Discouraged

Specialties Home Health

Published

I started home health nursing last November. Prior to that I had 10 years hospital-based med / surg experience. There are many things that I truly enjoy about home care, but I am getting really discouraged at this point. Mounds of paperwork, less free time...seems like all I do is work, work, work. I am about to attend class to learn the laptop charting system, and I am hoping that this will alleviate some of the paperwork. The fifth month of my new job I was literally in tears and told my supervisor that if things did not get better by June I was looking for a new job. I thought it only fair to give myself a little more time in the job, but I feel like I've hit another low point where I just want to chuck it all. When I worked in the hospital, after my shift was done that was it--no phone calls to make, no labs to track down, no paperwork to finish, no schedules to do, etc., etc. Does anyone have any advice, any words of wisdom? How do you manage to do a good job without sacrificing so much of your personal life?

Been there, done that! I loved home health. I didn't think the paperwork was overwhelming and I did do it at home. We had computers and I did as much as possible in the patients home, vitals, assessment, etc...then charted the teaching, narrative notes, Oasis... etc at home.

Driving from patient to patient was relaxing for me. You can stop when you want to, run errands, etc...I believe home health is nursing best kept secret. My fantasy job all came to an end after 6 months when a mixture of poor management and a change from per hour to per visit hit all at once and I ended up giving my 2 weeks notice. I live in a rural area and visits that are 40 miles away are not worth $37 which included my driving time, visit time and charting time. I would have been making about $7 an hour.

I would not go back to the 12 hour floor job for all the tea in china. I work 11 hour shifts 3 days a week in radiology. I've been with the hospital since 1981 minus the time with home health.

Dutchgirl: you put things into perspective-how did you get radiology job?

It has been a while since I visited my original post, but I wanted to update everyone on my situation. I have hung in there for 10 months now and I would quit tomorrow if I could. Having a laptop has helped somewhat, but I still have extra work that I am taking home with me. Sure, it's great to be able to finish work from home, but who wants to work all day then work the better part of the evening as well? We have been having some 90 plus degree days lately, and by the time I get home I am so drained I just don't have the energy for anything else. I went to a home the other day to do a resumption of care, the house was all closed up, no air movement at all, and by the time I left I was drenched and had a pounding headache. Right now I have a recert sitting on my kitchen table that I am trying to motivate myself to finish. My census right now is a little low so I have been given patients from different teams to see, patient who I have no previous knowledge about and am expected to discharge them or try to troubleshoot problems. So not only do I have my own patients to manage I am taking on problems of patients from other case managers as well. I wish I could turn the problems I can't solve over to their case manager but the attitude seems to be if I identify it, I have to fix it. I really do pitch in and help out when I am low but it seems that when I need help covering my patients, none is available. Even the scheduler said yes you do help me out, I am sorry I can't get help for you. Getting backup from the team leader is sometimes a crapshoot; either I will get some assistance or am told "I have things to do." I spend a great deal of time on my cellphone and let's face it, the reimbursement is pitiful. I really had high hopes for this job but every day I wake up I dread hitting the road. There are still things that I like about this job but overall those few things are not worth sacrificing my life and free time for. I don't want patients calling me at home (no matter how many times I tell them to call the agency or leave me a message on my pager, they still do), I don't like not knowing which side of Jabooty I will be sent to on a moments notice, I don't like my car looking like a travelling Rite Aide, I want my life back. The good news for me is that this past Thursday I filled out an online application at the hospital I used to work for, they called me Friday morning, and I have an interview Monday morning. I didn't realize how much I missed the hospital environment and I really enjoyed working at this hosptial in particular. I want to go home!

I went for my interview and walked out in an hour with a job. The greatest part was that I really didn't have an interview. The unit manager and I chatted for a few minutes and the next thing I knew we were discussing my start date. My salary will be more than when I left the hospital last year and $3 / hr more than my home care salary. I really love working at this particular hospital and now question why I left in the first place. It truly wasn't a grass is greener thing, I just wanted to try something new. I am a little disappointed though because I wanted this job to work out, but I realize that it takes a special kind of person to be a home care nurse. For those who love it, more power to ya...I tip my hat to you!

I am glad to know that you have come to the end of a very difficult time. You are right home health care is not an easy field in which to practice nursing; especially when you are comfortable and used to facility nursing.

I have been a homecare nurse for nearly a decade and when I speak about it, I sound like you speaking about the hospital. Home care is not for every one. Thanks for giving it your best shot.

Specializes in hospice, LTC, home health, acute care.

Discouraged, I too did HH for a while after doing hospice; in hospice had laptop and frankly did not see difference as half time laptop was always on the fritz; key to any home nursing is organization; if you do not get and stay organized you will drown! I am now doing school nursing and would not trade if for the world! whether hospice or HH you still have to deal with doctors and labs and all that nonsense, can't get around it, it is part of the job; please don't be fooled into believing that your laptop is going to make life a lot easier, it won't, just a different type of frustration; one other reason I got out of the home health/hospice was the amount of time invested; it really did seem like you were never off, they say flexibility and I do admit there is some, but the benefits did not outweigh the hassles for me; when I get off from work I want to be off not dreading to hear the telephone ring because a doctor decides that he can finally call you back with orders at 11pm at night; all I'm saying is make sure you know what you're getting into and hey if that's what you enjoy then go for it! but I really don't think that what you're experiencing has to do with adjusting to a new job so much. take care and I wish you luck!

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