Admissions/corrections for other nurses...who is responsible

[chenoaspirit, ASN, RN]

I did an admission for another nurse while she was on vacation, (it is her area and it was out of my way to go to this patient's home). But I didnt mind doing it, I always want to help out. But I did the entire oasis, home evaluation, safety sheets, fall preventions sheets, med sheets, etc. I did it ALL. Well, when she came back, I gave her all the paperwork so she could do the visits (not my patient). She gave it back to me saying that I have to do the corrections/coding. Now I dont mind doing it since I did the admission, but when I first started homehealth and I didnt know any better and the roles were reversed, she did an admission and gave it to me to do all the coding. I didnt throw a fit like she is now. I just did it. And when she did my admission, she made a HUGE mess of it because she didnt care, she wasnt going to be the one dealing with it and she knew it. I had to sit in the office with my manager and fix it with my boss's help. I didnt make her do the corrections/coding, I did it. What would you do? I plan on doing the corrections/coding, I feel that I am the bigger person. But I want her to know that it goes both ways. I dont like being run over because Im the new nurse. How would you handle this?

[annaedRN, RN]

Thank goodness we have coders!!! Tough situation...is your boss approachable in a situation like this?

[caliotter3]

I would speak to the boss about this. Even if the boss does not intervene in some way, they should be made aware of the situation. This person is definitely lacking in the team player arena.

[chenoaspirit, ASN, RN]

I guess I do need to let the boss know. I hate working with people like that. Im the type who always has extra work because I try to be helpful, but Im starting to be taken advantage of.

This same nurse gave me two of her patients, I was glad at first because I was new and needed to build my load, until I learned they both needed discharged. Why give them to me? I mean, the only reason it coould have been is so that I would have to do the discharge oasis. I had them 2 weeks. The first week was to give them the discharge notice, the next week was to discharge them. (we dont get paid extra to do a discharge oasis).

Thanks for your replies, I was wondering if I was in the wrong for feeling the way I do.

[berube]

people so often mistake kindness for weakness,,,,i guess it wasnt what she "asked" you to do but the way she asked it, so much in the tone in which things are said. do the corrections, as it is part of doing an admission, then think twice before offering assistance,,what i have learned when asked to do something extra, i say, oh let me look at my schedule and i will get right back to you, gives you the time to "re-group" before answering,,,,

some people just are not team players!!! they are everywhere

[CooperNurseRN]

Since it was an admission visit, I can see where she might want you to make the corrections. She hasn't seen the patient so she might not be able to answer the questions. She should have made the corrections when she did visits for you, though. If it's just the coding piece and calculating the frequency, then she should have no problem answering the questions. At my agency, we try to have the RNs do their own starts but sometimes it's impossible. So, when an RN does any visit, she's responsible for completing all components....coding...corrections...hha care plans..calendars..etc. Then she is suppose to give the RN assigned to the case a report and let her know of anything that is still pending so the bal doesn't get dropped. Any corrections go to the person who did the visit.

If I were you, the burning issue for me would be the fact that she did not do her own corrections when she did an admission for you. I think I would remind her of that situation and tell her that you're really overwhelmed with your own workload. Ask her if she could complete the rest of the paperwork for you since you did this for her. Surely, she will. I would talk to your supervisor if this approach did not work. In the end, your supervisor may still have you make the corrections. Consider it a lesson learned. I'm sure you're very frustrated because you feel like you were taken advantage of. Good luck!!

[chenoaspirit, ASN, RN]

Well, this same nurse just did it again to another nurse, and guess what....the entire admission packet got lost. She claims she placed it in the mailbox of the nurse who did the admission, well it wasnt there. Now ALL the paperwork, the ENTIRE chart is GONE. I wonder now if they will do something about this. In my opinion, if I am nice enough to do HER admission for her, she should be mature enough to take over the patient's care once its done. If not, then I dont think I will be doing admissions for anyone anymore. If they want to be that way, then they can figure out something besides me doing it for them. too much of a hassle and it just isnt worth getting in trouble over. Once I hand over a chart, Im done with it.

[LuLu2008]

This boils down to character. You quickly learn about your co-workers' work ethic once you have been at an agency for a little while. You did all the right things and should be proud of your attitude, and her own actions will come back to bite her in the end.

[LaRN]

Why are you two piecing together an admit? whoever starts the admit should finish it.

[nursedaddy123]

Being a nice person with co-workers gets you screwed up in home health I think. I'm new too. Even if you open plenty of patients, do other people's jobs, and work your butt off it really doesn't matter. The next week comes and you're back to square one. The best thing to do is just to get your work done with as little mistakes as possible and keep advancing yourself, either through education or opening your own business. Life is too short to wait for others to realize your worth.