pay per visit/hourly/salaried

caliotter3 · Feb 15, 2015

No, most FT staff are salaried or paid by the hour. Perhaps they have their 'real' full time staff in place and/or are attempting to save money on your salary.

Libby1987 · Feb 15, 2015

I've always been paid by the visit. I'm a high producer with occasional half days when it's slow and I wouldn't have it any other way. IOW, hourly or salary would result in less pay for me.

caliotter3 · Feb 15, 2015

It can be akin to "internal" vs. "external" staff in extended care. You are either doing a bunch of separate visits for the company, as many or as few as you want, which would call for PPV. Or, you are a member of the office staff (internal) with different expectations. A regular staff person has to meet their assigned quota. An 'external' employee can turn down visits that they do not want to add to their schedule. The office is not going to pay a straight salary to someone that is only going to see three clients today out of choice. You have to know which of these two categories that you fall under to decide whether or not you like the pay setup.

Libby1987 · Feb 15, 2015

I'm getting this thread confused with the other one on charting. With experience comes many time savers, if I were you, I would do some self study to increase my knowledge of all things home health and get my speed up.

hardygirl, LPN, RN · Feb 16, 2015

In the past I worked for a home care company that paid hourly. Most recently I had a short stint with a very reputable home care company that paid per visit. I felt as if there was pressure from management to get set amount of visits completed per day to meet daily and weekly quota/productivity in order to get a decent paycheck. I decided to go back to psych nursing and get paid hourly.

Libby1987 · Feb 16, 2015

There is pressure to make a certain amount of visits to support your FT status and/or pay structure. There is less pressure with PPV but it will affect your paycheck. I always figured it was akin to facility patient assignments, you absolutely have to take the ratios they assign you, you can't come into work and say you only want a 3 patient day. With PPV there is some wiggle room.

Tenebrae, BSN, RN · Feb 17, 2015

I was paid a salary in district nursing and admitedly we usually would end up doing a wealth of overtime however being paid by visits, especially when it was a palliative in end stage could mean we end up spending several hours in one visit and have to farm out other visits.

KelRN215, BSN, RN · Feb 21, 2015

There are pros and cons to every form of compensation in home health. Most full time employees are paid salary. If you have 5 easy patients that all live close to each other, you may be able to bang out 5 visits in 3 hours and, in that case, PPV would benefit you. If, on the other hand, you have 3 complex visits with patients that live far away from each other/in areas with a lot of traffic, it could take you 5 hours to do those 3 visits and then you wouldn't be making out well with PPV.

Libby1987 · Feb 21, 2015

My mgr will let me add extra hourly if the visits are extended. Also with the drive but that rarely happens with my territory. Home health in a retirement community tends to have dense patient areas.

Libby1987 · Feb 21, 2015

If I didn't have my own territory in which I also live I'd probably want hourly.

KelRN215, BSN, RN · Feb 21, 2015

My mgr will let me add extra hourly if the visits are extended. Also with the drive but that rarely happens with my territory. Home health in a retirement community tends to have dense patient areas.

That's nice. I'm in the city and it seriously took me 2 hours to drive 6 miles the other day. Driving around here has just been disastrous as of late with the amount of snow we've had. Though it's also taken me 45 minutes to drive 3 miles in the summer in heavy traffic areas.