Registered Nurse| Day In The Life: Home Health Nurse| Best Tips and Work Bag for Home Health

[@wandalunski6374]

First time watching your videos, and just subscribed. I will be binge watching! Have been nursing 52 years. Retired from Med/Surg ICU after 20 years. 15 years in home health, taught CNA program at Job Corps, worked in LTC, did hospital and corrections nursing (Loved my inmates)! Last couple years in nursing home/rehab, but it was such a toxic environment (and I am too old for that "shite") I quit. Didn't want that toxicity to rub off on me! Now, I am about to begin my new job, Home Health again! I know you did the math, and yes, I will be 72 this month. I am proud of my age and nursing experience! Thank you for videos and what you do. Much love from an old Southern Girl 😊

[@nurseforlife1336]

More power to you❤ queen

[@susanworkman8024]

Oh, how I wish I could have followed you around all day. I did home health case management in the late 90s. Would see 6 pts, drive over 100 miles, get home between 4-5 pm (at 1st house at 8am), then a couple hours of charting. I can't imagine 4 SOC & being done with visits by noon! Am sure alot has changed.

[@sarredjozzi9281]

I just got hired today to be a HHC nurse and this was such a treat to watch to know what to expect 🎉🎉

[@AccordingToTawanda]

Congratulations 🎉 Let me know if you have any specific questions.

[@sarredjozzi9281]

@@AccordingToTawanda you are awesome! Keep up the content.

[@AccordingToTawanda]

@@sarredjozzi9281 Will do! Thanks 😊

[@heavenleighstar2320]

As a homehealth Clinical Manager I will say this was a very thorough video. Good job good information. Well done

[@AccordingToTawanda]

Heavenleigh Star thanks so much for watching and commenting. How long have you been in Home Health?

[@dancingshadows5422]

How did you become a manager? If you dont mind me asking what education would 1 need to aquire?

[@heavenleighstar2320]

I been in home health for 3 years nursing for 13

[@heavenleighstar2320]

No education needed at my job you just had to have at least a year of field training. Sorry for the late reply

[@dawnclarke3065]

Hello! I am a retired emergency registered nurse with over 30 plus years as an RN. How can I get a job as an admission nurse, please.

[@AdenikeCoore]

You have an amazing personality.

[@AccordingToTawanda]

Awwww! AdeOnTheGo thanks so much! Thanks for stopping by and commenting ☺️

[@blykken]

I’m a new grad and started my first job in home-care a month ago. Some people told me I should work at a hospital first because of the autonomy, but I got into a really thorough residency program. Still, the responsibility is weighing on me. I’m going to watch all your vids now!

[@AccordingToTawanda]

Glad you found the channel. Please let me know if you have any questions that I can answer 😊

[@ELthatsLoreel]

Where did you do your residency? I just started my nursing program and I really want to do home care. I have no desire to work in a hospital.

[@canintrovert9555]

Hey girl im also doing homecare as my first nursing job though my school wasnt thorough and im struggling with doing my care assessment every thing seems new Never done wound care or cath care on an actual person so im never settled when doing cares If u have insight on how i should do cares or just being someone to lean on id appreciate it!

[@baddinagardina629]

so it’s possible to obtain a job in home health as a rn new grad ?? i need to know because i’ll change my major if not 😂😂😂😂😂

[@baddinagardina629]

@@ELthatsLoreelsame 😂😂😂😂😂

[@maryalexander222]

Thank you for sharing!!!!

[@NordicDrip]

such an informative video > > Thanks for sharing

[@AccordingToTawanda]

Awwwww! Thanks for watching 😊

[@trulara35]

Just left acute Care ICU for home health. Need a change after 20 yrs of bedside! Enjoying your content and advice for new home health nurses!

[@geovanniandrade8321]

i just applied for a home health position. lets hope i get it!! thank you for this video

[@AccordingToTawanda]

Congratulations, and keep me updated. Thanks for watching 😊

[@SignedEmma]

Hi Tawanda! Loved the HH vlog! So informative and entertaining. Thanks for shedding light on the schedule flexibility of working for HH. Happy weekend! 💕

[@AccordingToTawanda]

Hey Emma! Awww THANKS😊 Yes, I love the flexibility. I plan to go into more detail about the flexibility and my salary this week. Thanks for watching! Happy Sunday ☀️

[@florindagonzalez5700]

I've been scared to try home health. This video is helpful. 3 days a week sounds glorious!

