PurpleDaisy🌸

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1. 2016 2017 per visit rates per state DETAILS!!!

   PurpleDaisy🌸 replied to RNLASVEGAS's topic in Home Health

   Mid to high 20's per hour. Depends on agency and experience. Low 30's if you have been with agency a looong time.

2. non-emergencies

   PurpleDaisy🌸 replied to Fruit Sucker's topic in Hospice

   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 enough...

3. How is this cheat sheet?

   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 passion), and while there was a steep learning curve...

4. How is this cheat sheet?

   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. A cheat sheet probably would have helped. At thi...

5. being a home health nurse if you have allergies and asthma?

   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 assessment and occasionally have asked to open windows if ...

6. Job Offer in Home Health

   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 will move in. Also, there is no perk around here to...

7. First phone conversation with patient: what you have to tell him in a efficient manner?

   PurpleDaisy🌸 replied to ilie's topic in Home Health

   I also try to add that the initial visit involves some extra paperwork and will be roughly X length of time, but that subsequent visits will be more brief.

8. The perfect Home Health Software.

   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 open individual visits to view notes -questions th...

9. Wound vac blistering

   PurpleDaisy🌸 replied to BooberRN's topic in Wound

   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 drape.

10. Is home health that bad?

    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. Some days I might drive 3 miles, others I may drive 3...

11. Bags?

    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. Personally, I find bags with two shoulder straps more comfo...

12. HomeHealth- skilled nursing visit note-follow up visit -lvn

    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 on other, similar patients would also help. I fin...

13. HomeHealth- skilled nursing visit note-follow up visit -lvn

    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 not seen since nursing school (well over a decade a...

14. HomeHealth- skilled nursing visit note-follow up visit -lvn

    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 weeks and weeks for frail pts who also have wounds. ...

15. Need advice for a friend

    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 working in homecare, and that was YEARS ago. There ar...