Typical day for a HH nurse... - page 11

by hoolahan | 192,298 Views | 259 Comments

Hi guys, I thought it would be nice to start an ongoing thread to just post/vent about your usual day. With a lot of entries, it can sort of serve to show nurses who are thinking about getting into HH what it is really like on... Read More


  1. 0
    Thank you girls. Allnurses has been such a great resource for me, and I appreciate your posts. I am so glad that there are nurses willing to be of help and share insight with others! Its refreshing and makes me proud to be a nurse! Best of health to everyone!
  2. 0
    BLESS YOU ALL! I don't know how you do all you do. I'm a psych. APRN in an outpt. private practice and love it. Are you all young? I'm 47 and I got tired just reading what you all do in a day! Good Luck.
  3. 0
    I'm currently a staff nurse in women's health (mostly postpartum with some gyn post-ops). I have applied to 3 home healthcare agencies now. The first one said they were only hiring nurses with HHC experience. Got an interview with the second agency, but didn't get hired. Third agency went a little better, but I won't hear until next week for sure. They were also disappointed I didn't have any HHC experience but seem willing to train. Would be taking a $4 per hour pay cut. They want full-timer or part-timer, not pay per visit.

    Sigh. What am I doing wrong? I do have one year med/surg experience which was right out of nursing school (7 years ago). Any ideas?
  4. 0
    Quote from osborncs
    I'm currently a staff nurse in women's health (mostly postpartum with some gyn post-ops). I have applied to 3 home healthcare agencies now. The first one said they were only hiring nurses with HHC experience. Got an interview with the second agency, but didn't get hired. Third agency went a little better, but I won't hear until next week for sure. They were also disappointed I didn't have any HHC experience but seem willing to train. Would be taking a $4 per hour pay cut. They want full-timer or part-timer, not pay per visit.

    Sigh. What am I doing wrong? I do have one year med/surg experience which was right out of nursing school (7 years ago). Any ideas?
    I don't think you are doing anything wrong at all.

    I think you must be in a tough area. If you were in NJ, they would eat you right up with maternal/child experience, maybe the areas they will send you to are rough, and they know from experience they have a high turnover??

    If I were you, and you really want to make a go of it, I would make friends with the hospital Case manager/discharge planner/ social worker/ Home care Liaison (whoever/whatever the title, the person who arranges homecare for your pt's after discharge) on your unit, and ask their advice. After all, it is these folks who send the referrals to the home care agencies for PP visits, or well mom/baby visits. Ask them which agency they like best, and also consider the county health department, they love Maternal/Child nurses (in NJ anyway.) I see ads for health dept or Public health nurses all the time, and they always say Maternal/Child health exp preferred.
  5. 0
    Quote from hoolahan
    I don't think you are doing anything wrong at all.

    I think you must be in a tough area. If you were in NJ, they would eat you right up with maternal/child experience, maybe the areas they will send you to are rough, and they know from experience they have a high turnover??

    If I were you, and you really want to make a go of it, I would make friends with the hospital Case manager/discharge planner/ social worker/ Home care Liaison (whoever/whatever the title, the person who arranges homecare for your pt's after discharge) on your unit, and ask their advice. After all, it is these folks who send the referrals to the home care agencies for PP visits, or well mom/baby visits. Ask them which agency they like best, and also consider the county health department, they love Maternal/Child nurses (in NJ anyway.) I see ads for health dept or Public health nurses all the time, and they always say Maternal/Child health exp preferred.
    Great idea. I will check with our unit social worker. I haven't seen any ads in the paper for our city or county health depts, but that doesn't mean the jobs aren't there.

    Actually, tho, if agency #3 (the one that is considering me) offers me a part time job, I think I'll take it. They are willing to take the risk and invest time and money to train me. I'll do a good job. Then if I'm not satisfied with them after a year or so, getting a HHC job should be no problem!

    Thanks for the good ideas--as usual!
  6. 0
    I need a vacation!!! We have had one nurse out on FMLA, one nurse has been helping another branch and 3 of us have been covering 5 counties which are mostly rural, and 130 patients. Last Thurs I worked 14 hrs and about 6 of that was driving. In the last month, the least amount of hrs that I have worked has been 54 and the least amount of miles has been 150. Our branch alone has done almost 30 admissions as of last Friday. It may not seem like alot, but when you only have 3 of us working, and 2 days last week it was just 2 of us.