[@jennylytlern4460]

This is my first time watching yo I- love your personality! I’m an experienced nurse but newish to home health. Can’t wait to see more from you!💕

[@AccordingToTawanda]

Jenny thanks for stopping by. How are you liking HH so far? What’s your clinical background?

[@sheanagray2436]

Tawanda I absolutely love you! 😂❤

[@AccordingToTawanda]

@@sheanagray2436 Awwww☺️ Thanks so much ❤️

[@sarahcortese4977]

As a new HHRN case manager, this is extremely helpful. I finally left dialysis after 14 years and feel like a fish out of water.My preceptor has been great, and the whole team is super supportive, but i need these tips/tricks/education and OASIS help. I want to be great at this job! thank you 😊

[@AccordingToTawanda]

Congratulations 🎉Let me know if I can answer any questions for you😊

[@insideanurse]

I LOVE how thorough and informative you are in your videos. Sometimes I play with the thought of doing Home Health on the side because of how flexible it is but I can’t seem to part with my free time😅❤

[@AccordingToTawanda]

Yessss Girl!! It’s the free time and flexibility of home health for me. With the position you have I know exactly how valuable your free time is!!!! I’m going to drop a video soon discussing my particular position, and schedule! Thanks for watching and commenting!! Enjoy your weekend☺️

[@insideanurse]

@@AccordingToTawanda looking forward to the next video

[@jillsink4200]

Hello! I am so glad to have found you! I am a nurse of over 25 years mostly in pediatrics. I need a change and am strongly considering home health. Thank you for all that you do!

[@AccordingToTawanda]

Hi Jill, thanks so much for watching. I recently was a preceptor for a nurse with 19 years in pediatrics. She’s enjoying Home Health. Keep me updated on your journey☺️

[@miacb71]

Great nursing bag!

[@AccordingToTawanda]

Thank you! 😊

[@nanajenkins4728]

Thank you. I just signed my grandmother for HH. This video is super helpful and insightful.

[@MsJenkins3]

First Time Viewing. New Subbie here. I Appreciate this! Thank you.!😀

[@AccordingToTawanda]

Welcome to The Family! Thanks for watching and subbing 🩷

[@nnmommy59]

just found your channel and love your personality, the way you explain and share your day/experience with us. Thank you I look forward to watching more.

[@AccordingToTawanda]

Welcome to the family 😁

[@MrJenniferwahl8]

So cute. and bright light...hope you have more videos

[@AccordingToTawanda]

Thank you, I will! Stay tuned 😊

[@tamikalopez8309]

This is probably one of the most captivating informative videos I’ve come across. Thank you for your attention to the details. And that nursing brain example!!! I am trying to transition into Home Health after working in the hospital for almost 6 years. Everyone requires at least one year of home health experience. Any advice on how to get my foot in the door without a years Home Health Experience. I did run a COVID testing and treatment site. We had a location in which refugees lived in hotels and I did care for them in that setting, though I don’t know if it would be considered home health even though this is where they lived!?

[@AccordingToTawanda]

Hi Tamika! Thanks so much, I’m happy to know you found the video helpful. The first I’m going to say is just apply. Apply to as many HH companies as possible. Go on interviews, and gain tips from the interviews. Most places will interview, and higher you even without HH experience. What state do you live in? Are you a LPN, or RN? Another thing you can do is become familiar with the OASIS. Especially if you are a RN. Let me know if you have any additional questions. Thanks so much for watching, and commenting 😊

[@carolinen4122]

Love the content. Very informative!!

[@dreamhousebylilli]

Ty for this! I have an interview at a memory care center. Studying for the TEAS. Not a lot of content on RNs outside the hospital. New sub 🎉

[@AccordingToTawanda]

Your welcome! Thanks for watching, and welcome to the family 🩷

[@jenniferlis9796]

Thank you so much for this video. I am thinking of going into home care and your videos will be so helpful!

