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I would have a lawyer write up a form basically stating that I am there only for these services and not to assess the pt medically. What do you think about this? How do you think this could work or do you think it's a crazy idea? :)
There is no way you can legally say that you are there only to do ADL-type services and not function as an RN. Your RN license is 24/7/365; you can't turn it on and off at will. If something went sideways at a client's home and they sued you, the court would hold you to the standard of care for your highest level of education and licensure, regardless of what you and the client had agreed.
We all have days when we wish we could have an easier job "but still get my RN salary." :) But this is what you sign up for when you enter a licensed occupation/profession. We are voluntarily agreeing to accept a higher standard of accountability than the average citizen.
I thought I could get the same pay, because if you call around to non-medical home health agencies they charge around $40.00 an hour just for an aide to come out. I agree with you ELKPARK though theres no way getting around the legal aspect of standard of care for highest level of education. Therefore this would not be realistic. I've thought about doing home health case management. Not sure how stressful that would be. I'm deffinitely not lazy, but feel very stressed some days working in the busy hospital. Thanks for your guys feedback! :)
To OP - agencies may charge families/pts $40/hr but the HHA/CNA certainly isn't getting paid $40/hr!
That's why I get so annoyed when facilities whine $$$$ budget, budget, budget, but they'll pay an agency for temp nurses at basically double to triple a nurses's salary. Yeah, some agencies DO pay their nurses well, but not triple!
I'm about to start a business doing similar work, but marketing myself as a personal-care RN (sort-of a private duty RN but not doing high level nursing like trachs or kiddos). My plan is to market to elderly or other folks who aren't getting medicare-paid home health but who need extra help doing simple medical tasks like help with medications, safety checks, bp checks, wound care, blood draws, vit b12 shots, ride to Dr's office, Rx delivery, diabetes checks, education, etc. I will offer to communicate with their doc if needed. My background is working in a physician office, home health, in-home care and in-patient rehab so I really don't have skills to do high acuity nursing.
Maybe you could offer lower-level nursing services like this so you can still market yourself as an RN and charge RN rates.
If agencies in your area are charging $40.00 and hour, who says you can't do aide work as an RN. You will be your own agency, working under your RN license, just not taking care of very sick individuals. Just make sure you are ready to with withold taxes including employer taxes and pay for health/liability insurance. So your $40.00 an hour may be alot less than that amount at the end of the year.
IowafemaleRN
10 Posts
This might sound crazy. I have been a nurse for 6 years and some days just feel burn't out. Sometimes I wish I could just be a CNA again, but still get my RN salary. I've had the idea to start an independent non-medical home care buisness. (Showering pt's, cooking, cleaning, errand running.) I would not have anyone working for me. I would have a lawyer write up a form basically stating that I am there only for these services and not to assess the pt medically. What do you think about this? How do you think this could work or do you think it's a crazy idea? :)