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home health care VENT

Has 7 years experience.

First let me thank you for taking the time to read this and i'm sure many of you have been in the same situation and i know my fiance doesn't understand my frustrations so i need to get this out to people who do understand.

I work in the field as a rn case manager, i carry a patient load of 25-30 patients and i complete all my own follow up visits, aka no lpn to help me. I do all of my own OASIS visits and seldom have any corrections needed during my oasis audits (not to toot my own horn) so please before you call me on the phone from the office (after i just hung up on the phone from someone at the office, while i'm trying to do patient care) please read my ENTIRE note, perhaps you will find the answer to your question. If you are processing a SOC and have questions perhaps you should look at the ENTIRE book and narrative before you call me wanting to know something. Please do not get mad,when i say "i think i charted that could you look(even tell them where i think i charted it " (we are all paper charting so once i turn it in to the office i don't have a copy of it). Same thing for auditing my charting, before you call me to come make a special trip to the office to "fix" my charting perhaps you should actually read it instead of just looking at how its filled in. If there is a problem with cardio/resp then look under that section and read the note, the 3 lines of narrative section on the back is not enough room nor am i going to chart everything 2x to make you happy. i'm sorry the page is 2 sided you might have to read both sides and actually read the hand written notes not just the boxes/bubbles.

Ok i feel better now i just had to get all of that out.

on a more positive note i have an interview with another company tomorrow for additional visits :)

Good luck with your interview to get more of the same! ;)

hhrnohio

Has 7 years experience.

yes i know more of the same but i do truly love home health care and i did work in the office for about 2 years so i do understand needing clarification of things but certaintely read all of my note first isn't too much to ask?

First let me thank you for taking the time to read this and i'm sure many of you have been in the same situation and i know my fiance doesn't understand my frustrations so i need to get this out to people who do understand.

I work in the field as a rn case manager, i carry a patient load of 25-30 patients and i complete all my own follow up visits, aka no lpn to help me. I do all of my own OASIS visits and seldom have any corrections needed during my oasis audits (not to toot my own horn) so please before you call me on the phone from the office (after i just hung up on the phone from someone at the office, while i'm trying to do patient care) please read my ENTIRE note, perhaps you will find the answer to your question. If you are processing a SOC and have questions perhaps you should look at the ENTIRE book and narrative before you call me wanting to know something. Please do not get mad,when i say "i think i charted that could you look(even tell them where i think i charted it " (we are all paper charting so once i turn it in to the office i don't have a copy of it). Same thing for auditing my charting, before you call me to come make a special trip to the office to "fix" my charting perhaps you should actually read it instead of just looking at how its filled in. If there is a problem with cardio/resp then look under that section and read the note, the 3 lines of narrative section on the back is not enough room nor am i going to chart everything 2x to make you happy. i'm sorry the page is 2 sided you might have to read both sides and actually read the hand written notes not just the boxes/bubbles.

Ok i feel better now i just had to get all of that out.

on a more positive note i have an interview with another company tomorrow for additional visits :)

happens all the time at our agency,,,they feel it is easier to "bother" the nurse in the field than read/look for the info!!! i even got called once to ask where a patient lived!!!!!!!!! that message i never returned!!!! no wonder we can't ever get our days done.

My personal best was when the clinical manager called me to tell me that a patient had called and left a message for her to call him back. She asked if I could call to see what he wanted.

Willow Moonsidhe

Specializes in ER, L&D, ICU, LTC, HH. Has 25 years experience.

That happens to me all the time. lol

My best is when I get a called (it's happened more than once) regarding a patient admit or recert done weeks ago that I didn't even do. Oh Yeah, manager going off about this or that and I say nope didn't do that admit/recert, she says yes you did, I look in my computer and have to tell her who actually did do the visit...then she says "oh sorry" and I'm left in a tail spin:devil:

Not_A_Hat_Person, RN

Specializes in Geriatrics, Home Health. Has 10 years experience.

I go to school with my client. Two of my client's siblings attend the same school. Friday, the school nurse told me she wanted to talk to my client's mother about one of the siblings, and asked if she had night coverage (in the past, Mom has stayed up all night with my client when there was no night coverage). I said there was night coverage, assuming the school nurse wanted to know if she would wake Mom up. Turns out the school nurse wanted me to call Mom and ask her to call the school nurse.

First of all, field staff aren't supposed to call clients directly. All calls should go through the client services manager. I've called from school a few times, but never from my own phone. Number 2, I'm responsible for my own client, not his siblings. Why couldn't the school nurse call Mom herself?

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