I'm new to home health. I was hired as a salary rn. We are required to see a minimum of 6 point per day. No more than 8 but a typical day is always 8. Recert is 2, soc 2, post Hosp 1.5, discharge 1, and any other visit is 1. To day I had 3 recerts, 1 woundsup, 1 discharge. Discharge pt was not home. So after seeing my pts I head back to office to do paperwork. The power was out. Everyone was Standing around so I went home to do my paperwork. As soon as I get home I get a text from Don asking if I can see a pt. Apparently she was supposed to be on my schedule. Now what frustrates me is that the rn that was supposed to see this pt called in as she always does on Mondays or Fridays. So I called don back and told her I was trying to get my paperwork done. But that I would see the pt if she wanted me to but that it was extremely frustrating to constantly get assigned these pts I don't know because this nurse calls in every week. She didn't say anything but that she would find another nurse to see the pt. Now I feel like I overstepped my boundaries and should have just gone to see the pt and kept my mouth shut. Any thoughts?
sigh.....thats a difficult position to be in......should you keep allowing yourself to be overworked and underpaid or say something and risk being terminated. In my experience, it doesn't really do much good to flat out refuse to take assignments, because they will deal with you sooner or later and it won't be good. The only thing I've found that somewhat helps is to plead with them......tell them how far behind you are and you can't seem to catch up. Don't put the blame on them, just that YOU can't do it. I've almost cried a few times....lmao......
If that doesn't work, and they continue to overwork you, give your two weeks notice and find something else. Don't let it get to the point of hostility and refusing to do what they ask of you, because you will lose. Best to gracefully bow out and leave that bridge intact.
Last edit by LaRN on Feb 28, '13
Quote from paradiseboundRN
I have never seen a nurse get fired for refusing EXTRA work and I have worked at 6 home care companies. Saying that "they will deal with you, and it won't be good" sounds a little paranoid and immature. I don't like scare tactics. If that is the way it is at your agency, get out now!
all you have to do is read some of the posts in home health to realize that nurses get fired from home health agencies for doing little or nothing wrong. the original poster is obviously worried about this happening.
if all nurses refused to be taken advantage of, then agencies would have no choice but to act right. Unfortunately there are many who put up with it
Last edit by LaRN on Mar 1, '13