Quote from BluegrassGirl
... I attribute the woes to poor management. What are my rights? Must I do all the after hour charting even when I'm not on-call or is it not managements job to decline referrals for lack of staff?
Would like to hear back from anyone on this. I enjoy reading this board of sympathetic eyes & ears.
Wow, does that all sound familiar! And down to the taking more referrals.
I absolutely enjoyed home health too, and my patients liked me a lot, I felt I did a good job, until a situation arose that was a lot like yours.
And then the owner of the company decided to "promote" the director of nurses of my home office to director of TWO offices. These two offices were quite far apart, and the second one was very rural - lots of travel time, etc.
I was expected, with 6 months (maybe!) of home health experience (including the paperwork) to essentially take over the director's position in my home office, be responsible for most of the paperwork, start "helping" the new office with their visits while they recruited and trained nurses (on top of my OWN too many visits...), staffing/scheduling/evaluating/dealing with staff problems and evals, etc. There were not enough PCA's, nurses' aides, or nurses. Triple the work and triple the FREAKING OUT! and the same pay (not that a raise would have made ANY of it more tolerable or safe!)
I told them that their putting me in that position jeopardized both the agency and my license, that it was irresponsible, and if they didn't get me some help I would have to leave. I finally did have to leave, very regretfully because it did seem like my niche...
Of course the "promotion" wasn't too great for the director either, twice the work, same pay.