part time Rn casemanager, full caseload and Lvns in office

  1. 0
    Scenario 1: hospice nurse part time working 3 days a week. Should it be ok for the manager to make
    that nurse take a full caseload? Caseload of 13. Rn visits twice a week on each pt. Rn is to do both visits.
    Thats 26 visits in 3 days. I know of fulltime Rns who have less pt than that. Anyone want to comment?

    Scenario 2: hospice Lvn who is strictly an office nurse. Ordering meds. Does not do visits, unless absolutely
    has to. No other backup nurse in office. Other Rns are treated the same. Is this similar practice to other hospices
    out there?

    It seems to me that things are going backwards, and have been for a couple of years now. The Lvns
    are staying in the cool, comfy office environment while the Rn "field nurses" are digging the trenches. I'am sorry,
    I just hate the term "field nurse", Iam not a mouse. I am an Rn. And lastly, I am not picking on Lvns because
    of this, this is managements decision, not theirs. But could anyone tell me why this is happeneing?
    Please comment, Thanks
  2. 18 Comments so far...

  3. 1
    Well, I'm an LVN who wishes she could get an office job. I guess these agencies can't find RNs to work for low pay.
    Hospice Nurse LPN likes this.
  4. 0
    case managing 3 days a week with 13 patients is a lot. My experience is that if you are carrying that load you generally have another nurse, often an LPN, who can assist with visits leaving you to visit patients and attend to the management of their care. 12-15 patients is pretty standard for a FT RN...more if they are in facilities (less drive time).

    Many hospices use LPNs in the office to carry out functions for the case nurses...a secretary cannot reorder a patient's meds (one example), it does not require an RN, and it is nice if they don't have to interrupt the CM for those type of things.
  5. 0
    True, but when management keeps saying, we will hire a new nurse when we get our census
    to ---- or ----; and when we reach that limit and over, she changes the numbers on us. I know
    is all about the almighty dollar and when she makes the company money, she looks even better.
    Problem is, the owner of the company knows 1/8 th of what goes on in that office.

    I turned down a medical reviewer position with blue cross and blue shield to stay where I am,
    but now my husband says: dont you regret it now. Yes, I think I do.
  6. 0
    Yikes! I am super spoiled- we have a large RN office staff, and all full time RNs in the field (no lpns). Our management is trying very hard to had case managers just ahead of growing census. I am currently managing 15 patients and am full time. I think 13 is way too many for a part time nurse, unless most are stable, once a week visits. 5-7 visits a day is comfortable for me, more is pushing it.
  7. 0
    I was told that unless I had 7-8 visits a day, I shouldn't ask for a back up nurse. The lVN gets mad everytime
    you ask for them to see pts. LVN wants to stay in the office, looking at facebook, searching internet and downloading pics and music, etc. The other day, she told me that she couldnt see pts, because she was going shopping for a new....../ Now the manager knows this and she is tolerating it. What kind of brown nosing is going on here? All of our Rns are angry about this, whick makes for poor morale in our office. We our tired and overworked. We are planning on getting together for a meeting where this will all be brought out in the open. Even if it means losing my job, I will not take this anymore. Miss nice guy has just gotten to the boiling point.

    And get this, Iam working over 34 hrs a week (this is not part time) and I dont get paid fultime benefits like everyone else. I get the feeling that they are trying to push me hard to make me leave.
  8. 0
    Quote from caliotter3
    Well, I'm an LVN who wishes she could get an office job. I guess these agencies can't find RNs to work for low pay.

    I agree! While I love my pts, it would sure be nice to be in the cool office in the summer instead of getting in and out of my car where the thermometer reads 105!
  9. 0
    american train--I think I'd be looking for another job if I were you!
  10. 2
    i wouldn't do it......part time pay for a full time job.....

    don't walk-RUN

    linda
    Ginapixi and tewdles like this.
  11. 0
    Quote from Hospice Nurse LPN
    I agree! While I love my pts, it would sure be nice to be in the cool office in the summer instead of getting in and out of my car where the thermometer reads 105!
    Yeah. I agree. Also, I am good at administrative work and it certainly would suit me to have a steady job with less likelihood that my boss is going to can me on any given workday. Right now I'm sitting on my behind for one whole week because my client is in the hospital. I'm supposed to hold my breath by a phone in case I get the call to run over there at the drop of a hat. Phooey.


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