Any home health manager/Admin/DON/Nurse Super etc

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I have been in home health since 91. I find the office politics are really getting to me. Having worked for lots of companies, quite a few no longer in business, that the atmosphere has become almost unbearable for a myriad of reasons.

For those with long term management experience in home health, I am finding it very hard to find other managers who really understand the regs/OASIS/ etc and I really am tired of trying to teach people who don't have the knowledge of all that and are put into management roles without that experience etc and your trying to train people over and over and over.

I don't know if any of you long term managers out there are finding your tired of training people over and over and having them leave like their hair is on fire due to the stress and over load.......

For you newer managers, I feel bad as the atmosphere is becoming a totally different animal than it was when I started in home health. Amost 100% of the time I am talking about forms, money, regs.

Karen and hoolahan, I really respect both of your inputs on situations. Do you find yourself in this "mindset". I wonder if getting out of the office and letting all the people with no experience who are put in leadership roles who are not ready, just tough it out and drive the person nuts who hired them.

Sounds synical I know........

'

renerian

I have been in home health since 91. I find the office politics are really getting to me. Having worked for lots of companies, quite a few no longer in business, that the atmosphere has become almost unbearable for a myriad of reasons.

For those with long term management experience in home health, I am finding it very hard to find other managers who really understand the regs/OASIS/ etc and I really am tired of trying to teach people who don't have the knowledge of all that and are put into management roles without that experience etc and your trying to train people over and over and over.

I don't know if any of you long term managers out there are finding your tired of training people over and over and having them leave like their hair is on fire due to the stress and over load.......

For you newer managers, I feel bad as the atmosphere is becoming a totally different animal than it was when I started in home health. Amost 100% of the time I am talking about forms, money, regs.

Karen and hoolahan, I really respect both of your inputs on situations. Do you find yourself in this "mindset". I wonder if getting out of the office and letting all the people with no experience who are put in leadership roles who are not ready, just tough it out and drive the person nuts who hired them.

Sounds synical I know........

'

renerian

Nope can relate To everything you just said Plus add My company is being taking over on Monday and I find this same "mindset". I wonder if I should get out of the office before signing that new contract with the new company and let all the people with no experience who are in leadership roles who are not ready, just tough it out and drive them all nuts with the problems . Like all our CNA's have been doing to me this week . No shows ,etc.Have been thinking of going into some kind of medicail marketing . I have worked in home health 10 years 1 year in a leadership role.

Happy

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Can anybody tell me what are the rules to be a Don of a privately owned home health that is not accreditied by joint commission. Do you have to work 5 days/ week and be in all the offices under that provider number? Thanks

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Can anybody tell me what are the rules to be a Don of a privately owned home health that is not accreditied by joint commission. Do you have to work 5 days/ week and be in all the offices under that provider number? Thanks

The company would set the expectations for the DON. Frequency of visits to sattelite offices will depend on how the office is doing, the strength of the individuals managing the sattelite offices , what the training needs of the office staff are, what the denials or regulatory history of that office are etc. There is no rule,per se. A Director of Nursing for an HHA has 24/7 responsibility for the care delivered under the provider number. Most work weekdays, but are available for consult or to handle unique issues that can occur off-hours.

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Specializes in MS Home Health.

I did not read the final comments on this thread I posted until now. I guess I posted this thread when my kids were giving me grief at home so I never got back to it.

I am still hanging out in home health looking for another per diem/part time job. I work a full time job evenings so finding one that agrees to be flexible/no on call /weekends,nights or holidays is very hard. Since I already work full time 5 days a week and part time during the day my hours are limited.

Thanks for everyone's reply.

renerian

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Specializes in MS Home Health.

I am happy to report after 9 months I can finally bump up to more hours at my evening telecommute disease management role and can resign my day job in home health. After nearly 20 years I am just burned out.

renerian

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oh ren! What is it you're doing now? I have been a loyal reader of your posts and you have always helped me so much. I'm so sorry the system chewed you up. I just got done with state survey today, a lovely 5 days of torture. I hope you'll still contribute to the website. You have a gift.

I can understand BURNOUT, today left me feeling like I just wanted hand over my office keys and say,"Go ahead and pull this off without me, I'm sooo done being the multi-tasking doormat, who only gets credit for the things that go wrong.":angryfire

Don't ya just love how those in charge of you give that look of "how could this have happened?,, they do things like this?, this is how our notes print out?, etc...." I just want to scream where have y'all been? Was I talking to the wall when I brought these issues to you every day and was told to focus on other priorities???? okay, now i'm ranting, see this job has turned me into a raving lunatic. :bugeyes:

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Hi all, I'm new here, but I have a burning question that fits right in with this thread. Our agency has never, to my knowledge, knowingly committed fraud. We do, however, make mistakes in documentation, scheduling, orders, etc. Our administrator seems to think that we should never make mistakes. How do you all go about correcting mistakes without "fudging" your paperwork? For example, if we do a prn visit and forget to write the order, then discover the error 3 weeks later, how would we correct that? As we do currently do things, I would do an order for the prn visit with the current date (noting the actual visit date), fax it for Drs signature, then do a communication note for the chart explaning our oversight. We are also have a problem with the new discharge notification (BIPA) forms. If we forget to do one at least 48 hours from d/c, what is the best way to correct that oversight and still keep surveyors happy? I guess I want to know if we really are the only ones who make these errors, or do we just not know how to correct them? Thanks for any input.

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Specializes in MS Home Health.

Jenny thanks for your kind words. I have been working in home health part time and doing disease management/telecomutting which I love. My hours are increasing for the telecomute job. I will still read. I just need some down time and working only one full time job and then I might go back to just doing per diem home health, I don't know but no office time LOL.

Fire: I assume the nurse called the Dr first and just forgot to write the order. I have called docs and said something like this, "I just wanted to let the DR. know joe smoes catheter plugged up SAturday night so we did a visit to flush it blah blah blah"/big smile.

ren

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Do the state surveyors give you grief about corrections, orders dated after the visit, etc? Our last survey went great, but lately we have had many more charting errors, frequency errors, etc. I'm just not sure what to expect because we've always been in great shape for past surveys.

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Thank you for the positive response. I was beginning to worry.

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Specializes in ER, L&D, ICU, LTC, HH.

I am not a DON but I do know the orientation I got was substandard. I am very disappointed that our DON directed the whole meeting at our agency last week at me. All the mistakes I made on everything. I was sent into the field doing all the Oasis work with no training modules. I was handed a standards book and that was all even though our company has great training modules. I have spent night after night charting for hours, worked about 12 to 16 hours a day without a day off for 3 weeks. The training I did get was about a week and a half riding with a new graduate who is taking Hydros and Percocets with major mood swings. She yells at me also. I am so disappointed in the lack of time taken to help me adjust to being a home health nurse. I have been a nurse 25 years and I love the care I give in this venue of nursing but the politics and having your head bit off all the time is driving me crazy. Like going on a 67 mile trip to do a ROC at 10 pm while on call them I get chewed out because they are not getting paid because some one in the office did not get insurance clearance. Please don't blame the on call nurse for this when I don't even understand how everything works yet. I got an hour and a half of being raked over the coals in front of everyone at a meeting. To top it off we have 2 RN's for field work with a census in the 90's. I was so angry if I had another job to go to I would have, These are a lot of the problems that cause large turn over rates.

I just had to vent some where sorry if this is the wrong place.

~Willow

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