PurpleDaisy🌸

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

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...

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...

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...

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 ...

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...

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.

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...

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.

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...

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...

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...

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...

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. ...

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...

I can only speak from my experience, but at the agencies where I have worked, we do not start IVs. We will do abx infusion via PICC, with the intention of teaching Pt/CG to become independent with the infusion.

We have a list of translators we can utilize, however I am guessing that waiting for one to arrive could hold things up by hours.

The agency I work for is very much into productivity and we are expected to see 4 patients (max 5, depending on acuity, driving, etc).

I (and all the other nurses) always wore gloves, however the patient's parents never did. It must have been ok, bc in the 20 years she has been at home on vent/trach, she has rarly been sick. eta: that said, as nursing staff we should. It protects ...

Lol, and your coworker likely can't recall what having "free time" feels like. I do feel for you. Hopefully mgmt can hire more per diems. Do they offer incentives to per diems for working less desirable days, like holidays? Maybe that is an opti...

As others posters have said, she does have a full time job - her children. Someday, you may understand. Maybe she is "rich enough" to just work here or there, or maybe they budget well, live frugally, coupon like mad. Staying home most of the t...

I absolutely agree. It can be a difficult to navigate around agency culture and practices that do not have sound reasoning behind them, when you know you run the risk of coworker/supervisor backlash. I could write a whole post on that.

You just touched on the other part of taxes that people don't understand. Many people get upset if they don't get a big tax return, because they were "counting" on it, or credit their big tax return to the "great" tax program they used, not understa...

At my agency, we are expected to use our personal cell phones for photo documentation of wounds. It makes me crazy. We are expected to take photos at every wound care visit. I sometimes "forget" to take them.

The "is anyone doing assessments" discussion over in the genral nursing forum has got me thinking... i have often wondered how some of my coworkers can complete their HH visits so fast, even when doing a SOC. The assessment discussion got me thinkin...