[@AccordingToTawanda]

Hi Jennifer! I’m happy you are finding the content helpful. Let me know if there is a specific topic you’d like me to discuss. Thanks for watching 😊

[@Cho-wn4gz]

First time I watch you. I’m a new grad that accepted a job at a HH agency…I’m nervous because I don’t know what to expect thanks for your help.

[@AccordingToTawanda]

@@Cho-wn4gz You got THIS!! Ask ALL THE QUESTIONS!!!! Don’t be afraid to say if you don’t understand something or need more clarity/training. Congratulations on your journey 🎉 Let me know how things are going for you ☺️

[@tamikahoward9111]

Thanks for the detailed video, I’m starting HH as Registry. I love pt teaching so I think I will love HH. Love the bag ❤

[@AccordingToTawanda]

Hi Tamika, Thanks for watching! Will this be your first time doing HH? I’m totally obsessed with my work bag, lol!!

[@tamikahoward9111]

@@AccordingToTawanda Yes this is my 1st time, I’m working for a larger agency and they have my orientation scheduled for 10 weeks, I was shocked 😳

[@AccordingToTawanda]

@tamikahoward9111 10 weeks is GREAT!!!!! How long have you been a nurse?

[@tamikahoward9111]

@@AccordingToTawanda 12 years! I’ve done a little of everything 😀

[@saramccaffrey3242]

I’m graduating from nursing school this May and was just offered a job as a Home Health nurse ❤ I’ve been watching videos on what it’s like - even though I have an idea - you seem so happy and I’m thankful there is nurses out there that allow us to get a glimpse into their day ❤ Thank you!

[@geriroush8004]

I am flabbergasted, how do you get thru 4 SOC before noon? We use HCHB (home care home base) and I am unable to do anything ahead of time before opening the visit and starting it. I do use a cheat sheet, but for me, 3 hours for a SOC would be a record, and for 4 visits, even in town, I'm going to spend at least an hour driving. I really think that if the medication list, and diagnoses were entered ahead of time, then I could just reconcile that and make changes as needed. Here we are, all on electronic charting, and none of our computers are communicating with each other, so we nurses have to do the tedious work of data entry along with everything else. I'm hoping to pick up some tips from you.

[@AlexaNicole1186]

Thank you for this video. It was so informative and makes me excited to start home health! I love to educate and I think it will be a great fit for me 😊

[@AccordingToTawanda]

I’m glad you enjoyed the content. Keep me posted on your journey! Congratulations🎉

[@karinachavez1839]

Hi thank you for the information

[@AccordingToTawanda]

You are welcome 🩷

[@cupcake1406]

I enjoyed watching your HH video it was detailed and through. I like that you emphasized the importance of patient education and you included their family members as well. Enjoy your cookie!😉

[@AccordingToTawanda]

Thanks for watching! I may need a cookie today 🍪😋

[@cupcake1406]

@@AccordingToTawanda you should definitely treat yourself to a cookie!! I treat myself to a diet coke and a snickers😁

[@AccordingToTawanda]

@@cupcake1406 🍪🍪🍪

[@getreckedstorytimes9419]

Thank you for sharing! I applied to a few HHN positions and I was intrigued with the schedule, family friendly! Looking for more information about travel and expenses to consider and low key what are good pay rates? Looking for balance

[@NordicDrip]

those cookies looked so good

[@AccordingToTawanda]

They are soooooo good 😊

[@zahramohamud872]

Hi Tawanda, I'm new to HH thanks for the thorough information, you make it sound so easy but it takes me a long time for OASIS documentation,, what tips do you have? Ty

[@AccordingToTawanda]

Hi Zahra, it’s definitely a learning curve. The more familiar you get with the OASIS the better it gets. I’m thinking of doing a KZbin Live to discuss Home Health questions in the month of November. Would you be interested? Also, do you have any specific questions that I can answer for you on an upcoming video?

[@AccordingToTawanda]

Also, would you like a copy of my SOC Cheat Sheet?

[@shadet541]

@@AccordingToTawandayes it’s very helpful

[@Emmily-du2yp]

Hi Tawanda! I just found your channel and I’m loving it! I’m a HH RN CM in Jax, FL. We use HCHB to chart, can you give any additional tips on how to minimize time charting? It takes me forever to do a SOC 😢.

