spitfire93

Sorry to hear about your *** position. I was a manager at a home health care agency and found some of the parents had attitude. I am now with a pediatric patient that I have been with since she was discharged at 5 months old and the family is wonderful to me. Really love my patient and her family too. Don’t settle.

James, you need to compile a 485 and have the pcp sign it, these are your orders you have initiated from the discharge orders and your assessment of the client.

The people at the state department of human services can help you, Apply for a NPI number and send an email to the folks that cover PDN services. They can walk you through the steps and help with billing and coding questions.

At Fresenius, they are training patients to complete hemo or peritoneal dialysis to be completed at their home by the patient after training in a Fresenius clinic by a nurse. The hemo patient needs to have another adult in the home that is also trained incase there is an issue. The peritoneal patient is self care. The patients are closely followed by the staff at the clinics and are seen every 2 weeks, there is always a nurse on call for questions.

Yes, I live in Maine and most of the agencies here use paper charts in the home. There are 100 or more nurses and perdeims that would need a computer, I just dont see that as being affordable for the agencies. My charting is one sided duplicate and of course the careplan,MAR, TAR and orders.

Thank you Ned. I do have a NPI number. I will contact a few of the larger travel companies and if I do not have any leads will contact local agencies. I am currently working for Maxim Healthcare and they do have a travel component to their company, just not sure it covers private duty nursing. Will research your advise and thanks. j

Has anyone here taken a position a PDN travel assignment. I work currently for a few agencies with children that have a skilled need such as a vent, g tube, seizure disorder, in their homes and schools. I typically staff 12 hours either day or nights. I am interested in hearing about anyone that has taken a travel assignment working block time in a home. Thank you.

Hi, I have recently started as a home therapies nurse. It is basically an office position with lots of teaching and follow up with clients. We teach hemo or peritoneal dialysis over a course of about 5 weeks or so depending on the client and their support. There is a follow up at their homes but most of the time they are in the clinic for teaching, labs or follow ups. There seems to be a lot of autonomy and collaboration with dietitians, social workers and physicians. There is a push for training in the home and while it is not for all clients I feel it will give some the ability to have more control and freedom. I think I will like the variety.

I am a nurse manager for a PDN agency, we are there to provide skilled nursing care in the home or school. Most of our clients are pediatric and are on medicaid because most insurances do not cover PDN service. A few have private insurance that cover PDN but those are few, their reimbursement rates are not much better. Our reimbursement rate from the state is 42.35 for a RN and much lower for a LPN. There has not been an increase in the reimbursement rate from the state for 10 years. We typically pay our nurses 25. with insurance, PTO and holiday pay. If you do not want benefits the pay is 27. Also clients are authorized for so many hours of skilled nursing service in the home, school or treatment appointments depending on an assessment and scoring that is submitted to the state. There has to be a need such as gtube, vent, trach, seizures etc. Not all homes and nurses fit each other. I try not to judge a family as I am there to care for the client, I feel that finding common ground is important for a relationship to work in the home. We also have a no sleeping policy for our nurses in the home. Hands down less stressful than institutional nursing aka hospital, long term care, etc.