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This is a discussion on Home health nursing pressure in Home Health Nursing, part of Nursing Specialties ... Hi all, I'm fairly new to home health nursing. I enjoy the work much more than the Hospital...by jellybean16 Feb 14, '12Hi all, I'm fairly new to home health nursing. I enjoy the work much more than the Hospital environment, but dislike a few key aspects. There is a lot of paperwork to learn.I'm sure that will come with time. Also, having palliative patients is difficult I find withThe amount of setup that needs to be done for them (paperwork wise). Another thing I dislike is the pressure that coordinators put on me to pick up extra visits during my day. It seems as though I get a guilt trip laid on me, or an unhappy coordinator if I say "I'm sorry, I can't see anyone else today other than who is on my schedule." this job is elect to work and I'm seeing a decent amount of clients each week for intermittent visits. I'm experiencing health problems that leave me feeling very fatigued as well, so I work as much as I can. It just seems that when I say "no," I am hated for it. Does anyone else experience this at all? I guess I just don't want to feel alone in this when I'm honestly trying my best to help out...
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- Feb 15, '12 by caliotter3If you are having health problems that are being worsened by your scheduler trying to foist more visits on you than you can comfortably handle, suggest you seek an extended care position. If your agency can not provide you extended care cases, then find an agency that can accommodate you. Easier to get out of the arena, if you are being pressured, than it is to constantly be under a guilt trip atmosphere. Asserting yourself may backfire or take forever and a day for you to win, just move on to an area where there is less of window for them to make you miserable when you need to say no. Good luck.
- Feb 15, '12 by AMN74I have been a home health nurse for more than 15 years, both in administration, and out in the field. I am currently a field staff member, and prefer it that way. I do not like office politics. Anyway, that's off topic.
Home Health, as you will find demands that you be very flexable. I get an assignemnt based on our computer program's interactive scheduler. I try to call my patients the night before and let them know that I'm coming. But often the day gets changed before I can even get out the door in the morning. Either a patient has a blocked foley, a IV problem, or a Vac dressing that needs replaced, and so I have to reschedule and plan accordingly. I have learned over the years to tell my patients on the phone the night before that I am coming, and my "target time will be between x-y time (usually a 1-2 hour time slot), but I may be running late and if I can call them I will try to call them when I am on my way to their house". It is a very diffiuclt thing to schedule and keep up. Sometimes I have to call my office and tell them that I have a PRN visit that I have to do and give them back a patient to restaff if I am too busy to handle it all. I don't let them give me any flack about it, I see as many patients as I can and do all that I can, but I will not allow them to run me into the ground. You can only do so much in a day, and if they are putting pressure on you to do more (if you are meeting productivity) then you have the right to say NO and they have to get over it. I know that if I am on call that night, and they are already pressuring me to see more, sometimes I will work late and do more, because it would ultimately fall on me to do it after hours anyway. It's just the nature of the game. Be flexable, be willing to work with the scheduler. I have a certain "territory" that I generally see patients in, it is the furthest distance away from the office. So sometimes when they call to add a patient to my schedule I will agree to take a patient that is further out, if they will restaff a patient closer to the office that another nurse could pick up.