Quote from NativeNewEnglandah
Hello to all.
I'm a hospice admissions nurse in North Carolina, and sometimes cover a LOT of territory.
I've noticed that time spent during the day going back to the office for a care kit (emergency meds) can REALLY add to my day. Sometimes I'll be at an admisison, and our intake dept will email me about another admission that's close to where I am, but the second admission needs a care kit, and the nearest office of my company is 45 minutes or more away. Our usual process is that care kits are ordered for next day delievery, although with my sort of crazy schedule (11am-9pm) "next day" delievery usually isn't an option...it's 2 days.
Does anyone's company have a way to carry a care kit as part of your car stock? How does your company handle emergency medication availability/ordering for late in the day/evening admissions?
It sounds like perhaps you are using a mail order hospice pharmacy and have comfort kits present in your office for admits.
Will your agency let you take an extra kit with you for the unexpected intakes while you are in the field? I would imagine that you have to sign them out for each individual patient, but couldn't you have control of an unassigned kit for situations such as this?
Does your agency have volunteers that could deliver the kit same day as admit?
Can the intake department order the kit for delivery so that it is not delayed by your "crazy schedule"?
I am a bit surprised that your agency has not defined another plan so that they are not paying you to retrieve meds from remote locations to deliver to pt homes. As you have identified, that is not very cost effective or an efficient use of your time.
Your employer may be pleased if you can come up with some recommendations that would improve your productivity while saving the agency money and improving service to the patient.