I am currently a field nurse and have just been given the opportunity to take a position as a clinical manager as one of the two managers is moving out of state. I really enjoy QAPI projects, mentoring newer nurses, diffusing situations, improving processes etc. I did a fair amount of that as a RN supervisor in a SNF. It's M-F 8-5pm salaried. My earning potential out on the field is might be greater but obviously it depends on census and a whole lot of other variables (cancelations, no one is home, wear and tear on car, time consuming visits etc). Knowing I was going to make the same amount every paycheck would be such a relief, plus no weekends and holidays.
The trouble is I have 3 young boys (ages 6,4,3). I already have fulltime preschool for the youngest and after school care for the other two. As a case managing field nurse I'm able to schedule my first patient at 9am so that I can help my husband walk out three rugrats to school in the morning (a couple blocks down a busy road). I see patients until about 3pm, come home, start dinner and finish whatever charting I couldn't do in my patients house. Husband meets me at home about 5pm and then we pick them up and have a family meal (precious time). My husband then leaves again around 6:30pm and I manage the bedtime routine solo and finish my charting after they go to bed if I need to.
With an 8-5pm my husband will have to solo it in the morning, make dinner and probably feed them dinner as well since they come home starving and realistically I won't be back by 6pm. He is supportive but it's heartbreaking to think of losing that time with my family. It's kind of why I went into home health in the first place. I wanted flexibility. What I lost was consistent income. Now I have an opportunity to advance my career and have consistent income but I'm going to lose all that flexibility. Sigh.
No easy answer but I'm really curious about what some of you who have done both jobs with a family might have to say.
I really need to make up my mind over the weekend so very appreciative of timely response
In general and in advance, from the prior visit, I try to commit to am or pm and tell them I will call the afternoon before to narrow it down to no less than a 1 hr window. If they need more, to put a pet away etc or just in general, I will call when I'm headed over.
If that doesn't work, they're a high risk cancellation regardless, your visit is either not that valued to them or they are more active than aligns with home bound.
Exceptions for things like labs or other specific treatments that require tighter coordination or for the working adult children who have very narrow windows to leave work for your appt, I do everything to accommodate scheduling in those instances.
When asking if the option of moving the visit up from the prior visit, I would do the same as above. If it turns out that my schedule opened up the day before then more than likely I would calling the afternoon before to ask and would be able to give them an hour window at that time. It would be their option to agree to the change at that time. Make sense?
Last edit by Libby1987 on Sep 3