What did I get myself into??!! I'm scared!!! - page 2

by RN_Mommy_2_3 8,352 Views | 25 Comments

So I recently got hired at a HH agency as a Case Manager RN. Yesterday I went and took a pre employment test and I met a nurse that has been working there since 2008. I introduced myself and she was extremely friendly. She asked... Read More


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    Thank you all for the helpful replies! I actually took a Full-time position that pays per visit with great benefits. Although at first while I'm on orientation I get paid per hour then I go to part-time (22-25 Units/week)then gradually work myself up to full time (30+ Units/week). I hope to take it real slow to not get overwhelmed.
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    Chart in home, or immediately afterwards in your car. Call MDs immediately! Don't put off anything you don't have to. You will be busy....that's for sure. If you think it's slower than hospital, you'll be on the wrong track. Be super organized. Be in control. Know what you're asking the MDs for. Think SBAR: give the Situation/Background/Assessment /then Recommendations. Be like an ICU nurse. Only way to survive.
    skittlebear likes this.
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    Quote from Sterlink
    Chart in home, or immediately afterwards in your car. Call MDs immediately! Don't put off anything you don't have to. You will be busy....that's for sure. If you think it's slower than hospital, you'll be on the wrong track. Be super organized. Be in control. Know what you're asking the MDs for. Think SBAR: give the Situation/Background/Assessment /then Recommendations. Be like an ICU nurse. Only way to survive.
    Will do, thank you!
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    Quote from suanniam4
    I agree with everything she said. The paperwork is overwhelming and cuts deeply into your home life.
    I've been charting nightly till 7-8pm and I'm part time. HH is a whole different animal, usually you love
    it or hate it.
    me too. I ended up in the hospital due to skyrocketed blood pressure do to job stress and my doctor wants to put me out on disability.

    I work before work, like a dog during work and after work. I'm a single mom to a 5 year old. It's awful. I was even working when I off on disability doing charting. My life is gone.

    I also took it to have more family life and structure and it is the total opposite.

    I am sorry to break it to you
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    Quote from MomRN0913

    me too. I ended up in the hospital due to skyrocketed blood pressure do to job stress and my doctor wants to put me out on disability.

    I work before work, like a dog during work and after work. I'm a single mom to a 5 year old. It's awful. I was even working when I off on disability doing charting. My life is gone.

    I also took it to have more family life and structure and it is the total opposite.

    I am sorry to break it to you
    Oh no! So sorry to hear! I just hope and pray my experience is not like this :/
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    I not mean to scare you.... I just wish I truly understood what people were telling me. I hope your experience is way better than mine. Btw, I didn't go out on stress disability. I had my gall bladder removed a few months back. I couldn't even heal from that in peace without phone calls regarding work.Keep your other job per diem, I agree. I wish I kept my per diem status from my icu job I loved 2 years ago. Cause I would have had something to fall back on. I would have eft.I wish you the best of luck, I do.
  7. 0
    After being in home care for 10+ years, I can tell you that a lot of your satisfaction will be based on what agency that you work for. You want to work for an agency that has many patients that live close by (not excessive driving) and has a solid referral source. You will get to know the area and the doctors which makes life easier. And try to get paid by the hour! FYI- one of the home care companies in Metro Detroit was named "Best small company to work for". These awards were given by the Detroit Free Press after surveying hundreds of employees in all fields. So, there are good home care companies to work for and many satisfied employees. You just have to find them!
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    It really does depend on the agency and what their expectations are for you as far as caseload. The agencies I've worked have had patient's in 2 different counties which meant I could go anywhere. I'm not new to home care either, I started in 1994.
    I also strongly agree that being paid hourly is the best way to go that way, if you encounter problems you will be paid for your time. Too many nurses unfortunately end up giving away their time by being paid per visit.
  9. 0
    I tried RN case management for a HHA for 4 months. I have a low BS tolerance, I'm almost 40 and had been a Public Health nurse for 5 years when I tried this. It was a supposedly "reputable" agency several prominent hospitals referred patients to. After the 2nd week it QUICKLY became apparent to me they were pretty much a Medicare rip-off outfit. They paid by the visit and no mileage. The office staff was all the owner's daughters. They would request authorizations for TONS of unnecessary DME. Complete SOC's were due within 24 hours of the visit, if you had more than one in a day, forget it. Paychecks had a strange company name that didn't match the actual name of the company. The hugely obese owner drive a huge BMW sedan and was dripping with expensive wigs, designer clothes and jewelry.

    They'd send me to these huge, sprawling rich people's houses (Beverly Hills/Bel-Air area) where patients already had 24 hour caregivers and staff, where I'd be treated like a servant by the patient (usually ancient, affluent widows) and couldn't communicate with the staff who would pretend to not speak English. Or, they would send me to scary neighborhoods in South Central LA where I dodged cockroach herds and pitbulls in people's houses.

    Over the 4 months I actually LOST money working for them. I used ALL my own phone and data minutes calling and charting and they would not reimburse. They also did not pay me if the patient did not answer the door and again DID NOT PAY MILEAGE. It was just stupid.

    I left that job after getting in a shouting match with one of the owner's daughters who gave me a wrong address - across town, not even close, -and caused me to then called me a ***** when I complained to her mother. I was going to report them to Medicare and make a big stink about it but decided it wouldn't make a darn bit of difference. You have been warned.
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    I work for a hospital affiliated home care. I am salaried and expected to see 5-6 patients per day. Anything over that is extra visit pay plus get paid mileage. Yes charting can get involved and go into the evening and the phone does drive you nuts when it goes off on your day off but just shut it off and check voicemail in the evening. That way you can semi relax on your day off. My agency also reimburses mileage. If you find your agency is taking advantage look for another one. Homecare can be very rewarding if you work for the right company and having the one on one time with your patients and families is very rewarding.
    TrueAtHart and grneyes8 like this.


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