Calling all HH Nurses, roll call - page 9

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   sjsap
    I hate that word "productivity"!!!!!! I think your case load should be acuity-based instead of quota based. Some patients take more time and expertise than others- something I have noticed in the few months I have been out in the field. I wish there was a different way of handling the patient load so it wasn't so much like flat rate- or piece work. Plus, the different agencies all get a share in the referrals, I remember that as a staff nurse, I had a book of listed agencies for Massachusetts and I could pick and choose what agency to use for my patients. How did the "productivity" quotient come about? I can't believe a nurse designed the practice! I try hard to keep my name in the mind of the staff person who assigns cases to the field staff, and remind her when I am low for my census. Unfortunately, I am per diem, and they give the regular staff first dibbs on any referrals (as they should) and I get what is left of what others don't want to do because they involve a bit of traveling. I am thinking of signing up with a couple of agencies to keep the cash flow in the black in my checkbook, but I think I may need a couple of more weeks or a month to make sure I am able to organize a multiple boss workload. I have the problem where the paperwork consumes a lot of my afterwork time. How do you experienced nurses get it all done in a short period of time? I got a fax in my home so I could fax orders to MDs from here so I could be home for my kids, but when I am doing paperwork, the kids feel like I am not really home. Joanne
  2. by   sjsap
    Ruth, Thank you for the info about Healthwyse- my boss is so cheap I have a name tag done by a label maker, so I don't forsee her investing in a palm system! I love computer gadgets and I would have a great time using my PDA more for work- it is a Handspring Visor Pro- plenty of memory to handle those window based apps!
    Renerian, I wish you all the best in what ever new position you get- it sounds like that hospice job would have you end up being a customer- haven't they heard of the law about 40 hour work weeks????? My boss also is the kind of employer who expects staff to be fully functional with no training- she only paid for 3 hours of orientation- but a seasoned staff nurse took me under her wing and has been helping me learn the job- I still screw up the paperwork and get called into the office to fix stuff- but I see it as a learning experience for not only me, but the boss as well! I told her I am very trainable, just need the training! regards to all, Joanne
  3. by   NRSKarenRN
    Dropping in to welcome all newcommers! Appointed Manager of Central intake for my homecare agency and in charge of straingtening out info in new $5million computer system...intake does all front end loading of info with ONLY 8 hr orientation.
    As usual...learn as you go.

    Wuill sporadically posting over next week asshould be straigtend out by then.
  4. by   NRSKarenRN
    Renerian:

    Here is link to Center for Medicare/Medicaid Services' Hospice Manual:
    http://cms.hhs.gov/manuals/21_hospice/hs0-fw.asp

    Link to all CMS paper Manuals:
    http://cms.hhs.gov/manuals/
  5. by   renerian
    Thanks Karen..........your a gem....

    renerian
  6. by   outbackannie
    Ro: There are many Parish Nurse positions that are paid. You sound very qualified. Check out Parish Nurse Forum
  7. by   outbackannie
    Renerian: That company you are working for is unreal! My bet is they won't last a year!
  8. by   hoolahan
    Reviving and sticking this thread. It occurred to me that there have been some newer folks, and maybe they would like to check in.
  9. by   nightingale
    Alas, I am still a wannabe (back to Homehealth). I did start phase 1 by relocating to the community I will end up in. The HomeHealth Agency I do want to subcontract with as a Vendor has no openings just now so I will be patient.
  10. by   CraftyLPN
    Hi there!! I am a HH nurse and work w/ kids!!! I love it!!
  11. by   mert
    Hi! I am a Comminity RPN, and absolutely cannot imagine doing any thing else. I love being on the move and every day is so different from the one before. I love to drive, so this job suits me fine.
    Lots of paperwork, but not overwhelming.
    And you do feel as though you are actually helping your patients. Small things, like B.P, or, sometimes it is helping them to die.
  12. by   Little One2
    Hi everyone,

    I have just returned to home health care (community nursing or visiting nursing) here in Ontario.

    I had just spent a year in the hospital(working with wendles), then left to try the ICU. But decided it is not the time for me to work in the ICU.

    So for now, since its hard to find work in a hospital due to SARS, I will return to my old job -visiting nursing.

    I will be looking for work in the hospital again. I wish to work on a cardiac floor and then go into the cardiac ICU.

    I enjoy HH. It is good experience. I just don't always enjoy all the driving.
  13. by   Scavenger'sWife
    Hi, all. I am new to HH. I work for my hospital where I worked Med-Surg-Tele for 4 years (right out of nursing school). I have also worked Hospice, and just loved it but couldn't get full-time there. I took this job 5 weeks ago and it is definitely the best move I have ever made. I like driving, so it suits me fine. (I just got a new car, a TransAm...it is really a conversation-starter!) I do not expect to EVER return to the hospital floor work unless it is to pick-up a shift now & then. That may never happen because I am working 40 hours a week. Along with being a field (visit) nurse, I am a Case Manager. I like paperwork, so that is a good fit for me. We also use laptops, which feeds my computer geek needs!! And about OASIS: sheesh....I am sure that it and the computer program we use was written by a man....<sigh> lol

    I will be talking with you later!

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