Calling all HH Nurses, roll call - page 26

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   rn34
    Thanks, I went in yesterday, and have already been moved off of weekends to weekdays, dang, now I'm really nervous, I need to do at least 40 visits a week to make what I was making at the hospital and pay for the medical insurance.
  2. by   PamSICURN
    good Lucck to you. I've been in HH for 3 yrs now from the ICU and love it. The only difference you should face as an RN is the paperwork (yuk). It's so great though, the patients make up for the paperwork Good Luck, again! Pam
  3. by   luckyduck7
    Hi everyone...
    Brand new hh Rn here. I will be going on my first solo visit on Friday, and I'm so scared. I guess scared mostly of getting lost! I've even done some test runs of my area on my days off to try and get to know the city better. (I'm in Akron, Oh, and fairly new to the area.)
    Do any of you experienced hh nurses remember being freaked out the first official visit? Or am I the only one?
    I know I have the nursing skills, I'm not afraid of that. I've worked in medsurg for a few years and I know I'm a good nurse, so why do I feel like such a nervous wreck?
    I hate being the newbie!!!
    Do any of you have some good advice for me? I would love to hear back from you:uhoh21:.
    Last edit by luckyduck7 on Sep 6, '06
  4. by   outbackannie
    I would think there would be an orientation from the Home Health
    Agency that you are working for. Certainly they don't plan to just hand you a folder of papers and turn you loose. That would be wrong. As former HH Supv, I would take the newbies out on visits with me. That way they become acquainted with my patients and the paperwork involved.
    It pays to have a city map in your car and plot out your visits by locale.
    Always call your patients before you come to visit so that they have a time
    frame when to expect you and ask them for specific directions. Also, call them if you find yourself running late. As you become close to your patients and their families, they worry about you too, and if you're late they begin to
    stress out!

    Home Health is one of the most rewarding experiences in the medical profession. Have a great time!!!!
  5. by   nurse_ann
    Hi my name is Ann, I am am LPN and have worked in home health nursing for 10 years. I love home health nursing!!!!!!!!!! :heartbeat :heartbeat I do alot of dressing changes, listening, listening, listening. Could not ask four a better way. I can't believe I get paid to do this!!! Anyway as you can see I love my work.
  6. by   MSNpsychnurse
    Hi:
    I am a psych clinical nurse specialist who is looking into doing psych home care in Pa. Can you give me some idea of what is considered to be a "fair wage" in terms of orientation hours? I have been told that the per visit rate is $36, but having not done this, I do not know how to begin to translate this into an apples-apples comparison in terms of hourly rate. I have also been told that mileage is 4.4 cents/mile. Would appreciate learning from you/your experiences.
  7. by   cookie102
    can someone explain to me--ordinary day for RN is the equiv to 6 pts., many days has been light with RN only needing to see 4 pts. ,why today when we were short and had to have nurses see 7 pts they complain and go on and on as to "hope i can finish"...seems we can't make anyone happy, let me add that when census is light nurses do not come into the office to "fill their day" and we don't ask them to., we try to be fair..any suggestions???
  8. by   enfpvoyager
    I have been in HHC around 6 years, broken up. Left when changing from fee for service, broke my heart. Back a year and a half. I have been a director for a little more than a year. Tough balance between patients, organization, payers, staff, regulations....
  9. by   GYPSY1349
    Whew...I was wondering when to jump in...I've been so busy reading all the posts on this forum...and so glad I found it! It is wonderful to read about the experiences of other home health nurses, and I can relate to just about all the posts in one way or another!!!

    I have been an RN for many years, worked my way up from nursing assistant to LPN to RN...all the way to hospital Director of Clinical Services...Have worked in many areas of nursing (I like variety!)...Some years back I started working as a travel nurse, 13 week assignments, extending where I wanted to, leaving at the end of 13 weeks if it wasn't for me...I was becoming increasingly dissatisfied with the whole hospital-based system of patient care..

    As fate would have it, I broke a foot, was laid up for 4 months, and had nothing but time during which to reconsider my career choices. Somehow I was led to trying Home Health..and I've never looked back. Once I got past the horror of the dreaded paperwork, I was able to focus on the invaluable service we Home Care Nurses provide.

    I am still a "travel nurse" on paper...But have been at the same assignment, as a Home Health Nurse/Case Manager in Northern California since last January. The hours are great (no more night shifts!), the pay is excellent, I work one out of 4-5 weekends with corresponding days off during that week, see 4-5 patients per day, drive less than 30 miles per day (on my busiest day), do not take "call" and am basically independent in scheduling my days, and giving my patients whatever time they need during each visit.

    Nothing I've done in half a lifetime has rewarded me to the extent that Home Health Nursing has. Being able to direct a patient's care, and work on a good outcome from day one to discharge, is the constant that keeps me showing up day after day, and adding patients to my case load..Sure, I hate the Oasis...who doesn't? But, I look at each one as the tool that helps me to start my plan of care, and it makes me think about the individual I'm working for, to focus on what that patient will need, and what will be required of me and the rest of the team, to make sure they get the best care...

    I shudder at the thought of ever having to return to a Hospital setting...Home Health has renewed my faith in the art of nursing.

    As for the "danger" aspect...I adopt the attitude some have expressed here...I wear my white jacket, hang my stethoscope around my neck, carry my bag with authority, look people straight in the eye, and walk with my head up. Mind you, I'm only 5 ft tall...but it works for me! I don't let fear enter my consciousness, and it leaves me alone..I arrive in a neighborhood with the conviction that I have a job to do, and someone will have to work real hard to stop me from doing it!

    I look forward to reading about other's experiences here, and sharing where I can..This is a wonderful way for us to be part of a community that understands our daily contributions, trials and challenges...Keep up the great service!
  10. by   Marti4161
    Quote from MSNpsychnurse
    Hi:
    I am a psych clinical nurse specialist who is looking into doing psych home care in Pa. Can you give me some idea of what is considered to be a "fair wage" in terms of orientation hours? I have been told that the per visit rate is $36, but having not done this, I do not know how to begin to translate this into an apples-apples comparison in terms of hourly rate. I have also been told that mileage is 4.4 cents/mile. Would appreciate learning from you/your experiences.
    Hi again... I just joined this site and am not sure how to respond - I sent you an e-mail - hope you got it. Here in west central fl we get 41 cents/mile what is 4.4? Shop around for various rates - there are differences ... Good luck! Marti
  11. by   LittlePrettyNurse72
    Love this thread! New DFW HH nurse checking in. I posted this in other forums but recieved very few views, thought I'd try here.
    I have worked for a rural HH company in the DFW area for three months now. This is my first HH job and only my second year of nursing as an LVN. I am doing approx. 30 to 40 visits a week and am getting 23.00 per visit plus a 2.00 per visit bonus to have my paperwork done in 24 hours. Here's my question...I am getting 20 cents per visit (not per mile) for each trip under 21 miles, if the trip is 21 miles or more, I get 5.00 for that trip one way. I average 120 miles per day, not including going to and from work. Is this a normal way of compensating for car usage? Also, so many trips are so far apart I find a lot of lost time in travel that I could be seeing patients. And lastly, would negotiating with management be considered "dangerous"? Any insight to this would be greatly appreciated. I really like the people I work with but am feeling I may be getting the short end of the stick. Thanks in advance!
  12. by   Wgbem
    Dear Gypsy,

    Are you doing traveling nursing as a home care nurse? Is that available? I would be interested to hear more. You can PM me.
  13. by   Wgbem
    Mapquest.com is the best thing for home care nursing! Could not work without it!

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