OASIS assessments or documentation that advances the careers of home health nurses.
If it's got to do with...
I'm
your girl.
I'm
Trischana Davies, RN, MSN the passionately organized OASIS + Home Health Nurse Educator.
this isn't a place to have your nursing documentation written for you or to allow you to take inappropriate shortcuts
You're not the only home health nurse to love its "autonomy", and fear its "disorganization"
and "risk".
I created RNventing Nursing Academy...
A community for Home Health Nurses who just plain understand. Your all-access pass into my virtual academy to start, transition to, and advance your home health nursing careers. and get the proven resources and insight I've created over the past 6 years.
definitely
You’ve been spending too much of your time documenting and placing your reputation + nursing license at risk.
And now you’re ready to build a home health nursing reputation and career you can be proud of.
to work through all of the moving parts and requirements of being a home health nurse and effectively completing oasis assessments + documentation that doesn't give me anxiety about losing my nursing license.
We have all worked entirely too hard to become registered nurses to allow inappropriate shortcuts to tarnish our reputations or track records. These are tools and education to give you guidance and a foundation for being a successful home health nurse in many different capacities.
this is for home health nurses who want to learn and hone their skill set to become highly sought after and be able to call their own shots because of it.
Use the methods and strategies that have been created just for you by someone that's been there and done this all before.
Build your home health nursing skill set and reputation alongside us as we share all that we know and take action.
And let's do this all in our sweat pants, hoodies, hair ties...with our orchestra of kids in the background and a possible glass of wine if you'd like!
You're
right place.
in the
OMG, LET'S DO THIS!
s a cardiac rehab and home infusion nurse, and I would be doing you a complete disservice if I said anything about my transitional experience other than it was INSANELY STRESSFUL ANXIOUS LONELINESS!
I transitioned into home health...
A
new graduate nurses work to enter
transitioning nurses smoothly enter
transitioning nurses
smoothly enter
current home health nurses
stay and advance in
current home health nurses
stay and advance in
You were told, “you’ll have orientation, followed by shadowing, and then we’ll see where you are and how
you feel”.
You were told, “you’ll have orientation, followed by shadowing, and then we’ll see where you are and how
you feel”.
But soon after shadowing you felt pressured into saying you were ready or there was some unforeseen need to get you out in the field ON YOUR OWN before you could collect
your bearings.
But soon after shadowing you felt pressured into saying you were ready or there was
some unforeseen need to get you out in the field ON YOUR OWN before you could collect your bearings.
But wait a minute, do you see that? (Of course, you do, it’s the 137 new messages from your OASIS reviewers telling you that you need to resubmit 8 out of the 10 assessments you just pulled an all-nighter to submit ON TIME!).
That’s not the most disheartening part though, because you know that those submissions might come with an explanation to help you edit correctly, or they might not...and that’s just one source of your ever-growing anxiety and distaste for being a home health nurse.
I could talk about my experiences all day, but that wouldn’t help the
the home health nursing industry.
This is where I fit in like a bright set of crazy soft Greys Anatomy scrubs with a pair of matching Danskos or Nikes, topped off with a well customized Littman stethoscope...not trying to steal the scene or make an entrance AT ALL...wink!
RNventing Nursing Academy was created around the need to provide tools and support for home health nurses
useful, innovative,
and necessary
just like you.
And let's do this all in our sweat pants, hoodies, hair ties...with our orchestra of kids in the background and a possible glass of wine if you'd like!
Most of us start out in home health nursing with the same idea in mind…
But we never really understand the cost of that “autonomy” until we start the job. In my heart of hearts, I knew that becoming a successful home health nurse should NEVER be as risky to a nurses' license or their health especially when their main goal is to provide essential health care to those who can’t physically leave their homes safely.
So, I took all of my OASIS and management training along with my experience from specializing in…
Telemetry Step -Down-From ICU
Med-Surg.
Wound Care
Cardiac Rehab.
Insurance Consulting
Home Health
Oasis Quality Specialist
Oasis & Home Health Nurse Educator
Into a suite of products that help home health nurses advance their careers by creating or improving their OASIS assessment and documentation skills in addition to elevating their home health nursing skill set and confidence.
make more money with strategic planning, preparation, and completion of your OASIS assessments and documentation, so you can an exceptional reputation with your agency and your patients while your reputation and your nursing license.