[@AccordingToTawanda]

Thanks for sharing this with me☺️ Emily, email me at [e-mail] ❤️

[@camcam9927]

Hello, do you have a link for the bag. Where did you get the bag? Thanks

[@AccordingToTawanda]

Hi Camcam, Sorry I don’t have the exact link. Mine was a gift. The brand is SwissGear. It’s a SwissGear Triangle Sling Backpack. Amazon has many that’s very similar. Try searching for a triangle sling or swing bag. These links are to similar bags: www.walmart.com/ip/SwissTech-Travel-Sling-Backpack-Black-All-Ages-Walmart-Exclusive/246062159 www.amazon.com/Tudequ-Separation-Crossbody-Backpack-Daypack/dp/B07YF9ZFZB/ref=asc_df_B07YF9ZFZB/?tag=hyprod-20&linkCode=df0&hvadid=475809759763&hvpos=&hvnetw=g&hvrand=2755102466159853106&hvpone=&hvptwo=&hvqmt=&hvdev=m&hvdvcmdl=&hvlocint=&hvlocphy=9021670&hvtargid=pla-842063243202&psc=1 www.amazon.com/OutdoorMaster-Sling-Bag-Crossbody-Backpack/dp/B015OFQKJA/ref=mp_s_a_1_14?crid=18GAIK091BAPZ&keywords=swiss+gear+sling+bag&qid=1682461474&sprefix=bag+swiss+gear%2Caps%2C104&sr=8-14 Hopefully this helps! Thanks for watching and commenting 😊

[@camcam9927]

@@AccordingToTawanda thank you 😊

[@AccordingToTawanda]

@@camcam9927 your welcome 😊

[@Beignetboy]

Thank you for uploading! Might be a dumb question, but as a home health nurse do you get paid as if you were working from 8-5? Or do you only get paid for your hours on the road an charting (8AM - 1PM) ?

[@AccordingToTawanda]

Great question! I get paid salary. I discuss my salary in this video: kzbin.info/www/bejne/mKW4YqSwnp2Ngtksi=f1kw08KEwWw-090Z Thanks for watching!

[@247gwyn]

Awesome job!

[@ELthatsLoreel]

Hi! Thank you for all of the information. I just started my nursing program and I’m interested in home care. Do you think I could do this as a new grad? Think I’ll get hired? If not, where could I gain experience outside of a hospital? 🥴

[@dancingshadows5422]

Whats the difference between cna lpn and rn roles in in home care pls.

[@AccordingToTawanda]

Hi, I’m recording content today and tomorrow. I will answer your question and have it up asap. Thanks for watching 😊

[@dancingshadows5422]

@AccordingToTawanda omgosh thank you soo much!!! Im currently a cna considering pursuing nursing id love some perspective (never did home care but i love developing relationships and showing proper time/care to my pts hence my request for info)

[@AccordingToTawanda]

@@dancingshadows5422 I got you😁

[@renerenewed]

I will start my HHA job in 4 days😅. Two 12-hour shifts a week to start.

[@AccordingToTawanda]

Congratulations 🎉🍾🎈🎊 Let me know how you like it😊

[@renerenewed]

@@AccordingToTawanda will do. 🥳 thank you. ❤️

[@AccordingToTawanda]

@@renerenewed How’s the new job going?

[@renerenewed]

@AccordingToTawanda hi. 🙋🏽‍♀️ This is the easiest job that I ever had. I spend 89% of the day, sitting down. It can get kinda boring at times, or a day might go slow. I wish that I made more money, but I'll be asking for a raise soon, and taking on a few more days throughout the month. I was supposed to do 2 days a week, but I was asked to do 1 more day, 1 time, and so far it's been my consistent schedule. So, now, I'm up to 3 days a week. I love it. ❤️

[@AccordingToTawanda]

@@renerenewed Amazing! Thanks for the update 😁

[@mfrazer6502]

Hello! I am thinking about doing Home Health again after working from home for 5 years as a prior authorization nurse. I really need some encouragement. Can you give me 5 reasons you love being a home health nurse I know flexibility is #1

[@AccordingToTawanda]

Hi, my top 5: 1. Flexibility 2. Nurse to participate ratio is 1:1 3. I never work an eight hour day. I start when I want, therefore decide the flow of my day 4. Autonomy and Independence 5. I take off when I want and don’t have to find coverage for my because I only do Start of Cares BONUS: I only work three days a week, and have a six figure salary Thanks for watching 😊

[@nurseforlife1336]

Keep the videos coming going back into HHC full time need all the help I can get however I won’t be doing soc I will be a cm videos for that??

