Are you happy?

I am starting to think it is me. I worked for a per visit company and was seeing pts 6 days a week sometimes 7, 35-45 pts a week. Now working for a company that I am a case manager and see 6 pts a day no more than 7. They have many PRN nurses do many visits and SOC too. ANd on call once every 7 weeks and one night a week.

Still not happy, maybe I am not cut out to be a nurse. I have much less paperwork at home since I have time to go to the office daily and do my paperwork while being paid. But many nurses do not follow up with things. Any change of condition I call the PCP. Two weeks ago when I just started with this company there was a missed visit on a weekly pt. No one put in a visit the next day just missed the one visit that week. Well I saw him last friday, I did not have the INR machine with me and did not have an order so I called PCP before my visit to see if he wanted an INR. No one in the office till 2pm. I would not consider this an emergency and the MD would not have his chart if not in the office. Pt was going to see the PCP later that day on Friday afternoon. When I called to tell him I was coming today son told me he was in the hospital since Mon. I asked if he went to the PCP that day. Son said no he refused to go. Over the weekend his gum started bleeding, he refused to go to the ER. Monday the son called 911 and then he went. Well INR was 11 and needed to be transfused. What do you do with this? Who ever missed the visit should have told the scheduler to have someone see him the next day not just drop it. THat is what I would have done. THese are the things that bother me. I either am too busy and putting my pts before my family OR worry when someone else see's my pts and do not do what I would do. AHHHHH.