RNjune_2006

There is an option for a telephone discharge but by cms guidelines the discharge OASIS is supposed to be done by the last qualified person RN, PT, OT T, ST who did a hands on assessment.They only oasis that can be completed by anybody without hands on assessment is the transfer oasis. Granted I have done this many times but this is what cms guidelines state.

By CMS guidelines it is supposed to be the last qualified person who laid hands on patient. This could be admission nurse if therapy wasn't in or last therapist not assistant in.

Are you going to be doing OASIS. Biggest things to brush up on are OASIS-C and wound care. Wound care institute has some good alloghrams to research. Also brush up on case management and health coaching skills. Do you know will you be a case manager, a per visit or an admission nurse. These all need slightly different skill sec. Biggest thing about hh is you don't have control of the situation the patient does. Best oasis-c guidehttps://www.google.com/url?sa=t&source=web&rct=j&ei=gbaMVM-zJe7dsASV94CgBg&url=https://www.fazzi.com/tl_files/documents/research-and-resources/OASIS-C_Best_Practice_Manual.pdf&ved=0CCQQFjAC&usg=AFQjCNHKaN3zDZiTFso35K5e6GZGNmWoIQ&sig2=lOlJGfdx90_ZX-WU_SqlBg

I know this is old but I live in NH and take many local contract 13 week assignments. I stay under 50 mile radius because like to be close to home. Up in New England many of the companies do.local 13 week assignment only difference is no tax free income.

Usually 45 minutes is my average. I do most of my documentation in home unless computer troubles. If a quick dressing, IM, or simple cardiac/pulmonary something I have done for the patient many times 30minutes. Complicated visits and hour or more. An admission usually about an 1.5 hours, unless really simple then maybe and hour or if really hard could be 2-3. Have done home care 6+ years I find those who have routinely 20-30min visits don't do enough teaching in my experience and do more of an appliance visit and patients complain about them often. I do alot of teaching in my visits. I don't get getting paid per visit especially if you case manage because you are never not talking to family, patient, IDT, md case managers. I think we get ripped off most of time on per visit rates and companies know it why they try to push them.

To be a HIPPA violation you have to have two patient identifiers. So as long as you haven't given pt's name to your family which of course you shouldn't a family locator app would not be a HIPPA violation as you are not giving pt indentfiers. Plus it only gives coordinates and approximate location not exact address. That would be like if you got flat tire and gave AAA address it would be a HIPPA violation which it is not. If you gave pt's name without their express opinion to AAA then that would be. I use one I do travel home health and go into really cruddy neighborhoods and it updates my location every 15min. My old company had one on all our phones trying to catch medicare fraud.

I am a 25 year old new grad. I got hired at a really big medical practice. I am scared that I am going ot mess up and get sued later in life for something that I was stupid about now. I find things out sometimes and wonder if I did the right thing. I take home from work and constantly think about what if I did somethng wrong. I am starting to get paralysed by fear. I am a good student a nd a good nurse. I wanted to do med-surg but nothing was available around here. Is this normal. What can I do to not be so afraid and obsessive compulsive. Thanks Sandria

1. How many questions did you take on NCLEX? 75 2. What study materials did you use? Did you take a test review course? Kaplan review at school. the Kaplan book from the course. Kaplan NCLEX book, Mosby comprehensive review, Lippincotts Review, Kaplans Medication review book(used to be flipomatic), and Lippincotts 250 alternate formate questions, and Fye's 3000 NCLEX bullets for PDA 3. Did your SON offer any testing (ERI, ATI, HESI)? We took the comprehensive NCLEX. 4. How long did you wait for results of the test, or are you still waiting? 2 days 5. What were your thoughts coming out of the test (total disbelief, certainty you had failed, confident you had passed)? 50/50 6. Was this your first attempt at NCLEX? yes The new RN Sandria:monkeydance:

I PASSED i can't believe it. I kept joking wouldn't it be ironic if the A student failed. :monkeydance: The new RN :monkeydance: Sandria

I took my NCLEX on 6/21 and got only 75 questions. I was done in less then a hour. I felt like screaming at the computer I am not done. :uhoh21: Now I have always been a fast test taker, but my results are not there yet. I studied but probly not as much as i should have. I was helping a friend get out of a domestic violence situation and I am also in the middle of moving. I didn't know everything was going to come down on me during this time. I am freaking out because I got basically like maybe 6 drug questions no labs, 6-8 select all, and quiet a few priority. I got alot of pedi which freaked me the hell out and a few materinity, and oncology. I also got alot of infection and management which I always find hard. I just wish my results were there so I would know either way. AHHHH I just want to know. I think this is some kind of psych expierement how much can we torture them befor they brake. :uhoh21: Well enough out of me lol. :) Sandria