I'm a salaried RN doing mostly admits, recerts and ROC's. Every single patient I see since I started this job last month has called and told the agency they no longer want any other nurse but me to see them, or asks repeatedly to replace their visiting nurse with me. A lot of our nurses are from foreign countries and I'm American, so I attribute this phenomenon with the cultural issue.
THis stated, my salary is quota based which is actually illegal. But I'll handle that once I figure out a way to diplomatically broach the subject with my boss. Who I'm sure is aware that she's not allowed to do this. If not, she will be soon. I
f I don't do 7 f/u visits, or 5 admits/recerts/ROC's per day, my salary is docked. I'm not per diem, not hourly. I have a yearly salary and I'm working 7 days a week. At 1 point, my boss had me doing PDN NOC shift, then demanded I come in during the day right after a 10 hour shift and do 5 visits or have my pay docked. I'm actually looking for another job which is heart breaking because i'm finding that I TRULY LOVE hh nursing.
Is this kind of quota normal? I live in Houston. To drive 40 miles between patients, which is the typical distance, usually more but usualy not much less than that, with traffic, I'm not getting home until 8 pm most nights then we have a 24 hour turn around time for charting. So I'm not sleeping either.
What is the normal patient visit that you see during the day, is this quota thing normal? and what are some reasonable expectations that I can have of my employer as far as my workload and responsibilities? I'm reading through all of your threads now, just looking for a little more insight for when I get to work tomorrow.
Thanks so much in advance for your help!