[@Legacychaser_777]

Hello Tawanda I hope all is well! Are you still working in HH? I'm currently interviewing as an LPN in HH. I need assistance with deciding if this is the right option & time.

[@AccordingToTawanda]

Hi Hannah, yes I am currently working in HH. I’m actually working on a updated HH video. If you have any questions please feel free to ask them and I will answer them in my upcoming HH video. Thanks for watching 🩷

[@desdior1207]

Hi I’m currently in nursing school and have years experience as a independent provider (aka Medicaid provider) can I just jump straight into home health once I graduate or would I need hospital experience?

[@AccordingToTawanda]

Hi Desdior, watch this video. I discuss new nurses and home health: kzbin.info/www/bejne/noaxn5ujbtKVnqM&feature=share9 Let me know if it helps. Thanks for the great question, and thanks for watching 😊

[@miahamilton7219]

New sub very insightful

[@AccordingToTawanda]

Hi Mia, thanks for joining the squad! New content, including a Day In The Life dropping next week😊 Thanks for commenting, and subscribing!!

[@AccordingToTawanda]

Mia do you work in Home Health?

[@miahamilton7219]

@@AccordingToTawanda per nursing student

[@AccordingToTawanda]

@@miahamilton7219 great!!!

[@francecasabar6176]

Do you think it’s possible to work 2 HH jobs? In case one is slower than the other? Trying to make more money, but I already work one FT Home Infusion job. Some days I have zero patients, but still get paid for 8 hours work.

[@AccordingToTawanda]

Yes! Absolutely!! I know several people that do. Thanks for watching.

[@francecasabar6176]

@@AccordingToTawanda thanks for your reply! I keep thinking about picking up a per diem HH job for extra income, so I will try it. I think it’s still way less stressful than bedside nursing. I did bedside for 10 years and I don’t want to go back ever.

[@darshjohnson91]

I’m a nurse 6 yrs in..background in med surg and psych but I’m kind of Burnt out.. looking for something more flexible but at the same time looking for extra income..thinking about PRN home health..any advice?!?!

[@AccordingToTawanda]

Hi😊I always recommend starting home health on a PRN basis. Especially if you don’t have any prior experience in that area of nursing. It can be challenging to find PRN positions in some areas. Email me if you’d like to chat 💬😊

[@bartj1940]

Hello! Do registered nurse deal with personal personal hygiene at patients'home?

[@AccordingToTawanda]

Hi Bart! We provide skilled nursing care in the home. Some patients have Home Health Aides to assist with ADL care. You may run into a patient that needs some type of personal care while you are there. However, the nurses main goal is to provide a skilled need. Great question, thanks for watching 😊

[@bartj1940]

@@AccordingToTawanda Thanks for your reply Tawanda! So is it uncommon that a RN deal with persona hygiene at home right? And what are the most common tasks at patients'home?

[@AccordingToTawanda]

@@bartj1940 Yes it’s uncommon. However, you can encounter a patient that needs some form of personal care. I will do a video on this and post it next week. Stay tuned 😊

[@lisalegans894]

Do you do oasis charting and how long does it take to do an admission

[@AccordingToTawanda]

Yes I do. I complete an entire SOC visit and charting in about one hour and 30 minutes. Thanks for watching 😊

[@lisalegans894]

@@AccordingToTawanda can you do more on how to save money on our taxes to bring more money home I live in California and we are taxed really high

[@cherylwickens791]

Hello, do you complete charting at the patient’s home???

[@gl6725]

I am also a home health nurse. How long does it usually take you to chart on your Oasis ? Plan of care?

[@AccordingToTawanda]

Hi G L! I can complete my charting in about 35-40 minutes from starting to finish depending on how many meds a patient has. I only do SOCs, which makes me have greater spread. How about you? Thanks for watching, and commenting😊

[@gl6725]

@@AccordingToTawanda it takes me 1.-1.5 hrs using the oasis e on epic remote client, plus the Poc I do case management too..

