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I Must Be Missing Something

Home Health   (4,722 Views 21 Comments)
by DallasRN DallasRN (Member)

17 Likes; 2,811 Visitors; 99 Posts

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You are reading page 2 of I Must Be Missing Something. If you want to start from the beginning Go to First Page.

17 Likes; 2,811 Visitors; 99 Posts

Well, everyone, I tried. I don't think I've ever tried so hard to make a job work. I really wanted it to, but I think it was doomed from the start - as many of you said. The straw that broke the proverbial camel's back was actually kind of funny. Per the owner/DON, I was to start doing the Recerts on my own patients. First one I did she actually called me to tell me, and I literally quote, "You did a better job than some nurses that have been doing this for years" and followed that with a short piece of constructive criticism that was appropriate and appreciated by me. And I said so. Following that, I did a couple more Recents, a ROC, and a Discharge Oasis. All were approved by the QAPI person. On the last discharge, there were some new diagnoses by a new doctor just 2-3 days before the discharge and I had questions about where to enter that info. Directed the questions via e-mail to the QAPI, cc'd the DON. Was told there was no place to "capture" that info. Submitted and it was approved. A few days later it hit the fan. An email (sent to everyone - so embarrassing!!) saying I was to ask someone else my questions, and until she got "clarification" of the Oasis' I had completed with my so-called trainer, I was not to do anymore. (The trainer only showed me one). That did it. I went straight into the office and gave a 2 week notice. I'm exhausted from that woman brow-beating me. In the past 3-4 weeks I bent over backwards trying to please her. Nothing works and never will. My only consolation is now realizing it isn't just me. In the 3.5 months I've been there, we've lost the marketing person, a receptionist, a couple of HHA's and will likely lose a couple of the PRN LVN's. But life goes on. So now, I'm going to post a new thread asking for some help from y'all with more experience.

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April5293 has 25 years experience.

70 Visitors; 7 Posts

Sounds like the "agency" could be a big part of the problem. When family members are the administration or upper management, it can be even more difficult. Blood is thicker than water. I wouldn't give up, seems your heart is in it, maybe give it a try with a different agency. Good Luck!

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17 Likes; 2,811 Visitors; 99 Posts

April5293, I think you are absolutely correct. This was a no-win situation for me from the get-go but at least I had the opportunity to discover a new-to-me area of nursing that I found out I really enjoyed and I learned tons of new stuff. Not meaning to sound at all cocky, but after 36 years of nursing, there isn't too much I don't know about nursing per se' - assessments, labs, hospital nursing, etc. But HHN was totally new. Having the opportunity to learn a new area (and even struggle a bit in the learning - especially the OASIS stuff) felt invigorating to me. I was loving that part of it.

I've taken a few weeks off and done things I wanted and needed to to (I've chalk painted everything sitting still!! :yes:), I'm now beginning to look for a new per diem/per visit/part time position. I don't mind working weekends/holidays so I might be a bit more marketable than I think. Fingers crossed!!

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TristleRN has 30 years experience and works as a RN, LMT.

1,643 Visitors; 23 Posts

Very late reply and I haven't had a chance to paw thru other responses.... it sure sounds like you are with the wrong agency. Home health is a unique and challenging world. So much so, that retention is difficult for most agencies (that's another issue).... they must have no issue retaining staff if they would dare treat you like that. Knowing all the prep work you did before you started, I can't believe the DON said what she did. Most of that stuff, you don't need.... the agency should supply you with all your equipment and supplies.

I have been in home care for 2 years after almost 3 decades in the hospital. I love the work, but the charting is extenstive and I never feel like I am finished. It is a priviledge to work with people in the home and I love that end of it. I admit that recently, I went back to work in the hospital for primarily financial reasons, but I'm hoping to stick around on a per diem basis. Good luck, and don't be afraid to vote with your feet and look for an agency that treats you like the valuable asset you are!

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17 Likes; 2,811 Visitors; 99 Posts

Hi TristleRN and thanks for your comments. Just to update this thread, I now have a new and seemingly great job with a company that knows my limitations in home health but willing to train. The difference in the overall attitude of other nursing and clerical staff and managers is like a night/day difference. Everyone seems very goal oriented, want to do the best job possible...but they seem to truly enjoy their work and their patients. They laugh and smile a lot, they seem to like and respect each other. Just a great group.

It took me longer to get this job than I had anticipated. However, I held out for a company I thought would treat me with dignity and respect. The salary is a bit less than I would prefer (aren't we all worth a bunch more than we're paid?!? :) ) but I learned long ago, and especially with the other company...money ain't everything!! I did post a new thread ' MY NEW JOB - just to kind of update everyone that encouraged me.

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vegasmomma has 3 years experience.

3 Likes; 4,322 Visitors; 138 Posts

Thank you DallasRN for sharing.  I'm tossing around the idea of doing HH. Still in research phase. At least in the hospital I get paid for every hour worked. 

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Isabelle49 works as a home health rn.

12,564 Visitors; 848 Posts

It is that agency and those particular management personnel. Leave that agency. Find another one that respects you. Keep doing that until you find a happy medium. Remember, respect is number 1 priority for the nurse and compassionate patient care for the patients. If office can’t respect you, leave them flat!!!

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17 Likes; 2,811 Visitors; 99 Posts

Thanks all, and yes, I've now decided you do have to "bounce around" a bit to find a good fit.  Nothing is ever perfect but somethings are worse than others.  I'm now with my 3rd agency.  Thought the second would be fantastic.  It wasn't.  Thus far, the 3rd seems to be at least trying to do some training with me and they're extremely busy so I don't think I'll be without referrals. 

It really is hard to find respect in nursing.  Maybe it's different in the hospital although it wasn't several years back when I was a hospital nurse. How many of you can recall when nursing was simple?  🤣

Schoolnurse73, I would never name an employer I have made negative comments about.  My experience isn't necessarily the experience of others.  Not to even mention the potential legal issues.

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