i have been a home health nurse for about 16 years. i have always loved the job (still do). i have only worked at this particular agency, tho i have had different supervisors and different owners (my agency is independent and now part of a larger multistate company). my job is so difficult at times. i am wondering if perhaps it is just me, my particular office/company or is my frustration typical of the nurses/industry.
1. how many patients are you required to see a week for full productivity?30-35 visits
2. how much mileage do you average, and at what point does mileage get factored in with respect to the visits you are required to make?between 75-150. varies. get paid for milage.
3. how much time is spent on an "average" visit?minimum 30 minutes but depends on the patients needs/education,ect.
4. are you frequently "hassled" about productivity?somethimes
5. do you spend time on paperwork off the clock? dailyif so, how much?minimum 2-3 hours
6. do you accrue overtime hours?nothing i get paid for. i'm per visit so tho i work more like 50+hours week it isn't considered ot if so, how much on average?
7. are you required to do chart audits in addition to your visits? yesis time alloted for this or are you just expected to "fit it in?"fit it in. usually fits in after the patients and before the paperwork
8. what is a typical case load for you?i manage approx 42 patients at last count..for visits/oversight/paperwork/ect.
9. is your paperwork all written or do you have a palm pilot or laptop to make it easier?handwritten
10. have you ever been denied overtime your earned because you were not "productive" enough according to administrationyes
in addition i am considered preceptor. plus case conferences. plus obqi committee (i didn't volunteer) i could go on and on and on about the paperwork. it is nothing for me to see 8-9 people in an day which typically includes an admission, 1-2 recertifications maybe a resumption. i wouldn't necessairly consider myself "burned out", but i just don't know if i can do this another 20 years. any thoughts...
thank you all for letting me vent.