tweetsLPN

I think it depends on the relationship you have with the patient and his physician. On my longterm cases I will write an order for a UA or simple wound treatments like skin tears and always document everything, alot of my docs allow notes to be faxed over or messages to be left with their office manager but I always call for med changes, labs draws and such

through my home health care agency I see VA fee based cases...anything from wound care to care of a quad, they authorize the the number of hours authorized per cert period they pay the agency who inturn pays me the only problem that I am finding with the whole VA system is that every diagnosis is the same on paper but when you actually see the patient they all have individual needs some require 1 hour of care where others require more they don't want to budge and auth more time. I was informed by our VA liason today that they are hurting too in these times and are looking for services to cut wish I had more info to offer

I work at 2 Michigan home health care agencies and get paid per visit. At agency #1 I get paid $33 per visit plus mileage at agency #2 I get paid $45 per visit no mileage

I was with a home care company for 3 years and was recently let go as they were bought out by a corp and I was an atwill employee...anyway I had taken care of a young 28 year old quad since his injury and have become close to him and his family. Over the 3 years he and I had talked about traveling as he had been in the military and was home on leave when he was hurt. I have done some private duty for him when his CG had emergency surgery....he has ask me to travel with him and a noncaregiver friend out of town ( with the blessing of his entire family) and I have agreeded but now I have to figure out what to charge...he and I are going to sit down and draw up a contract but I am stumped as what to charge for my "working time". He is a low functioning quad who requires daily am and hs care along with a bowel program and s/p cath care. any comments would be appreciated

I work for an agency in MI and make $35 per visit, an extra $10 for high tech visits(IV's,wound vac or large wounds,etc) and bonus $25 for visits on the weekend that are physician ordered. I also manage my own cases with the RN only comming out to see the patient for recerts/resume/discharges.