I help you
build
protecting
We are gonna make OASIS your “Nitch”, so your assessments + documentation can be...
Most of us start out in home health nursing with the same idea in mind…
But we never really understand the cost of that “autonomy” until we start the job. In my heart of hearts,
I knew that becoming a successful home health nurse should NEVER be as risky to a nurses' license or their health especially when their main goal is to provide essential health care to those who can’t physically leave their homes safely.
So, I took all of my OASIS and management training along with my experience from specializing in…
Autonomy!
________________
________________
Easy
Sustainable
Automatic
Repeatable
Clear
Effective
Detailed
Precisely You!
I
was born and raised in a small tobacco farming town in Southern Maryland named Calvert County.
My parents divorced when I was around 2 years old, and many will say that there is no way that I can remember such a thing at 2, but I remember the exact moment we drove out of our driveway and went our separate ways, right down to the arrangement of furniture and loaf of Wonder bread my Father had placed on the back of his pick-up truck.
Little did I know that this graphic memory of mine would prove to be
__________________
From that moment I lived what some might call a double life. My father is a no nonsense man so he completed the needed requirements to mandate joint custody where I spent EVERY other weekend, half of EVERY holiday, and 2 weeks of EVERY summer with him.
When I wasn’t with my father I was with my remarried mother, where I was unfortunately subjected to verbal, and mental, abuse. And although unacceptable and disgusting when received from your guardians, I somehow managed to maintain my composure to the outside world (because if my father found out...cheese and sprinkles!), excel in school, and get accepted by ALL of my first choice colleges.
At such a young age, I remember telling myself “never let them see you cry, or give them the satisfaction of allowing myself to fail”.
This isn’t a period I’ve ever shared with many but it’s important that I share it with you because it has EVERYTHING to do with the woman I am today.
one of my greatest assets!
__________________
From that moment I lived what some might call a "double life". My father mandated joint custody where I spent EVERY other weekend, half of EVERY holiday, and 2 weeks of EVERY summer with him.
When I wasn’t with my father I was with my remarried mother, where I was unfortunately subjected to verbal, and mental, abuse. And although unacceptable and disgusting when received from your guardians, I somehow managed to maintain my composure to the outside world (because if my father found out...cheese and sprinkles!), excel in school, and get accepted by ALL of my first choice colleges.
At such a young age, I remember telling myself
This isn’t a period I’ve ever shared with many but it’s important that I share it with you because it has EVERYTHING to do with the woman I am today.
or give them the satisfaction of allowing yourself to fail or appear affected by their pure hatefulness."
"Never let them see you cry,
__________________
__________________
Everything
happens for a
reason.
There's light at the end of every tunnel, just know your goal and keep pushing.
I always knew I wanted to be a NURSE,
but working full-time while taking 18-21 credits a semester to place myself through college didn’t lend me the time to study to be a nurse during my first round of college. So, I majored in Math and Physics with the plan to return for nursing.
Three successful careers, a marriage, and a kid later, I returned to college to get my nursing degree and it was everything I thought it would be and a few things I didn’t!
During my last year of nursing school, I began to get really sick without explanation leading up to a hospitalization, but the doctors couldn’t tell me exactly what was going on. which means I spent the better part of my new graduate nursing career suffering from an illness that only I could feel and explain while making my mark on the world as a nurse.
I was able to begin making my mark, but my celebration was cut short when ultimately my childhood of hiding and internalizing abuse, stress, and anxiety, led to another hospitalization where I was FINALLY diagnosed with Crohn’s disease along with a few additional companion autoimmune diseases that were to be determined...what a blow at such an inopportune time!
Not only had my stride of success as a nurse been interrupted but I wasn’t even sure if I’d be able to continue with nursing since it carried such a regular level of stress (which absolutely triggers Crohn’s flares).
I'd FINALLY made being a nurse happen, and NOW i needed to digest that it may have all been short lived???!!!
As God would have it, my husband was offered a position with a new company in California and that period of transition couldn’t have come at a better time. During that period I was able to focus on myself, research, trial lifestyle changes, and ultimately heal to a point where I was able to return to nursing.
