charting!!!! I am about to leave home health...

linuxRN · Jun 18

IntegrativeRN said:

What kind of home are you doing and where? I was just offered a home health job and they want me to go full time rather than part time because they will be precepting me after a career gap and they want a return on investment in me. I've had a 10 year gap since I was last in active patient care. I did further my degree (2 actually) in the off time, but I was hoping to join back part time and not jump full in. I understand their ask since they say they'll put the time in with me, but OASIS truly does sound like a nightmare and I'm already freaking out over what may have changed in the patient care realm, so I'll be slower out the gate. I am freaking out because I do not want to stay in home health indefinitely and keep seeing people state it isn't transferrable. Wondering if I should go into the hospital instead? The days may be long madness but at least it would likely be 3 12's and then no charting to follow me home.

Sorry for the late response. I work for a LHCSA agency (agency that provides HHA/PCA home attendant services). Just do head to toe assessment and make care plans for the aides to follow. No OASIS. The job is low risk of losing your license. Just do a proper assessment, document good, and make the plan of care for the patient/aide and your good. Not every state has HHA/PCA programs.

You should try different things and see what you like. For me I hated the hospital. Too toxic, too fast paced, and too much responsibility. These factors lead to a higher risk when it comes to your license.

MeggyBeth, RN · Jun 18

IntegrativeRN said:

What kind of home are you doing and where? I was just offered a home health job and they want me to go full time rather than part time because they will be precepting me after a career gap and they want a return on investment in me. I've had a 10 year gap since I was last in active patient care. I did further my degree (2 actually) in the off time, but I was hoping to join back part time and not jump full in. I understand their ask since they say they'll put the time in with me, but OASIS truly does sound like a nightmare and I'm already freaking out over what may have changed in the patient care realm, so I'll be slower out the gate. I am freaking out because I do not want to stay in home health indefinitely and keep seeing people state it isn't transferrable. Wondering if I should go into the hospital instead? The days may be long madness but at least it would likely be 3 12's and then no charting to follow me home.

First, as for part vs full ... if you aren't comfortable with full definitely stand your ground. If this company pushes you into a position you aren't comfortable with right from the start you might want to consider if that's a place you want to work. (Personaly I think it's terribly short sighted of a company to think like that...I know there are part time nurses I've trained for my agency who've lasted longer & given us a better "return investment" than some of the full time nurses...)

Second I agree with LinuxRN - different types of HomeHealth/Home Care are different. (Also there are many different charting/EME systems and all agencies don't use the same ones)

The agency I work for for doesn't have to use OAISIS, and the EMR/charting system we have allows nurses to copy their previous assessment (the nurses should still be reviewing each assessment to make sure the copied data is still accurate & applicable...but it greatly reduces charting time.)

So depending on the type of HH, the company's culture, and the EMR system you might find one place is a better fit than another.