James613

Patient does have a rare genetic condition with multiple other comorbidities. Just didn't want to give too much detail due to Hipaa. There are very few agencies around here..and are not particularly up to par with the high tech care, let's say. Around here there seldom is any 24hour PDN approved..only getting 8hr/day, initial period of 13 weeks. Yes, I took the case to help out since it is difficult to find any nursing services here. I do have experience, just not in the home setting. Any patient I have encountered in every facility I've been in has had BP ordered, that's why it seems strange to me to not take a BP. That's what great about nursing; the possibilities are vast, the learning never ends, and it's always a quest for knowledge.

I am not working through an agency, I'm directly billing medicaid

Will be starting private duty nursing as an independent NY Medicaid provider. Client is to be discharged from hospital with new trach/vent, new to home nursing services. Hospital nurse liaison doesn't know what a 485 is, and that all the orders will be on the discharge paperwork sent home with family. Is it legitimate to go by the discharge orders?

Thank you for your responses. Client has not been discharged yet, so no discharge orders (nurse liaison for hospital is not familiar with a 485, just that all orders will be on the paperwork at discharge..is this normal?). I know they had a heart defect and are on some cardiac meds, so I thought maybe it would be pertinent. Just wanted to be prepared with necessary materials before first day. Thanks!

I am going to be starting a peds PDN case once client gets discharged from hospital. I asked the mother of client (whom I know personally) if there will be a peds BP cuff there for him. She said that the (care coordinator?) RN at the hospital said that she doesn't see why he would need BP taken and if he would need it, that it would be ordered and would be sent home w a cuff. I find this crazy that a regular full assessment wouldn't be done each shift?? He's a new trach/vent patient btw. Is that really how it is??..if it is not ordered you don't do it?..not even assessing? For real??!!

When colleagues decide to be teammates.

A treacherous scene behind the door!

I am looking for a resource for Medicaid (not Medicare), also that apply to with or without agency collaboration; would this publication suffice?

I see we are from the same county. I was wondering if you had any idea about RN pay rates for Medicaid private duty? I am having a hard time finding private duty Medicaid RN around here to ask some questions.

I know this is an old post, and this might be totally wrong, but wouldn't it be a HIPPA violation accessing the 485 before you are legally are a nurse to the patient? Although, I am speaking in reference to independent pdn direct bill to medicaid, no agency.