[@gl6725]

Sometimes 2 hours if the patient has a wound. We use this app that measures the wound but the downside of it is if there’s poor connectivity it slows us down big time

[@AccordingToTawanda]

@@gl6725 How long have you been doing HH?

[@AccordingToTawanda]

@@gl6725 we have to get your speed up. Do you feel like you are comfortable answering the OASIS questions?

[@UCanHaveHim]

Do they require you to take immunizations/vaccines?

[@AccordingToTawanda]

My company does not require vaccines. However, it varies from company to company.

[@ashleyblessitt808]

Hi, what time do you end your day as a HH nurse ( after seeing your patients)?

[@AccordingToTawanda]

Hi Ashley, I’m usually done by 12 noon. Thanks for watching 😊

[@marichelestoconing9407]

Hi there! May i ask if how many hours do you need to work a day?

[@AccordingToTawanda]

Hi! With home health once you finish seeing your patients your day is done. I have no set hours. I start when I want and am only responsible for seeing my assigned patients for the day. I hope this helps. Thanks for watching 😊

[@cherylwickens791]

Are you hourly??? Does your agency allow time for charting???

[@AccordingToTawanda]

Hi Cheryl, no I’m salary. I work three days a week as a SOC Admissions Nurse.

[@monikaroseRN]

Hi, im also a home health admissions nurse but I do 1-2 admissions per day. I could never do even 3 admissions in one day. How long does each visit take you?

[@AccordingToTawanda]

@monikaroseRN Thanks for watching. The max that I will accept is 5. I consider if the admissions are all Medicare, or if some are private insurance. I complete the average SOC in 45 minutes. I would say it takes a lot of practice and being very familiar with the OASIS/Assessment Skills. Do you only complete admissions? How long have you been doing Home Health?

[@monikaroseRN]

@@AccordingToTawanda I get paid salary so I don’t complain when I only get one admission for the day. It takes me about an hour, sometimes 1h15mins or even up to 2 hours if it’s a complicated patient. I rarely get ortho patients, I have a mixed bag: CHF, COPD, falls, wound care. I also like to start my day early but I rarely get anyone to accept 0800 visit, so I usually start at 0900. Charting takes me about an hour per patient. I don’t manage patients but occasionally will do a routine visit. Thanks for your videos. I find those very informative and interesting to watch from a fellow admission nurse :)

[@monikaroseRN]

@@AccordingToTawanda I’ve being doing home care for almost 2 years now and love the flexibility it provides. :)

[@AccordingToTawanda]

@@monikaroseRN Yes I’m sure you have no complications, lol! Planning to add more content to the channel soon. I work three days a week. Do you have a five day work week?

[@AccordingToTawanda]

@@monikaroseRN The flexibility is unmatched!!

[@ShaunRamos-jh3ed]

What city do you work in? Great video!

[@AccordingToTawanda]

I live in the suburbs outside of Chicago, Illinois. Thanks for watching 😁

[@dawnclarke3065]

Hi Tawanda, i am living in Conyers ers, Georgia how can i get into home health as an admission nurse. I have over 30 years as a registered nurse in areas as ER, med/surg, post partum, antepartum and Gyn nursing. Waiting your response. Thank you.

[@riverbonilla8108]

How much do you make working only 3 days?

[@AccordingToTawanda]

@@riverbonilla8108 Hi! When I was worked this position I was salary. My salary was $125,000 annually. I’m currently a PRN HH Admissions Nurse. Thanks for watching 😊

[@riverbonilla8108]

@ wow! Is that standard for that position?

[@AccordingToTawanda]

@@riverbonilla8108 This was a rate I negotiated which is fair for the position I was working.

