I've been precepting for awhile now. For the most part I enjoy it and have a fair amt of support from my supervisors. I've found that the first 2 days are mostly shadowing, then it works well to start with visits and the day to day stuff, then move on to the OASIS training and then lastly case management. Trying to see where the strength and weaknesses of each new employee lies - compiling a list of skills that need to be checked off on (IV, vacs, ostomies, etc). I usually have them about 3 weeks before they start doing visits independently, still meeting up for OASIS stuff. Biggest obstacle is that I am a case mgr too, and often my schedule cannot be lightened up sufficiently to allow me time to go over all of that HH specific stuff - like the forms, how Medicare works/requirements, etc. That leaves the new employee having to call with each new situation...which is ok, but not ideal. I realize there is no way that you can cover all of the different scenarios during orientation, but more time and education sets them up for success rather than failure.
I would like to see some extra time for new employees to do OASIS training, spend time with other disciplines, have a day with intake to learn how the how whole thing starts, etc. I do have a lot of handouts to give them as references but seeing how things happen and learning the regs from the office point of view is helpful - makes it easier to do if you know WHY it needs done. Normally though, once someone is ready to start seeing patients, it is hard to make time for them to orient in the office because they are needed in the field. Anyway, could probably think of a bunch more...but I am on call and have to head out here shortly. Let us know what all you come up with