If they actually say "i want a nurse visit" I have to go, which I don't always agree with, because like everything else, people learn the system and some abuse it. I got a call this weekend "I dont feel right, I need a nurse" nothing in particular, and I live an hour away, so any visit I go on is at least 3hours. 2hours in drive time and an hour or more at the pt house. she was fine of course, all I did was talk to her after checking her out.
What ticks me off the most is when I get a call and they say, "my mom/dad had bm, I need a nurse to clean him/her up" and they actually think I am going to drive an hour to do that. uh no, that is not what we do. then they call back and say they are in pain/resp distress and need a nurse. I have to go and they actually alow them to sit in waste until I get there. when this happens, i make them help me and explain it is neglect to leave them that way. Or I have the calls from them go to the admin on call to deal with.
we have a few that it is like the boy who cried wolf, the first few times, I rush over there, then the more they do it, the less I rush.
don't get me started on the facilities that call with "change in condition" the pt didn't eat as much for dinner and they want a nurse. Or they want crisis care on a calm and comfortable pt because they don't have the time to check on him during the night. I got that one this weekend.
I could go on an on, my only outlet is to complain and make remarks to the triage nurse, but when I get there, Im all smiles.
I don't think there is an easy way to handle these patients, our poor case managers are so overworked they don't have time to tuck them in well. Some of them have 20+ pts each. There is no way I would be a case manager at my agency, no wonder we cant keep anyone.
On call is the job no one wants and usually agencies cannot keep them long. I've been doing on call for 7 years, I don't know if I can go back to case management, I must be crazy.