When I returned I was home health nursing bound because given the time to evaluate my true goals with health needs, I could regulate my own schedule and patient load, while minimizing the stress of 12-hour shifts and hours upon hours of commute time.
Little did I know that I would fall so passionately in love with the work, and its courageous patients, and communities.
I can't and I won't accept it...
period!!
__________________
__________________
During my last year of nursing school, I began to get really sick without explanation leading up to a hospitalization, but the doctors couldn’t tell me exactly what was going on. which means I spent the better part of my new graduate nursing career suffering from an illness that only I could feel and explain while making my mark on the world as a nurse.
I was able to begin making my mark, but my celebration was cut short when ultimately my childhood of hiding and internalizing abuse, stress, and anxiety, led to another hospitalization where I was FINALLY diagnosed with Crohn’s disease along with a few additional companion autoimmune diseases that were to be determined...what a blow at such an inopportune time!
_____________________________________________
_____________________________________________
1.Take notes
2.Make a plan
3. Follow-thru
Orientation
Plan
________________
During orientation...
I was the one with ALL of my notebooks, different colored pens + markers, taking notes on EVERYTHING because I’m super type-A (I get it from my father), and I’m a serial planner!
So, it hit me pretty instantly that the moment I stepped foot into the field on my own, my nursing license and my entire livelihood were at risk especially if I didn’t create my own processes and tools to make assessments and documentation simple and less time-consuming.
So what did I do? I went to work like Leslie Knope working for Parks and Rec and created process flows, templates, and tools to get me through each scenario in plain English and smoothly. Before I knew it, I was precepting and it was at that point that I realized…
will these new nurses succeed as home health nurses without the tools ( I have) in an industry that uses “autonomy” to sell to and fail nurses at the same time?
are they going to succeed if they don’t understand OASIS or Medicare properly?
their OASIS nursing narrative notes are inadequate and take up their valuable time being resubmitting?
they get the same “laissez-faire” responses I did when I asked for more training or more tools...only to be evaluated on those same items later and held to the fire if I was below par?
they feel the pressure to complete more assessments in a day to keep their jobs and make ends meet, only to place their reputations and licenses in danger?
How...
If...
that would all boil down to nurses entering home health with the idea of having “autonomy”, being given the “autonomy” at a cost that they weren’t aware of because of the sheer density of new material being thrown at you during orientation, to realize this all when something is done “wrong” in the field and it’s too late to prevent tarnished reputations and nursing licenses.
Not to mention the scenarios where tarnished reputations and nursing licenses lead to disgruntled nurses that then leave home health nursing or stay with a “bad taste in their mouths” that provokes them to warn off potential home health nurses from joining our workforce and finding their true fit.
WHOA, WHOA, WHOA! “I don’t move pieces...I move the board” (in my Hetty Lange voice). enter rnventing nursing academy.
Basically,
I started RNA because I understand the , , and of home health nursing to our ever-aging, progressively sicker, strangely underserved populations, now more than ever. I also bring my unique perspective
to this issue as a
impact
importance
necessity
NURSE TRANSITIONING to home health who experienced the extreme uphill battle to become a successful home health nurse INDEPENDENTLY (you can infer or insert your own reality for needing to put in all of this work ALONE...because I’d rather not spend my time and space highlighting non-productive entities...BUT, I got YOU...wink!),
#1
#2
daughter in law of a NEW AMPUTEE MOTHER, and father with severe cardiac damage that both utilize the home health system frequently,
#3
HOME HEALTH PATIENT myself for a period, receiving in-home infusions,
EXPERIENCED NURSE in many other specialties that lead to and prescribe home health,
#4
#5
OASIS + home health nurse educator.
340+
________________
I started RNA because I understand the , , and of home health nursing to our ever-aging, progressively sicker, strangely underserved populations, now more than ever. I also bring my unique perspective
to this issue as a
T
are they going to succeed if they don’t understand OASIS or Medicare properly?
________________
2k+
4k+
Home Health Agencies,
Home Health Nurses, and
private duty nurses later...
