....

  11. Trend for PT doing RN role?

    Libby1987 replied to Floater In FL's topic in Home Health

    We teach patients and caregivers to recognize symptoms of infection, why do you think a PT wouldn't recognize an abnormal or symptom of infection and call the MD? Or get a nursing order if patient...

  12. Trend for PT doing RN role?

    Libby1987 replied to Floater In FL's topic in Home Health

    We have this practice in Northern California, with our healthy joint replacements. Lab draws and fingersticks are not skilled and the anticoagulation clinics manage the warfarin. So many patients...

  13. New Grad Orientation Contracts

    Libby1987 replied to Kaiyas's topic in Job Search, Interview, Resume

    If I were an employer, I would have those contracts. It has nothing to do with being so desperate for new grads. It just amazes me the entitled attitude of some new nurses, whether a new grad or new...

  14. COS-C certification

    Libby1987 replied to kna279's topic in Home Health

    Fazzi has a course and exam. 8 weeks, $549 OASIS Certification - Certified OASIS Quality Specialist (COQS) COQS

  15. Not cut out for home health?

    Libby1987 replied to KalipsoRed21's topic in Home Health

    It's hard to learn oasis on a part time basis but in general nurses struggle with understanding how to use oasis as a tool and view it as an assignment. Nurses aren't trained to document for...

  16. Are Home Health RNs really paid what they are worth??

    Libby1987 replied to Scorpiostngrn's topic in Home Health

    I understand where you're coming from and I can't say that your pay is below what the market will bear or if it's unreasabaly low but if you're going to do the math, you need to include the many more...

  17. Charting in the home

    Libby1987 replied to jennispen's topic in Home Health

    No but documenting at point of service is an industry standard for accuracy and efficiency. It's still a hard fought battle as it is common practice to put it off until the end of the day. Home...

  18. Weekend program in home health

    Libby1987 replied to cargalrn's topic in Home Health

    Delete

  19. Weekend program in home health

    Libby1987 replied to cargalrn's topic in Home Health

    Not sure why you took this job after being warned but the right thing to do is to complete the charting that you can do

  20. Can't stop thinking about work

    Libby1987 replied to Michelles87's topic in General Nursing

    I had this happen twice, both times were in conjunction with layering on more responsibility/less rest and recoup time. First was with becoming a single mom, 2nd with bringing a 3rd child into a busy...

  21. Should I run from this job??

    Libby1987 replied to Statdotcom's topic in General Nursing

    Not sure why the snarky "special" comment directed at me. The not a not my problem sort was a general comment partly in response to the many comments to your post, not just yours. A question was...

  22. Should I run from this job??

    Libby1987 replied to Statdotcom's topic in General Nursing

    I know what I would do but I've been in positions to direct care most of my career and that's where I'm most comfortable. I'd meet with the manager, medical director or whoever is in leadership, tell...

  23. Weekend program in home health

    Libby1987 replied to cargalrn's topic in Home Health

    I'm sorry that you had a shameful first time exposure to home health. We pay our EXPERIENCED home health nurses 8 hrs minimum for performing 2 SOCs and a one revisit if reasonable. Overtime for...

  24. PACE Elder Care-entrepreneurial NP?

    Libby1987 replied to Jules A's topic in Nurse Practitioners, NP

    My organization has a PACE service line. It's a great program for the community and offers fully benefitted

  25. If you apply and accept a job, don't bail out for no good reason

    Libby1987 replied to Emergent's topic in General Nursing

    This and other posts stating that employers don't care.. I clearly work for a helluva organization and appreciate them more everyday because they are nothing like described above. No doubt some...