Any DPCS/DONs that do case management?

[Gingilly]

Hello all, my question stems from confusion over my role. I am a new DON working home health and post of job responsibilities is case management. I agreed to this being part of work load but after hire I found out I would be making 50% of patients. This includes oasis entry and creating care plans from scratch as well as regulatory and staff management. In the four months I've been here I have had a DHS survey and resurvey which is incredibly stressful! The surveyors made me very aware of deficiencies, inefficiency and need for updated protocols and staff oversight-in other words The DON responsibilities.

I have tried letting my administrator know this only to be told I must fix everything while managing my cases and this is how it's always been done.

So for my mental sake, is this the usual? Does the DON really double up as a full time case manager? Am I out of line thinking that a DON should only do regulatory and management?

Please enlighten me.

If this is the wrong forum, please feel free to move this post to a more appropriate one.

And thank you in advance

Gingilly

[NRSKarenRN, BSN, RN]

Moved to Home Health Nursing forum for best chance member response.

[Libby1987]

Never like that. Once with a new start up before there were enough patients to hire nursing staff (back when HH agencies were popping up everywhere). And my Director has occasionally managed a patient or few during a nursing shortage in our office, ie multiple nurses out at one time but that's rare and not part of her job description.