Coordination of care

Hi

I'm new to home health. I've done a couple other types of nursing and so far I really like home health. I'm only part time...I honestly don't know how anyone does this full time. The amount of phone calls I make for even 5 or 6 patients is insane. I feel like every week I'm calling 10 doctors...at least. I think I struggle with knowing what is important enough to alert the md, which I know takes time. However is it really necessary to inform the doctor with every bout of loose stools or nausea? I understand if this doesn't improve or if it's part of their diagnosis we are caring for. But I'm finding if I report every change to the md I will be making calls all day, right? We all have minor changes in our appetite, pain, etc. Where do I draw the line?

Something else that frustrates me is there is pretty much no guidance. I'm following orders that aren't really ever ordered. I have to hunt down orders from 3 different docs. Why cant they just send appropriate orders instead of us having to ask about everything? It seems so backwards.