I am struggling with the lack of transparency from my administrator in Home health. The workflow in HCHB is kept from the field clinicians in ways I feel uncomfortable with. I am hoping someone can offer some advice before I call her out if I am correct. There are 3 separate occasions where she has instructed intake (as field clinicians we are not included in these emails) to assign a SOC to me on a Saturday that I am not on call. The first time she had it pushed through to Pointcare and I caught it and declined it before it became overdue. She acted strangely and tried to tell me not to call the physician. I did anyway and wrote an SOC date change order. Each time this has occurred the one LPN in the branch has been on call. We currently have no CNM. There is nobody I can trust to ask about this. The other 2 she didn't push to my tablet but in the medical record it states a date of SOC with a Saturday and my name as the assigned clinician. It just happened again this weekend. The other RN in my agency was on call. She was permitted to switch with the LPN. The administrator made a point to state on Monday that the referral came through 10 minutes after the switch was approved. I was made aware on Friday at approximately 1515 of the referral and the administrator stated " I told intake we would open it this weekend but we aren't. It's no big deal." On Monday I asked for the patient to be sent to my tablet as I have no problem performing the SOC and when the office manager was looking in her workflow the administrator stated "He is assigned to me." The administrator is not an RN and is passive aggressive. Am I right in feeling I am being set up in some odd way or the potential for? I don't know if a report run from HCHB will show my name as being the clinician who is late on SOCS. Any advice is appreciated because I feel as if I need to go above her to discuss this behavior if my thoughts are correct. Thank you!
Lala RN
1 Post
I am struggling with the lack of transparency from my administrator in Home health. The workflow in HCHB is kept from the field clinicians in ways I feel uncomfortable with. I am hoping someone can offer some advice before I call her out if I am correct. There are 3 separate occasions where she has instructed intake (as field clinicians we are not included in these emails) to assign a SOC to me on a Saturday that I am not on call. The first time she had it pushed through to Pointcare and I caught it and declined it before it became overdue. She acted strangely and tried to tell me not to call the physician. I did anyway and wrote an SOC date change order. Each time this has occurred the one LPN in the branch has been on call. We currently have no CNM. There is nobody I can trust to ask about this. The other 2 she didn't push to my tablet but in the medical record it states a date of SOC with a Saturday and my name as the assigned clinician. It just happened again this weekend. The other RN in my agency was on call. She was permitted to switch with the LPN. The administrator made a point to state on Monday that the referral came through 10 minutes after the switch was approved. I was made aware on Friday at approximately 1515 of the referral and the administrator stated " I told intake we would open it this weekend but we aren't. It's no big deal." On Monday I asked for the patient to be sent to my tablet as I have no problem performing the SOC and when the office manager was looking in her workflow the administrator stated "He is assigned to me." The administrator is not an RN and is passive aggressive. Am I right in feeling I am being set up in some odd way or the potential for? I don't know if a report run from HCHB will show my name as being the clinician who is late on SOCS. Any advice is appreciated because I feel as if I need to go above her to discuss this behavior if my thoughts are correct. Thank you!