    Man there are days when I miss the hospital!
  7. 0
    Oh, this might be a dumb question, but since you all seem to be so nice I'm hoping you don't mind answering it. I notice that you guys use a LOT of abbrevations when talking about your day..I'm a nursing student and just starting out at that, so some of the things you are saying are going straight over my head..an example would be LOL. Now i know what that means in internet speak, but judging from the context that its used in it doesn't mean that here. Again sorry, this is likely a dumb question, but I just want to understand.

    Melissa
  8. 0
    Quote from MelissaZ
    Oh, this might be a dumb question, but since you all seem to be so nice I'm hoping you don't mind answering it. I notice that you guys use a LOT of abbrevations when talking about your day..I'm a nursing student and just starting out at that, so some of the things you are saying are going straight over my head..an example would be LOL. Now i know what that means in internet speak, but judging from the context that its used in it doesn't mean that here. Again sorry, this is likely a dumb question, but I just want to understand.

    Melissa
    I used LOL = Little Old Lady, way before the days of lol on the internet.

    Just ask, and we'll explain them.
  9. 0
    Quote from hoolahan
    I don't think you are doing anything wrong at all.

    I think you must be in a tough area. If you were in NJ, they would eat you right up with maternal/child experience, maybe the areas they will send you to are rough, and they know from experience they have a high turnover??

    If I were you, and you really want to make a go of it, I would make friends with the hospital Case manager/discharge planner/ social worker/ Home care Liaison (whoever/whatever the title, the person who arranges homecare for your pt's after discharge) on your unit, and ask their advice. After all, it is these folks who send the referrals to the home care agencies for PP visits, or well mom/baby visits. Ask them which agency they like best, and also consider the county health department, they love Maternal/Child nurses (in NJ anyway.) I see ads for health dept or Public health nurses all the time, and they always say Maternal/Child health exp preferred.
    Wanted to let you know, I got a per diem job at the second agency I applied to! Still in training and enjoying it. As a per diem, I can refuse any call I want to. They try to keep me within a 20 to 30 mile radius of my house.

    I'm enjoying the patients of different ages and different health conditions.

    Thanks again for your encouragement. This is SO much better than the hospital!

    Cat
  10. 0
    I am new to home health but have been a nurse for nearly 10 years and have worked in various settings where I am able to manage my time in the most efficient way.

    Since taking this new HH job, I am about 3.5 weeks out in the field and I am taking appx. 4 patients now. I actually started with this company about 4 weeks ago and have been taking patients on my own for about 1 1/2 weeks now. I am all over th place. 48 miles yesterday between three patients (was going to be 4 but one cancelled), and all in-town driving.

    I left out of the office at 0940 and did take a 1 hour lunch. I give up lunch all the time, but did take one yesterday but no breaks. All of my patients had issues such as: seen a week but didn't know anything about their care or meds, and my other patient was only taking a half dose of her prescribed coumadin so her pt/inr was pretty low. I made sure that the problem was taken care of but patient states that she didn't write things down properly.

    I returned to office at 1750. Any suggestions about how to better manage time and moreover, can you tell me exactly what my responosibility is in making sure everything is correct. These were all weekly summaries and nothing had been updated so I made sure that everything was complete. I am finding things that don't get updated, and I wonder if it's because the CM's aren't always seeing the patients. I just couldn't bring myself to leave something done half way or a patient to screw up her coumadin and get a dvt or worse yet PE.

    How do you all manage your time???? They say they give 6mos to 1 year to get this job down, I have been very thorough and wonder if I am doing too much? I just don't see that they expect me to be at the level of a HH nurse that's been with the agency for 2-15 years. I am new to home health altogether and love it, but they keep stressing time management so I want to get better ASAP because I love the job otherwise. Coordinator hung up on me yesterday and left bad taste in my mouth, received page demanding to know when I would be back to office. I sincerely see patients, don't go shopping or sleep in the car. HELP!!!!!!!!!!!!!!!!!!!! I need to get better!!

    Thanks!!!


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top