60 visits a week quota ?? sound possible? - page 2

by SweetRN007

6,016 Views | 27 Comments

Ive been offered a job with a home care agency to do sixty visits a week per their quota. It will be for a RN case manager with mix of mostly med admins, SOCs, recerts, transfers and discharges. ... The company seems to think I... Read More


  1. 3
    Thanks everyone for replies and great input!! i shadowed with a nurse today, and visited her patients with her.. she had about 9 med admins and 3 skilled visits.... the med admins were fairly quick...they were title 19 patients here in CT who are behavioral health patients that are non compliant with their meds so they need the meds adminstered by a nurse... being a case manager she has to order meds if they run low, re stock supplies, do recerts , admissions, transfers, discharges , she starts at 6 am and finishes her visits by 1pm, and then goes home to tons of charting...

    i think im going to tell this place that i just want to do to per diem... they r in for their profit...the lpns go well over twelve visits some do as much as 18-30 med admins a day which include bid meds...but they dont have the case management portion, and they work crazy hours... i cant see myself doing that and risking my license, and being a RN i would have to do the case management part which would be really hard..
    tewdles, Jessy_RN, and kaliRN like this.
  2. 0
    I do hospice home health but only four or five visits per day. Twelve sounds ridiculous however we don't do any quick med admin visits.
  3. 1
    Chuckster: And i think what you are saying is very true . Even if all 12 patients were a mix of med admins and some skilled dsg changes and treatments in thr same facility it can still take 8 hrs easily to do all the work and chart and how do they expect to add travel time and charting to the mix
    kaliRN likes this.
  4. 8
    60 visits in 2week pay period is normal = 30/visits per week. National average for skilled care intermittent visits is 6 per day.

    If they are going to group homes and giving bubble wrapped or prefilled meds pouring into patient's hands, observing them swallow with multiple patients in one location ok.. Otherwise they are taking advantage of you and short changing consumer. What happens if patients are not present in home during med time: at doctors, grocery store, dinner eating etc and you have to come back for just 1 resident who was off site...

    Considering average OASIS admit take minimum of 2 1/2-3 hrs with all documentation submitted, calls made to PCP, pharmacy, DME, CL Mgr etc. NOT safe practice to expect 60 visits/week.
    Last edit by NRSKarenRN on Sep 11, '12 : Reason: spelling gaffs!
    tewdles, Tampa121, SweetRN007, and 5 others like this.
  5. 1
    The Home Health Agency I once worked for (not for long) was VERY unrealistic about their nurses "productivity quotas". If others are supposedly doing 12. Um... there has to be some serious corner cutting going on, possibly with a bit of cutting and pasting during documentation. The SOC's and re-certs will take you a while to get used to and get quick and efficient at. Even with a good computer based program for all informatics necessary, these days it's quite in depth and time consuming. Not to mention the pharmacy and phycician phone calls you will need to keep up with. Oh and making sure the new patient gets all DME's necessary. Lots of good luck and god bless and PRAY you have several patients in the same LTC facilities to cut down on driving. My heart goes out to you!
    SweetRN007 likes this.
  6. 1
    ok I am thinking out of the the proverbeable box here. How about. All these patients get on the sernior bus, find a ride, take ambulance, find the keys that have been hidden from them for who knows how long and get their hineys to her home. They can all sit in her living room or out on the porch, depending on whether) as she calls them one by one to take care of their health care needs??? NO? I know it would be a rediculous thing but I just don't know how else to get it all done.... seriously and hey it would still be "Home Health Care" shrugs*
    SweetRN007 likes this.
  7. 0
    Quote from rnMomm
    No way! not unless they are next door to each other. You would have no time to chart or even stop and take a Pee break! We see 6-7 pt a day. Est. 1 hr with each pt and it should include traval time. Ask the other nurses how the make 12 pts a day. Good luck!
    That's what they're counting on. No charting time. Charting gets put off later and later until it finally spills into...........your time.

    I've never done Home Care but I know more than a few who are now in the hospital because they hated it. They all had the same complaint: "Too much charting to do at home."
  8. 0
    NO no no!!! ***** dangerous for you, dangerous for pts., and bad for other nurses. Keep looking, because this is not a job. Also, never NEVER work a direct-care position salaried. There is just too much work. You will end up working for free and depressing the market for the rest of nurses. Bad Idea All The Way Around.
  9. 1
    No! Sixty visits a week equals 60 hours per week work. Once you count the visit, the drive, the documentation, etc, each visit will take about 1 hour. I have been in home care for 11 years and I know what I'm talking about. Of course, they want to pay you salary so you won't get the OT you deserve. Most agencies expect 25-30 points a week with a SOC counting as 2 points and recert/resume counting as 1 1/2 points. DO NOT TAKE THIS JOB! It will be a nightmare!
    MckinleyRN likes this.
  10. 1
    Quote from NRSKarenRN
    60 visits in 2week pay period is normal = 30/visits per week. National average for skilled care intermittent visits is 6 per day.

    If they are going to group homes and giving bubble wrapped or prefilled meds pouring into patient's hands, observing them swallow with multiple patients in one location ok..
    This made me laugh!
    TrueAtHart likes this.


Top