[@JadeBrown-vr9hk]

Can you share your cheat sheet

[@AccordingToTawanda]

Hi Jade, sure! Email me at: [e-mail]

[@cartermclaughlin2908]

OMG! How did you get an employer who can give you 3 ortho, an PIV,? Judging by your referrals before I know your assessments: the last two sound like a possibility of complications, but otherwise you (well, I) might be done in 8 hrs. Is this your avg acuity? I heard you say "I'm doing 4 admissions & will be done for family time" & I thought you must negligent! people considering home health SHOULD NOT think this is a typical caseload. Ortho & IV patients don't really need any considerable case management. They're the simplest Dxs you'll see and 2 hrs is a reasonable time to complete them. Almost any other Dx requires more time assessing mobility, knowledge deficits, planning teaching needs for Dz process mgmt & prime pt/CG for each topic, family/social issues, I'd probably spend more time on the head to toe, drug reconciliation (likely to not be long list for ortho pts.), much more likely to require interdisciplinary communication (waiting on HOLD), more time thinking & writing narrative, much more time on entire OASIS, communication problems (from language to lonely & wants to chat), Wound care is ALMOST as easy as ortho, but the actual wound care & data entry time is increased. I'd still be doing HH if I had your job. do you work for an orthopedics organization?

[@AccordingToTawanda]

Hi, about 95% of our census is Ortho patients. Hips and knees replacement makes up the majority of our case load. I only complete SOCs, a different nurse does the follow up visits. When you are only doing one thing you really get a chance to craft your skill. Thanks for watching ☺️

[@cartermclaughlin2908]

@@AccordingToTawanda Did you start here or did you later seek out this job after learning about their patient population? I've never worked somewhere that had a dedicated admissions RN, but on-call nurses would transfer some SOCs if they had a full case load. I do not like doing this: As the admitting RN, having audited visit notes, I know that many nurses are task-oriented & do not understand the responsibilities of RN case manager so they will not follow my POC, Esp education. I don't like knowing that a good portion of my time spent organizing my pt's POC will be totally wasted. As the nurse accepting an admitted patient, you need to do A LOT of unpaid work just reviewing the SOC (IF RN has even finished their documentation) & P&P so you can actually follow the POC. Regarding quality of care, your understanding of the POC will never be as through as if you had done the assessment, you miss the opportunity to really introduce yourself the the pt & build rapport, & rapport is further damaged by the inconsistency of sending out a different person as if they are interchangable widgets. IMO, SOC is criminally underpaid - The only reason it's worth doing a SOC (excepting ortho & IV) is that the extra time you spend in the visit and on the computer is compensated by the shorter and more focused re-visits. *I say criminal because I know we are billing $500+ per visit yet corner cutting runs rampant and many clinicians just ignore work that isn't clearly measured in our documentation because we simply are not paid to do our job per medicare guidelines. I'm just starting to explore the world of HH Vlogging and I am surprised I'm not hearing more assessments of systemic problems. I'm surprised to see so many videos like this one that only talk about the skills & strategies for the individual clinician to be successful but with no mention of systemic and fixable issues that increase HH turn-over and impact overall HH quality of care. Participating in the change of health care at the systems level is part of our scope of practice, yet we seem to have internalized the idea that industry obstacles are entirely the responsibility of the individual to overcome. The implication seems to be that you're just incompetent if you can't do a FT case load in 40 hr/wk while the reality is that it is just not possible to meet our CMS dictated responsibilities in 40 hours if you're doing 25+ visits/week. Your acuity level is highly unusual & I think you're doing a disservice & contributing to our high staff turn-over by failing to include a prominent disclaimer. I do not mean to attack you, I think this is an insidious & wide spread cultural problem. In addition to a high turn over rate and high industry proportion of new grad clinicians, this cultural attitude of "just work harder" leads to harming pts and real policy implications like the recent billing changes akin to the austerity measures of No Child Left Behind where we are treated like lazy children and punished financially for poor performance on arbitrary metrics instead of making obvious changes to to our working conditions that would enable us do our job AND participate in family time.

[@AccordingToTawanda]

@@cartermclaughlin2908 I was approached by a former DON for this specific role. There is only two of these positions that exist in my company. Both of us were solicited for the position by a prior manager. We both have a very different background. I was a ADON and Clinical Educator. I won’t even go in all the experience I have with the MDS and the OASIS. They needed RNs that could handle the volume of SOCs the company has. We literally get 25-50 post-op Orthopedic referrals a day. The rest of the load is handled by Case Managers. That’s the company design. We specialize in Orthopedic Aftercare. I actually would never accept a job as a Case Manager in a typical Home Health organization.

[@Citygal01]

❤❤❤

[@AccordingToTawanda]

Thanks for watching and commenting😊