I
I want to you the stress and anxiety associated with being a home health nurse with and confidence so you can a sustainable career in home health nursing,
replace
______________________________
________________
passionate
build
we effectively administer healthcare to vast co-morbidities with diversely hybrid populations without the solid infrastructures or technology of other nursing specialties.
higher pay
help
hana
Unapologetically grateful for you and the work that you do,
Let’s grab an ice cream cone and freeze out the negativity, starting with your home health horror stories!
risc
will these new nurses succeed as home health nurses without the tools ( I have) in an industry that uses “autonomy” to sell to and fail nurses at the same time?
their OASIS nursing narrative notes are inadequate and take up their valuable time being resubmitting?
they get the same “laissez-faire” responses I did when I asked for more training or more tools...only to be evaluated on those same items later and held to the fire if I was below par?
they feel the pressure to complete more assessments in a day to keep their jobs and make ends meet, only to place their reputations and licenses in danger?
________________
________________
______________________________
____
____
____
passionate
've tested, proven, and continuously improve the processes and tools that help you advance your home health nursing career to where agencies are asking YOU for YOUR salary + benefit requirements to work for them full-time… and oh yeah, that sugar-honey-iced-tea definitely happens!
I’m so about home health nursing and I definitely favor home health nurses because
In the same breath, we get to develop genuine relationships with our patients, their
support systems, and their communities by stepping out of our comfort zone and
meeting them in theirs.
and we’ll start by helping you understand and write your OASIS nursing narrative
notes to be submitted on the first try!
've tested, proven, and continuously improve the processes and tools that help you advance your home health nursing career to where agencies are asking YOU for YOUR salary + benefit requirements to work for them full-time… and oh yeah, that sugar-honey-iced-tea definitely happens!
I’m so about home health nursing and I definitely favor home health nurses because
In the same breath, we get to develop genuine relationships with our patients, their support systems, and their communities by stepping out of our comfort zone and meeting them in theirs.
help
replace
higher pay
build
i choose
Tokunbo Davies
& my marriage first.
I met "T" as my Pastor's son, and boy did I KNOW I was in over my head! We were engaged within 3 months and my life has never been the same. He has been my back-bone and support system during my darkest and toughest moments. There's NOTHING and NO-ONE that comes before him :)
I met "T" as my Pastor's son, and boy did I KNOW I was in over my head! We were engaged within 3 months and my life has never been the same.
He has been my back-bone and support system during my darkest and toughest moments. There's NOTHING and NO-ONE that comes before him :)
next
i know that
The Mother-Son
bond is special.
Meet our amazingly intelligent extrovert Son, Ekundayo. He is the most empathetic and caring young man we've ever known. His sweetness makes my teeth ache! His little sister was born on his 10th birthday, and his only concern on that day was "is mommy and Abi okay?".
Meet our amazingly intelligent extrovert Son, Ekundayo. He is the most empathetic and caring young man we've ever known.
His sweetness makes my teeth ache! His little sister was born on his 10th birthday, and his only concern on that day was "is mommy and Abi okay?".
next
next
i'm sure that
Mothers Daughters
are inseperable
Meet our unapologetically independent and wise beyond her years Abioseh. Abi was so excited to meet her big brother, who had been reading to her that she arrived 3 months premature on his 10th birthday! We lived in the NICU for 4 weeks, and she's never left my side...not even to sleep!
&
Meet our unapologetically independent and wise beyond her years Abioseh. Abi was so excited to meet her big brother, who had been reading to her that she arrived 3 months premature on his 10th birthday! We lived in the NICU for 4 weeks, and...
she's never left my side...not even to sleep!
next
it's well known that
My Priority Is To Find Tiffany's
"green" everything.
Hands down...there is something so invigoratingly positive and refreshing about this color. Not to mention that Tiffany's eye glasses and jewelry ALWAYS compliment my unique personality, style, introverted nerdy sass, and serves as my classic splash of "Trischana has entered the room"!
Hands down...there is something so invigoratingly positive and refreshing about this color. Not to mention that Tiffany's eye glasses and jewelry ALWAYS compliment my unique personality, style, introverted nerdy sass, and serves as my classic...
splash of "Trischana has entered the room"!
next
i'm obsessed
With ALL Things "Family"
dna & ancestry.
As an African-American, I've run into the same issue as many others, where I have no clue about my actual genetic make-up, or where my family is actually from on the African continent. Identifying my genetic make-up became very important when I was sick and being diagnosed with Crohn's disease.
As an African-American, I've run into the same issue as many others, where I have no clue about my actual genetic make-up, or where my family is actually from on the African continent.
