I did private duty on my own for several months several years ago. Had no trouble getting patients. Had trouble getting rid of them
Once I committed to staying with the patient (usually 8 to 12 hours at night, and sometimes in the hospital), I was committed. These patients were wealthy and could afford my $35/hr I was charging directly to the patient, who paid directly to me. My problem was that whatever came up, however I felt, whoever was coming from across the country to visit me, I had to go to my patient. There was no one sharing the business with me. No one to call and say, "My mother is here from California. I would like to be off tonight."
It did not work out for me. What HAS worked out, though, is I do private-pay home health visits. This has been very lucrative since Medicare has decreased its payment options and methods to home care agencies. If a retired doctor's wife is taking Coumadin and needs a protime (especially if she is unable to drive), I will go to her house, do a basic but thorough nursing assessment
, and collect the blood. I then take the specimen to the lab (or the M.D.'s office) and send my comprehensive nurse's note to the M.D. I charge $50 per visit within the city, whether the visit takes 20 minutes or an hour. This is billed to the patient. There are days I have 12 or 13 visits, but I am not obligated to give up my life for it. I also have several friends who can pick up a day for me if I need for them to do so. I LOVE my job!:roll