Home Health: Not Being Paid??

Nurses General Nursing

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Hey everyone, I need some advice. I got a job as a Home Health Aide (HHA) while I'm waiting for my nursing classes to begin. Part of my job is taking my client to her appointments. On the daily chart I keep for her, there is a log to document the time she is in her appointment. Here's the kicker... when shes in with the doctor I DON'T GET PAID.

I was absolutely confused by this. First, I believe unpaid time (like a break) I should be able to do whatever I want to do. Go get food, workout, run errands, etc. But I can't. For one, I drive her car to the appointment, I wouldn't feel comfortable driving around in her car to take a break. Also, she could get out of the appointment at anytime so I have to be there waiting for her. Lastly, the appointment I'm taking here to will be (2-3 hours long!) I still wouldn't be comfortable leaving just in case something happens and she got out early.

The entire situation seems so weird to me. I'm looking for a little advice, should I bring it up to my boss or higher up?? Thanks everyone!

When I accompany my patient to a medical appt, I get paid whether I go into the room and interact with the doctor or just sit in the waiting room. I think you are being taken advantage of. Your patient could take Uber or Lyft, if your agency does not want to pay you for your time.

Specializes in mental health / psychiatic nursing.

If you are scheduled to be at the appointment with her, you should be paid for your time. If she needs you to drive her and remain on site the entire time you need to be paid for the entire time; is the expectation that you go with her to the appointment and help advocate for her? If she only needs a ride to/from appointments then a ride service should be arranged for her.

Thank you!! I help her get ready in the morning and get in the car. She can be in the appt. without me, then I take her home. I don't mind the work (it's very easy), but I just don't feel it's morally right for them to dock my pay while I wait for her. Thanks for the reply!

Specializes in Pediatrics Retired.
When I accompany my patient to a medical appt, I get paid whether I go into the room and interact with the doctor or just sit in the waiting room. I think you are being taken advantage of. Your patient could take Uber or Lyft, if your agency does not want to pay you for your time.

DITTO, DITTO! You're being hosed, big time.

For goodness' sake.

There sure are endless ways to take advantage.

I would clarify with your employer. When they confirm your understanding just let them know that you aren't going to be able to do that because it's too much unpaid downtime.

Specializes in Geriatrics, Home Health.

Talk to HR. If they won't help, you should talk to your state Department of Labor.

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