can per diem RN turn into full time work?

[arose26]

Hi I got hired recently to an Elder Care home health agency doing some per diem work. Basically i'm on call to do an in depth head to toe physical assessments on the clients that are part of this agency. I know as a new graduate it was a great opportunity for me because I really needed the experience and I love working in the community. I also have a great passion and experience working with family members with memory loss related illnesses. So I thought this would be a perfect beginning job for me but the only thing is I am not a huge fan of a Per Diem schedule. I like to have a set schedule weekly but I know you got to take what you can at the beginning. What I was curious about is can a per diem RN job lead into more of a full time even part time (couple days a week/couple hours) job? If a client really likes you when you visit to do you assessments and need a private nurse i guess thats how you would get more work, through referrels? Any one else kind of start off as per diem/part time in home health and work there way up to having a lot of clients ? Any experience is something .

[caliotter3]

The agency will frown upon you doing private duty for clients you meet from your assignments with them. If you want steady work, best to keep looking and relegate this per diem job to secondary status after a full or even part time job.

[arose26]

The agency I work for is a very well known Home Health company and they would not frown upon me for bringing in more buisness and clients for them. Not all agencies are the same so before you try to generalize all nursing agencies as being the worse belittling demeaning job consider there are some good ones out there. The people at this agency are some of the nicest health care providers i have ever met and have been a blessing to my family for providing nursing care. This is just my opinion and I do not want to cause a fight trust me its just I feel that people on this site (Some not all) tend to give very negative responses. The agency said they take recommendations from clients if they want you they just have to go through the agency first before you get assigned to them.

[caliotter3]

Nobody was being negative. It is considered a breach of patient confidentiality and unethical to take business away from an agency employer. Since this is not the circumstances you describe in your second accusatory post, you could have been more specific the first time around. Very few members here are excellent mind readers. Most respond based on the original info provided. Since your agency office personnel are so helpful, they would only be too pleased to discuss your questions and provide the answers you want.

[CapeCodMermaid, RN]

I agree with my esteemed colleague,caliotter3. I would have answered the same way. There is a difference between bringing in clients and basically stealing clients from your agency to work for on a private duty basis.

Anyone who posts on a public forum should expect to get all sorts of answers. If you don't want people to disagree with you, don't post on a public forum.

[Passion8RN]

Yes. When I did home health in the past I started out as Per diem. Both agencies I worked for offered me full-time salaried pay within 6 months of hire. They were very impressed with my follow through and coordination of care. Make a great impression (follow-up, notifying case managers & physicians of changes, good thorough customer service, dependability, flexibility) and you will be offered full-time work or pay soon if it is a reputable agency.

[pookyp, LPN]

I did part time work as a CNA and was doing respite for a very rich couple. They fell in love em with me and offered to write me a check $600 a week to work for them. I left my home health agency in a heart beat for that job. The agency was upset. They accused my new employer of stealing their aides and would no longer do work with them. If I needed time off she would call for a fill in and they either never had anyone or never returned her calls. I lived in a small town and there were only 2 agencies. So she had to end up doing work with the other.

At that time I didn't know I was doing anything wrong. But I can see why the agency was upset.

I ended up working for that family for about 4 years until I moved. Love them!

[anotherlifeRN]

Yes It can turn into full time if you make a good impression and the clients like you. Are you interested in just getting full time hours or getting a full time/benefited position ? Do you get to set your own schedule ?

[KelRN215, BSN, RN]

The agency I work for is a very well known Home Health company and they would not frown upon me for bringing in more buisness and clients for them. Not all agencies are the same so before you try to generalize all nursing agencies as being the worse belittling demeaning job consider there are some good ones out there. The people at this agency are some of the nicest health care providers i have ever met and have been a blessing to my family for providing nursing care. This is just my opinion and I do not want to cause a fight trust me its just I feel that people on this site (Some not all) tend to give very negative responses. The agency said they take recommendations from clients if they want you they just have to go through the agency first before you get assigned to them.

What you are talking about in this post (bringing in more business for the agency) is completely different than what you said in your original post (working privately for clients that you met through the agency). The latter most definitely WOULD be frowned upon. The agency I work with requires all nurses who are independent private nurses with the state Medicaid system to sign non-compete agreements upon hire.

[startofcare]

I can share from my perspective, I work perdiem but I have had a handful of patients re-admittef to the hospital and upon discharge would specifically ask for me to resume their home care.