Can you call the home before going and do some trouble shooting/instruction and then determine if a visit is still needed? Sometimes just that phone call can be
PurpleDaisy🌸 replied to Atownshend's topic in Home Health
We do oasis on paper... I literally flip through and fill in what I need to do in home, and then go back to the office to put in the rest. I will say that I did hospice first (and still! It is my...
PurpleDaisy🌸 replied to Atownshend's topic in Home Health
i can see where they would be helpful to someone new to oasis. When I was first doing oasis, I would almost always accidentally skip over something in the paperwork and end up having to call the pt....
PurpleDaisy🌸 replied to hmlawrence0729's topic in Home Health
I have severe allergies/asthma and do home health. I carry a rescue inhaler, benadryl and two epipens. I have asked pts to put out candles, not eat certain foods while I am doing a hands-on...
PurpleDaisy🌸 replied to iowanursemom's topic in Home Health
In my area, home health in paid hourly and we definitely make less than hospital pay. It seems though, that my region is a rarity, with hourly pay. Perhaps pay per visit is the next direction we...
PurpleDaisy🌸 replied to Mike.Deck's topic in Home Health
Off the top of my head: -ability to quickly/easily view all past visit data (helps with noting trends, variances, etc). -ability to view all visit notes in succession, rather than clicking around to...
The wound vac rep that did our inservice said that pulling the drape taught can cause blistering. We have also used duoderm on periwound skin, rather than
PurpleDaisy🌸 replied to trinan71's topic in Home Health
Have you talked to anyone that works at your local agency? I would do that before making a decision. At my agencies (I work at 2) we are paid hourly and we absolutely ARE paid for our charting....
PurpleDaisy🌸 replied to Morganalefey's topic in Home Health
I have the hopkins 600 clean/dirty tote. Overall, I like it, but wish the base was wider. It does not always stay standing upright. I am on the lookout for something similar, but deeper....
PurpleDaisy🌸 replied to justjosy's topic in Home Health
Getting back to your original question, as others have stated, you should really sit down with someone in your office and ask them to walk you through how to chart on this. Reading through charting...
PurpleDaisy🌸 replied to justjosy's topic in Home Health
It may not be as simple as saying "I am not available", especially at an agency that is not pay per visit. I have had situations where I have been asked to do procedures I am unfamiliar with and/or...
PurpleDaisy🌸 replied to justjosy's topic in Home Health
While I agree that LPNs should not be discharging patients, my agency allows it for private pay and private insurance (eg non-medicare/aid) patients. Of course, they also allow LPN-only visits for...
PurpleDaisy🌸 replied to scrabblern's topic in Home Health
Hmmm... I guess I am not certain that we are CAN'T do it, but I have never seen it done. At the smaller agency I work at, only one or two nurses would have ever started peripheral IV's prior to...