Latest Comments by ArwenEvenstar

Latest Comments by ArwenEvenstar

ArwenEvenstar 4,585 Views

Joined Feb 12, '05. Posts: 352 (42% Liked) Likes: 346

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  • 0

    What has happened to the private duty forum? It used to be a sub-forum of home health, which I thought was a good placement for it. Then it was briefly its own separate forum. And now it is just gone. Where is it? Private duty is a very unique area of nursing with its own unique issues. PD nurses need a forum. Hope it re-appears.

  • 0

    Quote from tothepointeLVN
    This situation is uncommon at least in the city I live in. PDN in general pays the least out of all the options out there for LVN's. The job is usually done by new grads because experienced nurses seldom can afford to take the pay cut.
    Yeah! Private duty (through agency) is low pay nursing around here too. I'm a RN. I took a 40% pay cut from the hospital when I made the switch. And, at the hospital I was at, you always got a yearly raise. In the 4 yrs of private duty, I never got a raise. So the pay difference only got worse with time!! I was willing to take the pay cut for less stress. But after several yrs, private duty got to me to - family drama, nurse's lacking professional boundaries causing all kinds of trouble, etc.

    I also agree with another response (nurse156) that pay is not the point here, nor is it about "sitting around" when you could be helping the family clean. It is about being a professional nurse. I found out that if you gave an inch, the families tended to take a mile! I would keep the PATIENT'S area clean, and do cleaning RELATED to the patient's equipment and such. But nothing for the family at all. It is too easy to get sucked in...and soon you are doing all kinds of things for the FAMILY, and the patient is being neglected. Or you have lost objectivity and do not even realize it. I saw things spiral out of control very quickly in private duty. Focus on the nursing care!

  • 0

    Although it was through agency, when I resigned the high tech vent case I worked - they had a very hard time replacing me.

    Maybe it is the vent aspect. Vents scare some nurses.

    But I agree with another response - the problem may be with finding RN's. LPN's seem much more prevalent in private duty or home shift work. As a RN who worked home shift work for several yrs, I often got vibes that I was doing "an LPN's job". Frequently it was suggested I change to supervisory/management work. But I wanted shift work and did NOT want the hassle of management or supervision for various reasons.

    Unfairly, I think RN's who do home shift work or private duty are considered to be losing their skills or stepping down. Many of the cases are very high tech! I actually gained new skills that I did not have from all my years of hospital nursing!

  • 1
    lindarn likes this.

    Just fyi that Maxim healthcare locations in South Carolina were involved in the recent medicaid fraud indictments.
    Above article more specifically about SC.

    This more broad:

  • 1
    SweettartRN likes this.

    I thought the FBI article was the best.

    As it focuses more broadly on the "company culture" of Maxim that bred this type of thing to begin with. Supervisors, managers, etc were involved. I dislike how some of the other news articles focus more on the nurse/mother involved, when it was much more than this!!

    Many nurses on allnurses have expressed concerns of many types about Maxim. Complaints have been consistent across the USA. Sadly many of these threads/posts have disappeared from allnurses. At least now with official indictment and news articles, the truth can be stated and not censored. Many of the problems at Maxim stem from the company culture on sales and their business model which is clearly problematic.

  • 0

    Maxim update, straight from the FBI:

    "Maxim Healthcare Services Charged with Fraud, Agrees to Pay Approximately $150 Million, Enact Reforms After False Billings Revealed as Common Practice"

  • 2
    systoly and lindarn like this.

    Latest news on Maxim from the FBI:

    "Maxim Healthcare Services Charged with Fraud, Agrees to Pay Approximately $150 Million, Enact Reforms After False Billings Revealed as Common Practice"

    Do a google search - much info available. If fraud went on in your state, you should find local articles.

  • 0

    The video monitoring is out of hand, but I agree with ventmommy. Some of the rules are no doubt due to nurses who did stupid or inconsiderate things. Personally, I have had many people live with me over the years - foreign exchange students, rented to US college students, friends, family, etc. Probably 75% of the house guests were great, the other 25% not so great. Some of the inconsiderate things the 25% would do never ceased to surprise me. We have a list of basic house rules that got longer over the years accordingly.

    Recently we had 2 US college students living with us who closed all doors so loudly it was unbelievable. I mean their regular shutting of a door sounded like they were slamming it with all their might! We feared they were going to cause damage and they were also waking us up from sleep frequently by it! New rule: close doors quietly!

  • 2
    lindarn and systoly like this.

    Quote from caliotter3
    Please do some reading in the home health forum, also look in the agency forum. There are many threads and posts that talk about Maxim, unless those threads and posts have been removed. The majority of them are not positive.
    Yes, it seems that some of the threads about Maxim have least the ones that voice honest concerns about the problems with Maxim. If I say anything negative, this may too disappear! Clearly censorship is going on.

    Quick summary: Maxim offices are run by very young men in their early 20's with degrees in things like sales/marketing. They lack life maturity, and don't understand health care or nurses. Communicating with them was immensely frustrating. They just wouldn't "get it"! They could put on an initial positive professional front, but be wary!

    In addition, whatever methods they used to organize schedules and communicate was NOT working! The left hand did not know what the right hand was doing. Schedule mix-ups and mis-communication were the NORM. I'd arrive at a home thinking I was working 4pm-9pm, to find that the family expected me to stay until 12! The family had notified Maxim of their shift need, but Maxim never notified me of the change! Maxim seemed to drop the ball with communication constantly.

    Even if you told them 2 months ahead that you would not be available a certain day, they would "forget" (and then accuse you of not showing up for work) or do absolutely nothing until the day before the shift. If you put in for a day off or vacation - I would highly recommend that you put it in writing and have them sign so you have proof you notified them.

    Maxim is about sales, not caring for human life. The young men are under high pressure (which is not their fault, but the fault of Maxim's business model) to fill shifts with nurses. So these young men could literally hound and harass you to work in their desperation to fill shifts. You need backbone!! (Or else you will find yourself working shifts or cases that don't work well for you!)

    In the threads that have disappeared, similar concerns have been voiced by nurses all over the USA.

    I went into Maxim "blind" knowing nothing about their reputation or how their offices are run. Had I known ahead of time, my experience might (?) have been better because I would have at least known the deal ahead of time. But I would NEVER work for Maxim again myself.