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first soc visit disaster

Home Health   (1,127 Views | 2 Replies)
by therese0327 therese0327 (New) New

379 Profile Views; 1 Post

Hi

I wondered if anyone out there would be willing to share their first experiences in HH. I did my first solo start of care over the weekend and felt it went so bad. The nursing care end was fine since I've been a med surg hospital nurse for years. I'm just entering the world of HH and it's so different. The process is what killed me!

Everything went pretty well until there were some questions about the orders and protocols that I wanted to clarify. The doctor was very nice, but questioned why I called when I had the protocol. The items in question were not on the protocol or orders so he clarified, making sure I knew no one had ever had to call him before. OK, I felt stupid. There was questions about some equipment I was unsure of (feeling stupid #2), but we were able to find out later in the visit.

Another member of our service came while I was there so I charted while I waited. They had gone in a different area of the home when my family member calls me with a family semi-emergency. I tried to hide in the corner to handle it praying no one heard me apologizing to my family member why I couldn't leave at that moment. I had to secure phone numbers and call back, etc. I should've went outside, but it caught me so off guard. I was taking so long with the visit I lost track of time.

What a mess. I seriously felt like a new grad all over again. Even though I'm clinically sound in the hospital, this process through me for a loop! So kudos to all you HH nurses. I never realized how challenging this could be.

Praying the next one goes smoother.

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Isabelle49 specializes in Home Health.

849 Posts; 12,979 Profile Views

It will get better and then sometimes it won't. I always expect an SOC to take at least 2 hours, that way there is no rushed feeling and hopefully nothing will be missed.

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4evernrs has 16 years experience and specializes in Home Health,CCM.

51 Posts; 2,023 Profile Views

The fact that you recognize these first-time shortcomings speaks volumes! You will be fine. It sort of sounds like you were thrown to the wolves, though.. I'm wondering if maybe you were shortchanged on your orientation? Someone should have clearly defined the expectations beforehand...and oriented you to any equipment that you were expected to use. It DOES get easier :)

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