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Old 08-26-2007, 01:07 PM
Nurse Stella
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I think most nurses have that "gut feeling". You may not be able to put your finger on whats wrong, but you know somethings brewing. In the home, if the patient has a caregiver, I instruct them in what to watch for, and depending on the severity, to call the HH agency's on-call nurse, or call for an ambulance. If I have a patient with out a caregiver, or they are definitely decompensating, I call 911 and send them to the hospital. The nurses that I work with have all done our time "on the hill", as we call it. Hospital nursing. We have worked with the docs in our community for a long time, and they pretty much trust our judgement. If we think they are too sick to be at home, the docs trust we will do the right thing. It is scary being out there all on your own. But you use your knowledge base, instincts, critical thinking. Plus, as long as the patient has a phone, support is just a phone call away. (Note I don't say cell phone- I'm in a mountainous area of northern New England where we don't have good service! LOL)

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Old 09-03-2007, 11:23 PM
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I thought about Home Health when I decided to leave the Hospital. The only thing that stopped me was the idea that most around here have to be "on call" a couple shifts a month. Being a single mom with a six year old, that would be impossible for me. I'm open to it when the kiddo reaches the teen years though!
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Old 09-04-2007, 02:43 PM
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Originally Posted by Julie View Post
Working outside of hospital is different, but I am sure any nurse who has a reasonable amount of experience, common sense and the ability to think independantly would be fine. In fact I think that all nurses should at some time work outside of the safety of the hospital and actually see people in their own home environment. It is an extremely good leveller.

Boy, did you say a mouthful, and I agree, it would be a real eye opener.
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Old 10-30-2014, 12:55 PM
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Default start a home health agency

Opportunities to open home care agencies continue to grow due to the aging population and preference of many older Americans to be cared for in their homes. Starting a home care agency to meet this great demand for in-home care may potentially be a rewarding business enterprise.

A home health Care business offers helpful services for needing people, especially the elderly. The home health business owner can go to the patient’s home and provide services.

Initially it is very important to understand the distinction between starting a medical skilled home health agency versus a non-medical home care agency. Medical skilled home health agencies as the name implies administer skilled licensed nursing and rehab therapy services under physician’s orders with strict guidelines imposed. Medical home health agencies require extensive licensures that could include Medicare and Medicaid certifications. Basically non-medical home care services include personal care, assistance with daily living activities, meal preparation, housekeeping and transportation. Such services are often vital for folks to remain safe and comfortable in their homes. Private pay rather than 3rd party billing sources are the most common form of payment for non-medical care.

Your next decision is whether to start a homecare business on your own or team up with a home care franchise. By choosing a Franchise company you will be subject to franchise fees and must abide by a franchise operating agreement. This includes re-occurring franchise fees and territory restrictions. Starting a homecare business on your own will have lower start-up costs and right to provide services in all counties permitted in which your state license allows.

Formal training or a medical background is not required for owning and managing a home care agency. Many healthcare workers often find this business endeavor attractive due to their experience but by no means a prerequisite. Strong communication and organization skills with a well planned business strategy are more fundamental to success. Licensure requirements vary widely from state to state for non-medical homecare agencies however are generally not so complex to discourage many from undertaking. Start by contacting your state licensing board to request a package or kit detailing all requirements.
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