Well, I am going into my ninth month in Home Health and am not proficient in the paperwork. Ironically, I had been helped all along by one of the other nurses, who is now the Director, and she just found out she can not complete my paperwork (a Federal offense).
I am repeatedly reminded how important the paperwork is and how very much we have been in violation. I am exhausted both physically and mentally. I feel all this affects my self-esteem and that makes me very angry.
We are now down to two nurses, one is part time, and I. The director gave me most of her clients in December but is gradually building up her own caseload again. We have fewer nurses and are adding more clients.
I am at 14-15 for my caseload with several chronic care patients.
Now for the paperwork, I really stink at it. I feel so beaten up with this that I feel like resigning from the dream job I have tried to pursue and my reason for becoming a nurse (to do Home Health). This is my second attempt to do Home Health. The other position I held in Home Health was complicated by my personal life being upside down; now, I just wonder and feel like I am just not suited for this (and that makes me very sad).
You have heard it before but, I love the pt. care but the paperwork is strangling me.
How do you all cope and get the paperwork done? Do you have a clerical staff that supports your paperwork and reviews it before it gets to be months old? When does proficiency happen? Does it ever?
Sorry to sound so negative
Mar 5, '04
Uh... lol see how easily I screw up? I should have typed 2-22-04...
Thanks for the encouragement; the week that put me so behind and over the edge I did 29 visits, 3 intakes, and clocked 17 hours of case management with call all week.... nice paycheck but I took a day off just to chill and could not figure out why I was so weepy. Now that I am refreshed, and only working 40 hours this week, I feel much more myself.
I did get a hold of some tools to organize my work and see where my "holes" are. I am referring to the Clinical Review Sheet that basically audits my own work and paperwork. Funny, I was never offered this tool before. I also am using the Oasis Cert. Sheet that breaks down the weekly frequencies and commitments to make for visits between the different disciplines.
I spent about two hours at home last night, with a Heineken in hand organizing a better pt. case management binder for myself. I have itemized who needs what and how I can "predict" those needs, certs, and visits. I also need to start a strategy for auditing my own visit paperwork so the nurse from ... uh... you know... doesn't get to it first (we are supposed to audit each others but somehow never get to it).
Anyone have any other suggestions for paperwork organization and / or self auditing review sheets or tools? I have looked at the OASIS website (thanks to Karen) and it has great info for my knowledge base.
Thanks for the comments lionez and yes... I feel very dedicated to Home Health still... just not sure about this company and it's poor management...
Last edit by nightingale on Mar 5, '04
: Reason: add comment