How much information of a patient does your agency give you before you accept a case? - page 2
by 50kn, LPN | 3,985 Views | 15 Comments
regarding a private dutyís caseÖ., my agency tells me a patientís address and shift & days of a week i work and asks if i can do the case. they donít give me any other information such as age of the patient, what kind of... Read More
- 0Jun 19, '12 by JustBeachyNurse, LPNI get at least town, age, main diagnosis, and major treatments/interventions (g tube, gj tube, critical respiratory, trach/vent, seizure precautions, etc.) depending on who is calling. If the basics are within my comfort & travel zone I will be sent the 485 before meeting with the family/patient (if a new case to agency, post RN SOC visit) or orienting with a nurse already on the case. (I do strictly pediatrics. Some of my coworkers only do older chidlren/teens/young adults, some are neonatal to age 2/3, some are more diverse depending on skill set, background, experience, and cases already oriented to with this agency)
We do not use electronic medical records for charting, so to see the 485 we need to accept email (not all the nurses will take emails from the office believe it or not) or go to the office to view the document before orienting on the case.
We are paid a "training" rate that is more than minimum wage but much less than our skilled working rate for orientaiton/meeting the family. The office will verify with the family that we were there and how long (apparently some staff decided to try and embellish hours) since no charting is done (charts serve as our time sheets).
- 0Jun 23, '12 by Blackcat99At my agency, I was given a 15 minute class on ventilators and then was told that I could now do ventilator cases. I received a phone call from the recruiter telling me that they had a ventilator case available . I told them No thanks and that I did not feel comfortable with doing a ventilator case. I was told by the recruiter and I quote: "Don't worry about it. Besides this is a private pay patient and we can pay you much more money for you to do this case."
- 1Jun 23, '12 by tothepointeLVNI never got this case but there was one case at my old agency where they paid more because it was two patients and then the family actually paid money out of their pocket directly to the nurse as well. Those nurses were doing quite well from what I could tell.
- 0Jul 30, '12 by poppycat, BSN, RNBoth agencies I work with give me the age, diagnosis, & interventions such as trach,vent, g-tube,etc. & then I tell them whether I'm even interested in going for an orientation. If I say I'm interested, they will then email me a copy of the 485 so I have more info before I go to the home. They're also very good about giving me details about the situation in the home before I go out.