Who gets visits once a week?

Posted

Specializes in Tele/PCU/ICU/Stepdown/HH Case Management. Has 13 years experience.

I started HH a few months ago. Most of my patients are 1-2x a week for 4-6 weeks. I generally see them twice a week and either d/c on the last scheduled visit, or earlier if they are ready. Most are med management with recent CHF, COPD, DM, wound, surgery, etc. I also have once a month cath changes. I work five days a week, and typically schedule them either Mon and Thurs, or Tues and Fri. Wed are a shorter day for me. So, what I don't understand is who only gets seen once a week. We can't really stay in for only med planner fill or syringe fill, so what patient qualifies for once a week, but not d/c? I'm trying to figure out how to plan my week so that my days are more evenly dispersed with visits.

Libby1987

3,726 Posts

Some wound care ie a dressing that can last a week or twice weekly dressing change on Sunday by CG and Wednesday by SN if SN skill is primarily for assessing progress on a wound that's stabilized, responding to tx and the CG is competent, assess effects new/changed meds, follow up nutritional status after change in condition or treatment off the top of my head.

I tend to put my cath changes and B12's on Wednesdays as well.

Mom2boysRN

218 Posts

We frontload all patient's and as the end of the cert ends most patient's are on once weekly for at least a few weeks. Orthos are another that will be a once weekly visit after the first week in most cases.

Archerlpvn, LPN, LVN

Specializes in Home health, Addictions, Detox, Psych and clinics.. Has 10 years experience. 228 Posts

In the three companies I work for, I have 1-2 clients in each that are medfills and or prefill syringe cases. They are long term home care patients and doctors have requested us to be there for those reasons usually r/t being forgetful, legally blind, or some other mental/psychiatric reasons.

KelRN215, BSN, RN

Specializes in Pedi. Has 15 years experience. 1 Article; 7,349 Posts

I have a lot of once/week patients. Once/week subq methotrexate for autoimmune diseases. Once/week PICC line dressing changes or lab draws for patients home on IV antibiotics. Once/week weight checks for babies with feeding difficulties. Once/week chemo pushes for kids with leukemia. I'd say once/week is pretty average for a lot of my patients.

Benedina

137 Posts

We accept private pay patients, too, so in addition to regular patients I have a few private patients who get once a week or biweekly med fills, weekly lab draw, etc. that Medicare won't cover. I also see some patients once per week for 1-3 weeks toward the end of their care to assess response to the plan of care and do discharge education.

Benedina