I don't have time for this!

Specialties Home Health

Published

Specializes in Home Health, Geriatrics, Women's Health, Addiction.

Okay, I just need to vent real quick before I get knee deep into my paperwork. So my supervisor calls me into her office and talks to me about being too thorough or detailed. She says she got a call from a patient's loved one stating I was there too long and I asked too many questions. It was a recert. I cut the visit short because I knew we were not wanted there so we were out in 38 min which is less than the minimum of 45 min required and I had a trainee with me. Seriously?! You really called me on the carpet for this? So I guess everyone else has been starting their visit in their car and running in doing 10 min visits. Anyone else been chastised for doing their job? I can definitely do a recert on a pt I have seen before in a half an hour or less including assessment and vitals, complete charting not included, but then after a while I'm sure they would look at my times and wonder what I did with the rest of my day. You can't win for losing.

Maybe she would prefer that you do the five minute visit that an acquaintance once told me that she did (a good way to get in her 13-16 visits a day).

Ouch, we would have just given the family an ear and casually told the nurse their feedback. Who the heck wants to punish thoroughness?

Specializes in PCT, RN.

I was terminated from my PT HH position for something dumb like this.

I had a high fall risk client and her adult daycare center was 50 yards from her home so I would take her there about 45 minutes early and return to her home to do my other duties (bathroom cleaning, kitchen cleaning, bed changing, etc) because all of her documented falls had been when the caregiver had been in another room doing their side duties.

Family received a sheet documenting her check-in times and I was accused of not fulfilling my hours. I explained the situation but there wasn't a way to prove it.

I was astounded really.

I did a recert on a patient I didn't know well. While I was doing her woundcare, I asked some questions including marital status and who she was living with. Daughter called to say she was shaking and felt I was asking too personal questions. I did learn from that experience but most of the time, it's more about where the person is coming from, not how you're doing your job. You should be given the benefit of the doubt. Give me a break.

Specializes in NICU, PICU, Transport, L&D, Hospice.
Okay, I just need to vent real quick before I get knee deep into my paperwork. So my supervisor calls me into her office and talks to me about being too thorough or detailed. She says she got a call from a patient's loved one stating I was there too long and I asked too many questions. It was a recert. I cut the visit short because I knew we were not wanted there so we were out in 38 min which is less than the minimum of 45 min required and I had a trainee with me. Seriously?! You really called me on the carpet for this? So I guess everyone else has been starting their visit in their car and running in doing 10 min visits. Anyone else been chastised for doing their job? I can definitely do a recert on a pt I have seen before in a half an hour or less including assessment and vitals, complete charting not included, but then after a while I'm sure they would look at my times and wonder what I did with the rest of my day. You can't win for losing.

Your employer wants you to skimp on visit times?

What else would they prefer you skimp on?

Specializes in Home Health, Geriatrics, Women's Health, Addiction.

Update...I resigned. Way too much going on. I have learned I can only control myself. The funny thing is I communicated the issues I was having and my supervisor claimed my resignation shocked her and I should have been more vocal. When I did that I was told I wasn't being cooperative or I was being difficult. I was tired of my entire day being hijacked by the scheduler. I mean give me at least one visit to start with while you figure the rest out. Now I'm starting my day at 10:30 and you're wondering why I'm ticked off when you call me to make yet another change? Regular visits should not be changed all the time. The only visits that should be scheduled last minute are SOC, ROC, PRN visits. I hate calling patients for same day visits for a regular visit. Back to per visit and self scheduling I go. Plus full benefits including tuition reimbursement.

What agency provides full benefits for per visit status?

Specializes in Home Health, Geriatrics, Women's Health, Addiction.

I sent you a PM.

+ Add a Comment