New grad in HH $20/visit no mileage.... is this right? - page 2

I live in Orange,CA. Got my license on May, been on the job hunt for 3 months with no glimpse of luck! Finally got hired in HH. Which is weird because I wasn't even interviewed. I was called calling one day and I bump into this... Read More

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    As a lpn in home health I made $18/hr with no mileage. I drive 30 miles one way but work 10 hours with one client. When I got my RN licence it was bumped up to $20/hr. I had no experience in home health. I did have a year of LTC experience as a lpn.

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    Quote from vn-rn
    I live in Orange,CA. Got my license on May, been on the job hunt for 3 months with no glimpse of luck! Finally got hired in HH. Which is weird because I wasn't even interviewed. I was called calling one day and I bump into this small agency. Lady said come-over we need per diem bring you credentials. So I went in and handed over resume and other credentials. They gave me papers works to sign right away, and with some assessment exam.. TO TAKE HOME. After a day or two I went back to the office to hand all the paper works back. The "care coordinator" said to wait for the call. The following 24 hrs I got call for orientation. Everything happened too fast. I was a bit overwhelmed yet happy excited that I finally got a job. So,.. about 3-4 hrs of orientation. The DON just kind of explained the charting and a little bit of stuff. (imagine how much of stuff you can cover in 3-4hrs orienting 3 new grads) They required as to follow a nurse before taking patients. So the next day I followed a nurse who was leaving. She seen 2 patients both for blood draw. I did the 2nd draw for her. Then after that.. the next day, I was by myself.

    So I am perdiem and I see about 2-3 pts/day but not everyday. $20/visit NO MILEAGE. sometimes I have 3 pts for the whole week and thats about it. I drive up to 20miles for one pt. Sitting in traffic in a hot summer weather.. you have to use AC! I don't want to smell sweat when I'm taking pts VS.

    There is A LOT of driving, and in the most part, its the one that pulling me down. I love the aspect of HH because I love patient teaching above all. But I am starting to loose hope about this. My first paycheck was $20 for 3 days of driving. I have daycare. I wanted to cry looking at my paycheck. I don't think it even close to reimbursing myself for the gas and mileage that I spent seeing those patients.

    I've been in HH for exactly one month now. Im really hoping I could last a month more. My DON mentioned we will get $5 raise after 3 months which will make it $25/visit.

    Sorry for the long post. I just had to vent somehow.
    So my questions.. would any of you take $20/visit NO MILEAGE reimbursement? If you a new grad? I know that the economy is not at its best but I really feel like Im spending way too much time on this and I don't even break even with all the work I have to do. Not to mention the documentation part which is making stay up late at night trying to figure out what to write on my nurses note because I want to make sure I'm safe and I covered every detail.

    From the bottom of my heart.. thank you for reading my post.
    And I really appreciate some feedback.. and maybe some encouragement..

    (sorry for any typo, I dont have time to proofread such long post)
    Im not an original English speaker BTW
    Ohhh im so sorry for you HH is not easy and there are many agencies I'm an LVN here in LA CA and I get paid $30 visit but yeah no mileage I know for a fact RNs get paid over $40 visit on the low side and more depending if it's recert or d/c or new admission. So keep looking that company is taking advantage of you there are some company's like that out there but some are good just keep looking I know they are paying less now because of Medicare cuts but not that low they just want to keep most of the money for themselves.........
    twopurpleskittles likes this.
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    If they are not providing you with a company car, I'm quite sure they are required to pay mileage. The fact that they hired you in such a fashion along with that pay rate raises red flags. Get out of there.
    krittiebrn likes this.
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    I am new grad LVN in LA and was offered 25/visit, no mileage. If you are intersetedi can give you the company name.
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    Run! That pay is unacceptable and you need to keep looking.. Best of luck to you
    lindarn likes this.
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    Absolutely not! There are literally thousands of HH agencies around. You are not qualified after one day for the independence it takes to be a HH nurse. Our new hires MUST complete a 6 week training period with both RN and LPN, no matter which license they have. The documentation in HH is VERY different from that of any ohter because of the independence. Medicare has very stringent guidelines. What they have done to you is illegal, no matter the state or license you carry. Agree with above statement of checking about prior experience. Our state requires 1 year in a clinical setting prior to Home Health. There are also several skills that Medicare will not allow an LPN to do in the Home Health setting regardless of certification. The HH agency could be fined for this, but YOU may lose your license for not doing things properly. There are some WONDERFUL and reputable HH companies out there. I would check into this further. You can also call you state board of nursing and they can help.
    kaliRN and lindarn like this.
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    First, what kind of agency is this? If this is a Medicare agency and you are doing Medicare visits, then the pay is way too low, no matter where you are. Plus, you should be doing more than blood draws as phlebotomy is not a covered skill for Medicare visits. If these are insurance visits that only require a quick assessment and a lab draw, then $20 is probably all you're going to find anywhere. You do not have to accept visits that are outside of the distance you're willing to drive. And you can claim mileage on your taxes, be sure to keep a log.

    I'm not trying to be mean, but the idea that you didn't know to check the expiration date on the blood tube is a good indication that you are not ready to be a home health nurse due to lack of experience. (And they need to have a better handle on their supplies. Whoever does their stock should be removing expired tubes before the nurses can get them.)

    Please keep looking for a job that will provide you with a good foundation for future practice, you deserve it.
    uRNmyway, kaliRN, and lindarn like this.
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    Our LVNs make $20 a visit but with mileage.
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    When nurses are thrown into the field with little or no orientation, as they typically are in home health, they tend to get a bit thrown off and their thinking and decision making skills are sometimes affected. Its very stressful starting a new job even WITH proper training.

    The specimen vial is a little thing, but you obviously see how a bad working condition can befuddle you. Home health is fairly easy nursing for the most part, but if you don't pay close attention and stay on your toes, things can come out of left field that you didn't expect but should have.
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    Hi, I am in a state where the pay is far less than in CA. I get $35 / visit, no car allowance. Like you, actually worse than you, I got tossed out there with little preparation. I am an RN, but I got no orientation, no training, not even one day to shadow someone. I called the office and asked questions every single day for the first few weeks.

    One difference, I get at least 20 visits a week, so it makes up for the gas. You don't seem confident in your situation. You are not making enough to cover child care, so it seems like you need a job that can promise more money and support.

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