I wholeheartedly agree with you. We, as nurses, need to unite together to get something done about all the bureaucracy there is today in healthcare. I witnessed it in the hospital, doing med/surg, when I had so much paperwork, I didn't have time to spend w/the patient. Now it's almost the same in home care. And you're right...I remember a time in HHC where, when the patient came out of the hospital, you saw them daily for 21 days then 3 times/week. If they were hospitalized w/in that time, when they were discharged, you saw them at the same frequency. Not so anymore...you're lucky to be able to see them once a week, and all b/c the government is trying to cut spending w/home health, when if they truly stop and think about it, it will save them money in the long haul, as HHC is ultimately less expensive than nursing homes, ALF, rest homes or retirement centers. I realize that they're trying to put the spending back to the states-so that M'Caid will pay instead of M'Care...but I have seen so many elderly get cheated out of their retirement, having to spend it on a spouse, who is in a facility, just so when the money is all gone, they can go on M'Caid. What's the use in having a retirement fund, when you're not going to be able to enjoy it in the long haul?
I'm off my soap-box now...lol.
I understand your frustration...at the agency I work for, they decreased the amount of paperwork for the admission. We have an admission booklet that has the information about the agency, safety etc in it. Then we have a secondary payor form, an indigent form, consent form, all the advanced directives stuff, and then the OASIS and 485 information. Our 485/OASIS is incorporated together---it's 20 pages long. And like I said, it takes me about an hour to an hour and a half in the home, then another hour in the office to do. I would suggest talking to the big honchos to see if you could incorporate some of the papers/info together to lessen the paperwork. I agree wholeheartedly with you that the pay for the amount of paperwork is terrible, but then, you have to consider...is the stress level, hours, etc of more benefit than working in a hospital environment? Just something to think about...*S*
I appreciate the great discussion, y'all!!