Office is requiring daily paperwork drop off and review??

Specialties Hospice

Published

I was hired at this blessed office early this year. I found out that shortly before my hire the State and DPHCS came through on a complaint to survey.

Our office is a mess and was even worse at the time.

They nurses got the brunt of the complaint. Poor documentation, and poor care planning caused big issues.

I step in a pile of dung at this point! Our office was given a 15 page plan of correction. Our nursing notes are audited daily.

This in itself is not an issue.

But our 4 page routine weekly visit note is. I counted over 150 boxes to read, and check off. This includes ready? ICD or pacemaker, sex of patient, ( like that will not change week to week ) disaster code ( also will not change week to week ) But these boxes are easy to over look, miss and omit all together. EVERY STAFF MEMBER for nursing has been asked to come in twice a week and clean up turned in notes for 100% compliance.

Yesterday my manager told me that I along with the bulk of the nursing staff will need to come in daily and review notes with our manager. I told her this will hurt productivity and indeed cause OT with our current patient load.. But it feel on deaf ears.

I am told what a stellar nurse I am. I am told I am super on productivity. I am told that my patients love me. I am told that I don't work OT. I am told my documentation is substandard. I have gotten emails, voice mails, notes, sticky notes and the most recent a hot pink notice from some higher up at corporate saying how bad we all are. I told my manager after 8 years of hospice nursing I have never been told that. I just finished my 3 month probationary period and doubt I will make it to 6 months. I am actively seeking employment elsewhere as are our other staff. I told her nurses are going to be walking and I told her I am actively seeking employment as well. It appears as though I am substandard and do not meet their needs..

My manager immediately got upset and said that it's not the message they are sending but indeed it is. I give up. I really do. I am about to toss in the towel on hospice and look at other opportunities.

Up Vote Up Vote ×

I don't blame you. This is unreasonable, even for a temporary fix to the problem. If they had fired the quality assurance RN, I could see a weekly fix-it visit for maybe, four weeks or so, but this is overkill and harassment, nothing more. Good luck finding a new job.

Up Vote Up Vote ×

I have temporarily accepted this plight.. and am charging overtime..1 hour a day.. to the tune of 60 dollars a day for this. It they want it, they pay me for it.

Up Vote Up Vote ×
I have temporarily accepted this plight.. and am charging overtime..1 hour a day.. to the tune of 60 dollars a day for this. It they want it, they pay me for it.

Good for you. This should make up for some of the inconvenience. BTW, my agencies have only called in the offending nurses to fix specific paperwork. They have never bothered those who were doing it correctly.

Up Vote Up Vote ×
Specializes in Hospice, Geriatrics, Wounds.

Sounds like the HOSPICE company I USED to work for!!!!!!!!! HA! Wants the new employees to pay for the old employees mess.

You are exactly right about it effecting productivity. I feel you there! My patients were are >25 miles from our office (we served 15 counties - crazy huh?), so just to go to the office to "drop paperwork off" would take >1h out of my day.....and that's JUST if I stayed a few minutes at the office.

Why doesn't your DON/manager just review the notes on her own? What's the point of both of you reviewing together? Sounds like the visit notes need to be revamped for sure! And, I would do the same thing...keep up with your extra time......it amazes me how managers have no clue at the amount of time hospice nurses spend on the phone with doctors, other nurses, families...etc. A weekly visit doesn't just entail going to the patient's house for an hour.....there's so much more to it than that!

GOOD LUCK.....ummmmm....what company do you work for?? (I understand if you don't wanna say)

Up Vote Up Vote ×
Sounds like the HOSPICE company I USED to work for!!!!!!!!! HA! Wants the new employees to pay for the old employees mess.

You are exactly right about it effecting productivity. I feel you there! My patients were are >25 miles from our office (we served 15 counties - crazy huh?), so just to go to the office to "drop paperwork off" would take >1h out of my day.....and that's JUST if I stayed a few minutes at the office.

Why doesn't your DON/manager just review the notes on her own? What's the point of both of you reviewing together? Sounds like the visit notes need to be revamped for sure! And, I would do the same thing...keep up with your extra time......it amazes me how managers have no clue at the amount of time hospice nurses spend on the phone with doctors, other nurses, families...etc. A weekly visit doesn't just entail going to the patient's house for an hour.....there's so much more to it than that!

GOOD LUCK.....ummmmm....what company do you work for?? (I understand if you don't wanna say)

Begins with an O... won't say more.. lol

Up Vote Up Vote ×

Oh, my. Now let's see, how many hospice agencies begin with an "O"?

Up Vote Up Vote ×
Specializes in Hospice.
Begins with an O... won't say more.. lol

Ahh ... thought that sounded familiar! Been there, done that.

Run!

PM if you need to vent.

Up Vote Up Vote ×
Specializes in PICU, NICU, L&D, Public Health, Hospice.

Are you now looking to become the manager for this office??

Up Vote Up Vote ×

This office's daily note turn and review has been initiated and carried out by the other team manager. This craziness has nothing to do with Corporate. I decided to jump the fence and take over the other team. Our office is suffereing and I just can't jump to another job willy nilly. I have a home to support and our benefits are needed..

Up Vote Up Vote ×

WOW they don't deserve you, it appears they are the one with Substandard systems in place, and obviously won't survive as agency if they keep up their standard of 15 page correction rap sheet! Good luck in finding your new job

Up Vote Up Vote ×
Specializes in hospice.

When I worked there, I was at first a case manager for 2 years, they did the same thing back then about 8 yrs ago. I was driving over 1000 miles a week over an hour away from the office, I had 3 crisis care cases going on in 3 different towns and was written up because I didn't come in to drop off paperwork. We also had a NO OT requirement along with having to do 21 visitis a week, plus meetings and usual other stuff. I even drew them a map of my area and tried to explain that it could not be done with the miles I had to drive. They flat out told me "we do not care how many miles you have to drive". Then I asked them to prioritize which was the most important one, because all of their requirements were impossible to meet. They didn't like that! Anyway, I shortly applied to be one of the On Call nurses and ended up staying 4 more years, it just got worse, It was a revolving door for the nurses.

Up Vote Up Vote ×
+ Add a Comment