How lind do you typicallyspend in pt home for just a reg visit

babs1963 · Sep 16, 2013

How long do u typically stay for regular visit. ( sorry for typo)

anh06005, MSN, APRN, NP · Sep 16, 2013

Mine usually run 30-45 minutes. If the patient isn't talkative or just grouchy sometimes 25 minutes.

Success2011 · Sep 17, 2013

I just got offered a homecare position..full time but am being paid per visit...how does this work? For example what does 25 service unit mean? Does it mean 25 visits per week to make up my 40 hours???? Am confused....

anh06005, MSN, APRN, NP · Sep 17, 2013

@success - I'm not really sure what that means. I have only worked home

Health at the agency I am at and I get paid the same as I did in the hospital as my agency is part of the hospital....so I get paid hourly.

Isabelle49 · Sep 18, 2013

My regular visits also run 40 to 45 minutes.

nurseGi · Sep 21, 2013

My regular visits usually run 30-45 mins along. Sometimes if its just a diabetic or cardiac supervision maybe 25 mins. if its a tough case like IV or wound vac...will be an hour or more.

LaRN · Sep 21, 2013

when i walk in I go straight to work and get what I have to do out of the way. i dont let them slow me down. i tell them: we have to get this done first , then chat later in case i get called out for an urgent visit. then after im done , i talk for a little, try not to go over 5 minutes, and thats it. i try to limit my visit to 30 minutes unless there is something major going on. it would be nice to chat all day, but we have too many visits and too far to go for all that. i'm very nice about it and never rude, and most patients understand. if you let patients hold u up with conversation and you run behind, the office doesn't want to hear it and as far as they are concerned , it isn't an excuse. (at least in my experience) :wacky: and more importantly, if it takes you all day to see your patients, you start running into your home time and that will cause a nurse to become resentful and sick of home health.

KelRN215, BSN, RN · Sep 30, 2013

Typically 30-45 minutes but it really depends. For some of my patients (kids who just need a simple IM or subq injection), I can be in and out in 15 minutes.

RNjune_2006 · Sep 30, 2013

Usually 45 minutes is my average. I do most of my documentation in home unless computer troubles. If a quick dressing, IM, or simple cardiac/pulmonary something I have done for the patient many times 30minutes. Complicated visits and hour or more. An admission usually about an 1.5 hours, unless really simple then maybe and hour or if really hard could be 2-3. Have done home care 6+ years I find those who have routinely 20-30min visits don't do enough teaching in my experience and do more of an appliance visit and patients complain about them often. I do alot of teaching in my visits. I don't get getting paid per visit especially if you case manage because you are never not talking to family, patient, IDT, md case managers. I think we get ripped off most of time on per visit rates and companies know it why they try to push them.

DeniseGreco · Oct 2, 2013

in home health pay is tricky. the agency gets paid for the visit you make and thats it so you must be able to do it and document it in a timely fashion. being paid by the visit is the only way to keep control of costs. the agency should be able to tell you what there service unit means everyone is differtent. I have been in home care a LONG time and a pay by the visit nurse is always more productive then an hourly one. We are trained as shift workers and productivity is very hard for nurses to manage if strictly paid by the hour.. time is money everywhere a routine nursing visit and documentation should be done in 1 hour so look at the rate you receive and think of it as 1 hour that way things look better and you feel better about how you are paid. An start of care takes about 3 hours total so rate would be like 3 hours of your time..home care is the only nurses job you will have where 1 patient gets 1 hour of your time don't forget that!

DeniseGreco · Oct 2, 2013

there must be a connection between visits made and pay. if you spend a lot of time on stuff outside of your visit i would tell you to add more visits and do these things with your visits.