Stressed out & Fuming

Specialties Home Health

Published

:angryfireI would like to know what rights I have to refuse visits.

Our office covers 2 counties and we have been short staffed practically all year. There is only 1 full time nurse and 1 part time (works half days 5xwk) making visits in our office. The 2 of us have rotated call every other week since March in seven day stretches. The part time nurse doesn't get full benefits, so that is REALLY piling a lot on her.

We are stressed out and burned out and management keeps taking referrals. I had 37 hours overtime in one week! We are behind on paperwork and the part time nurse may need surgery for a breast biopsy and she is pressured as to when to schedule it to accomodate our work schedules. (To heck with the employees! Our managers are all nurses too. I wonder where the compassion went).

There are several nurses who have desk jobs but they refrain from helping out--yet they are the ones who keep taking the referrals!

I worked my rear off to get some time off and my manager called me at home and tried to revoke my scheduled time off so that I would come in and cover 1 lousy visit. I did not go in, had I gone I would have turned in a resignation along with it!

I attribute the woes to poor management. What are my rights? Must I do all the after hour charting even when I'm not on-call or is it not managements job to decline referrals for lack of staff?

Would like to hear back from anyone on this. I enjoy reading this board of sympathetic eyes & ears.

Specializes in Alzheimer's, Geriatrics, Chem. Dep..
Not making light of anyone's situation here, but at one point during my (former) HH career, I was covering 22 counties in a large metropolitan area. That didn't last long. I quit after three months. Can you spell A-B-U-S-E?? :angryfire

YOWSA!

Specializes in Vents, Telemetry, Home Care, Home infusion.

As an Intake Manager, I hear you lound and clear. Balancing need for clients to create income $$$ for agency against staffing needs is an art form. Met with VP prior to holidays after talking with Cl Mgrs and hearing skeletin staffing due to sickness/death family/PTO times and was able to limit referrals for 2 branches. Have previous experience with old ageny's therapy department having 50 patient backlog: but Mgr didn't tell anybody!

Communication and documentation is key here:

"I have a 36 patient caseload, only seeing pts 1Xweek as drivng average 45 minutes btwn patients. Can not accept any more. Part time RN is seing XYZ. Staffing is at a crisis, what plans are there to help situation. I am behind in paperwork. We need more staff. Can office staff see patients for just 1 day so I can get caught up on paperwork. ." No response, document for personal file. "I don"t want to leave but can handle only current case load" followup conversation...

Been there, said those words and found much better life.

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