Can you squeeze all your patients in M/W/F?

[Avill, BSN, RN]

Hi all,

So I have an interview on Tuesday with an agency that is about an hour away. They said they don't require me to do all my documentation in office so I could do that at home but I'm just thinking on how to reduce the wear and tear on my car if I'm going to drive that far.

Do any of you squeeze your weekly patients in three days? Is that even feasible? 3 in home visit days and 2 documentation days?

Thanks!

[Kaisu]

I did that for about 8 months. I did visits 3 days a week because I had to drive an hour to begin my visits. I still put on about 700 miles a week and it was exhausting. The visit days would add up to about 12 hours a day, but most of my documentation was done. It worked well.

[berube]

What would ur plan be if u had a patient that had to be seen on an alternate day if they will not cover it for you?

[Kaisu]

In that 8 month period I probably did a half dozen "unscheduled" runs into that town. I had amazing support from LPNs. Great team work was critical for it to work.

[Avill, BSN, RN]

Guys! I ended up not going for an interview because of that question you presented and because I wouldn't be able to do on-call .

I have an interview with an agency in town tomorrow, they pay per visit for a full time nurse which Im curious on how it works,

Thank you for replying !

[Kaisu]

Home health PPV can be very lucrative. In the beginning, when it takes you 3 hours to document an OASIS admission, it is not practical. A good agency would give you an hourly rate as you learn the ropes, then allow you to transition to PPV when you are proficient. At 4 months in, I would have made substantially more on a PPV than hourly, but I was moving into Hospice and thus did not make the switch. One of our home health nurses who is extremely good at her job makes over 6 figures on PPV.

[Zippy83]

That has always been my dream to squeeze all of my visits into three days a week.

No matter how hard I tried, it has just never been possible.

I work for multiple agencies, but they all assign patients to individual nurses, and then you follow the case and if you can’t work on a certain day you have to get those visits covered.

We have too many patients who are on an every three day visit schedule either for wound care or infusion, daily patients, and then those patients who will just not work with you, even if they are literally just sitting around all day they will insist you come on Tuesday because the wind has to be blowing a certain way LOL.

So in order for me to make that perfect beautiful Monday Wednesday Friday schedule, I would have to turn down so many cases that they would probably stop offering me work all together.