Hi all! I'm in need of any ideas or assistance anyone can toss me. I'm with a fairly small agency, 15 people, 5 homes and a day program, and about 35 employees. When I was hired (RN) 7 months ago, we had 60 hrs a week of nursing, and I worked with an LPN. It's now just me, and about 20 hours a week. I'm gonna have to shift quite a few responsibilities, and turn several things over to the direct care staff.
First, I'd like to know how other agencies do things. As nurses, what are your responsibilities? Do you manage Dr appts? What training do you handle? Do you maintain the charts?
Second, what resources do you have in the houses? I'm looking at creating a decision tree, compatible with ARC guidelines and our company P&P to address emergent and non-emergent medical events. Does anyone have or use one of these? On what topics do you educate your staff?
Third, are you on "Perma-call?" It seems I'm now the only one on call, for all eternity. I average 30 or so calls a week. Is this typical?
This is a HUGE transition for this organization, and I'm trying to make it as smooth and positive as I can. I'd really appreciate comparing notes and methods with anyone who'd like to share. Thanks!