Identifying my genetic make-up became very important when I was sick and being diagnosed with Crohn's disease.
next
- Trischana Davies, RN, MSN
"we are doing things on our terms, in our way, with no obligations at the end of the day".
helping home healtH & PRIVATE DUTY nurses
start, transition to, and advance your nursing careers and
succeed
I've been there and created tools,
to "change the game"!
Now it's your turn.
Let's make some things happen TOGETHER.
get started
get started
I've been there and created tools, to "change the game"!
Now it's your turn.
Let's make some things happen TOGETHER.
as seen in:
how i earned my stripes
RNventing Nursing Academy
__________________
& created
Overcame the “dual salary”, “mommy-dilemma”, and “living internationally” to complete nursing school prereqs, and become an official nursing student.
After 5 years of working for my share of large corporations and non-profit organizations, I pivoted to attaining my goal of becoming a nurse. My family and lifestyle had changed quite a bit since the last time I was in college, as I was married, had a son, and had grown accustomed to functioning off of two salaries, but with my husband’s support, I began taking prerequisites to apply to nursing school while we were living in Yokosuka, Japan. 4 prerequisites and 2 recommendation letters later my career as nursing student began.
In 2009 I switched from mathematical physicist to nursing student
Exceeded stringent, unwarranted obstacles while battling a severe chronic illness to ultimately triumph as the selected graduation speaker and pass my nursing boards on the first try.
During my last year of nursing school, I became extremely ill and was hospitalized with no diagnosis in sight. The director of my nursing program basically assumed that I was unfit to attend and required me to jump through a number of hoops and provide mandatory documentation from my physicians stating that I was healthy enough to attend. There were even instances where the faculty and administrators had written me off as a failure due to my undiagnosed illness. Prayerfully, I made it through and was hand-selected by my nursing classmates to write a speech and speak at our graduation.
Became debilitatingly sick
Gained irreplaceable technique, communication, and documentation experience in a high-stress environment that ultimately filled my cup of bed-side nursing experience.
Starting my novice nursing career in this position was definitely no walk in the park, but the comradery between the nurses I worked with was nothing short of amazing. I worked nights, was responsible for 7-8 patients and their acuity was never an assigning factor. There were so many nights where I would run from room to room administering heart rate medication and CPR in order to keep our patients alive. Every life-saving and rapport building technique I learned working on that floor formed my budding career as a nurse.
Began new graduate nursing career as a telemetry step-down-from-ICU nurse in Baltimore City, MD
Accumulated experience in a variety of nursing specialties to round out my knowledge base and critical thinking skills.
I accepted and worked in the following nursing specialties:
Emergency
Med.-Surg.
Outpatient cardiac rehabilitation
Insurance consulting
Telephonic triage + assessment
Disease & Case Mgmt.
Utilization Review
Documentation Review & Education
Wound Care
Home infusion
Home Health
Worked in numerous nursing specialties to gain more experience and find my happy place
Accumulated experience in a variety of nursing specialties to round out my knowledge base and critical thinking skills.
I realized that agency orientation didn’t provide me with the tools I needed to become successful home health nurses. So, I completed certification trainings, began working as an OASIS reviewer, and started researching with implementation each “out-of-the-box” approach I created in order to create effective and useful tools for being successful. I’ve spent the last 5 years creating, testing, and continuously improving my methods and frameworks yearly based on Medicare and CMS requirements. I’ve provided trainings and tools for top tier agencies, and top individual home health nurses on a private basis. My successful home health nurse and agency stats stand at 10+ well-known agencies and 1000+ successful nurses.
Became an OASIS + Home Health Nurse Educator
Congratulations
Chana!!
We are so proud of You!!
Created by:
risc
T
hana
D
avies
, RN, BSN, MSN
wondering what to include in your oasis nursing narrative note?
Let's break it down.
download the free oasis nursing narrative note cheatsheet & checklist
A SIMPLE and PRACTICAL guide to help you writing your OASIS nursing narrative notes, so you can stop wasting your time with resubmissions and edits, make more money, rank higher on your performance evals, and control your carer advancement without putting your reputation or nursing licenses on the line. All In terms that you can understand and remember! Get instant access below and start learning today!
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Finally
"Own"
