One case only or a whole bunch of them? - page 2

by CloudySue 3,246 Views | 11 Comments

Last week I worked at 5 different homes in 6 days. My agency does not put a "main" nurse at any case, they prefer to schedule at LEAST 10-12 nurses per case every month (as per MAR signatures). While the variety of work can be... Read More


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    Quote from CloudySue
    Last week I worked at 5 different homes in 6 days. My agency does not put a "main" nurse at any case, they prefer to schedule at LEAST 10-12 nurses per case every month (as per MAR signatures). While the variety of work can be nice, it's very hard to become proficient with a case quickly. Parents lament to me that they feel like their homes are revolving doors, and they are constantly having to update nurses over and over and over, to be sure everyone gets new information when it comes up. They generally prefer having a small handful of staff for their children, so they can have consistency, plus feel more comfortable in their own homes. However on the flip side, there's a very low incidence of unstaffed shifts. It's much easier for the agency to fill them in a pinch.

    What does your agency do? Are you a regular nurse at the same case most or all the time, or do you float all over the area like I do? What do you like/dislike about the way you work?
    See, what I have found is when a family has only a couple of nurses, it will be harder to staff in the event someone is out sick or whatnot, a perfect example I just went through myself, the case had 2 regular nurses, one does 4 nights out of the week, the other does 3....the one who does 4 nights just got into a very bad car accident on the way to work, so that nurse has been out for about 2 months now......so 4 nights a week are not able to be staffed, until I ended up filling in ( family is rude & just plain nasty now) so for me personally I prefer a bunch of different places, that way IF someone is out ( like my example I gave) then the better chance of having the shifts filled.....I totally understand "revolving" door issue & having a bunch of different people in & out ( I had home nursing myself for my child who has since passed away), but when there ends up being only a couple of regular staff, it makes it nearly impossible to get the shifts filled in the unfortunate event that someone is unable to work......alot of people seem to not think outside the box like that....
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    I work for private duty and currently I have 2 cases. One case I work 2 days (32hrs) and one day on another case. My agency assigns you to a case for the time they need care. I had another case that ended and was tranfered to another one within 3 days. I find that the parents like it better when there are regular nurses there so they get to know the patient and develop comunication and relationship. Working in homecare is alot different from hospital nursing.
    poppycat likes this.


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