60 visits a week quota ?? sound possible? - page 3

by SweetRN007 6,165 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. 0
    I worked as a supervisor for a pediatric home care agency. What I learned is that all visitis are not created equal. Many take longer than expected. When you add travel time in the best of traffic situations it's still hard to envision more than 7 visits in a day. You may want to check out options with other agencies. Think also about the wear and tear on your car. More frequent maintance and tires etc.. Just the price of gas alone will be impressive. The pay they offer may be sufficient but I'm skeptical of a company that pays you flat rate for that number of visists. The company I worked for had a small economy car for the staff to drive. Several agencies do this. Just check things out very clearly.
  2. 3
    Quote from tvmw
    I worked as a supervisor for a pediatric home care agency. What I learned is that all visitis are not created equal. Many take longer than expected. When you add travel time in the best of traffic situations it's still hard to envision more than 7 visits in a day. You may want to check out options with other agencies. Think also about the wear and tear on your car. More frequent maintance and tires etc.. Just the price of gas alone will be impressive. The pay they offer may be sufficient but I'm skeptical of a company that pays you flat rate for that number of visists. The company I worked for had a small economy car for the staff to drive. Several agencies do this. Just check things out very clearly.
    the salary for the position was almost 72,000 which includes compensation for gas, they dont pay extra for mileage ...i shadowed with a nurse for two days, the second day in six hours we had only seen 7 patients and still needed to see 5 more... they were a mix of skilled visits and med admins, about 5 were skilled and 7 were med admin visits...there was a lot of driving... i just told the company I cant do all that driving and resigned...

    and the better news is, i just got a job with another agency better and bigger agency (new england home care) that has a quota of 30 visits a week which is the norm, 6 visits a day for a 40 hour week.. which is a lot more reasonable

    thanks everyone for the input , im so glad i wont be working with them and driving all over the place ..
  3. 1
    60??? 60 visits a week ?? Are these patients really sick enough to qualify for home health??
    Even seeing 12 patients a day in a hospital setting would make me pull my hair out!!! This reads like a quota for TWO nurses.

    Sent from my iPhone using allnurses.com
    SweetRN007 likes this.
  4. 1
    I live and work in Ct for a large HH agency. I only do revisits and I have to do a minimum of 35 visits a week. I average 8 Pts a day. If its mostly status checks & prefills without problems I'm finished In 8 hrs or less. But lately my 8 Pts are all wounds, mix of wound vacs, new ostomys, none of my visits the past week have been simple, they are very involved with lots of teaching and f/u. I work approx 10 to 12+ hrs a day & average 15-20 miles a day all in one large city. And there is always something that needs to be charted when I get home. 12 patients on one day?? Nope I wouldn't do it!
    SweetRN007 likes this.
  5. 0
    Sounds like you are going to do the right thing! 60 is setting yourself up for failure especially with all the OASIS visits! Good luck!!
    Last edit by Tampa121 on Sep 23, '12 : Reason: mispelled word
  6. 0
    THe maximum requirement is 30 visits per week, even if they are in the same building. To do quality patient care wach visit including paperwork should required 1 hour each. If you have to do recerts or Starts of care the visit could be 1.5-2.5 hours long. Thak company should be reported to the Labor Board.
  7. 0
    Just say NO...
    it is not safe
    it is not common practice
    it is not evidence based
    it is not recommended by any national organization addressing home health nursing

    NO
  8. 0
    It sounds like the reason for the high number of visits is that you were doing a mixture of behavior health med admins and regular medical hh patients. CT is not like other states with regards to HH. Medicaid in CT pays for behavioral health pts to get BID med admins. Often these meds are pre-poured and are in a lock box in the patient's homes with only nurses having keys. Some pts can not be trusted with the box so nurses are carrying the pre-poured meds to them. I worked for a large agency in CT that did both med and bh...I was full time salaried as a medical case manager and saw my wound pts and hip replacements etc m-f 8-4pm ... early am, evenings and weekends i did the bid med admins on a per diem pay schedule and would easily see 12+ pts a day. Most of the behavioral health pts are in group homes, shelters, or live in very close proximity to each other... full physical assessments are not done twice a day so a typical visit is relatively quick, particularly if pts are all in the same building.... it is not easy to see that many pts in a day but it is doable, depending on how ambitious you are.... i did it for a year and decided that was enough for me... the money is incredible but you do questions some days what it is you are working for since you never see your family etc... its a judgement call really as to whether you are capable of it or not.


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