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Input Wanted! - Efficiency and Time Management in Home Health Nursing



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Aug 02, 2009 01:48 PM

Input Wanted! - Efficiency and Time Management in Home Health Nursing

by roxy_rn

Hello fellow nurses! I am a home health RN in Scottsdale, AZ. I have been practicing in this field for about five years now, mostly in management but now have returned to the field. I am a VERY thorough person and do quite a bit of teaching with my patients. We are medicare and therefore have tons of paperwork. I am trying to find ways to be more time efficient as I do about 25-30 visits per week and find myself spending most of the evenings and weekends doing paperwork and care coordination after an 8-10 hour day. My biggest gripe is that I feel like I make most of the effort in care coordination with other disciplines when I feel is should be their responsibility to report to me as a case manager as well when I referred them to the patient. I feel like I am on the phone all of the time. Anyways . . . What ideas have you as a home health nurse found to be helpful in being efficient while still delivering quality of care? Anything is appreciated. Thanks!


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2 Comments
No. 1
from RNRutRO
Old Aug 05, 2009, 10:28 PM

Default Re: Input Wanted! - Efficiency and Time Management in Home Health Nursing
One thing that I noticed, for me was do as much of the charting in the home as possible. I find that when I don't do that, I am sitting at the kitchen table do charting on my day off. Sometimes it's impossible, you have a sweet old lady that talks and talks, and you want to devote 100% of attention to her. So, I find that if I sit in the car and "finish" up the note, then I don't have that crabby day of doing notes.

Also, do you hav case conference? THat's a great time to get feedback from the other disciplines on where they are at with your patients. Plus it's a good way for you to know what needs are to be met.

Just a couple of ideas. Let me know what you think.
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No. 2
from roxy_rn
Old Aug 05, 2009, 10:42 PM

Default Re: Input Wanted! - Efficiency and Time Management in Home Health Nursing
Thank you dearly for your input. That is actually a great idea. Sometimes I find myself stuck with 8-10 visits in a day so it is harder to do that. But I have made it my rule to NOT have that many in a day. When you are casemanaging a load of 40 visits per week the amount of time put in becomes outrageous. So, in answer to your response, yes that helps. Since we are all so autonomous in what we do, it would be great to see a thread develop where nurses share their little tricks of the trade. Anything from time management, a valuable piece of knowledge from "that wound that just would not heal!", scheduling visits, helpful ways of managing frequent orders that can become complicated . . . and the list goes on! I love home health but find my head spinning in circles sometimes, feeling like I need to become the patient. Lol!

Also, we do have weekly case conference with our supervisor one-on-one. This is where I do seek clarification on my train wrecks, develop a new plan. This is where I get my head together, at least for a moment. Homecare never slows down and is full of fast balls that come from any and every direction. I have learned to just be flexible, resourceful, creative, and enjoy the ride! Woo-hoo!
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