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Is home health that bad?

Home Health   (46,489 Views 44 Comments)
by trinan71 trinan71 (New Member) New Member

1,181 Visitors; 6 Posts

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101 Visitors; 2 Posts

I agree with SallyCV, I would definitely go with a PRN position. I am looking into home health right now, and slowing leaving LTACH PRN. I work in the hospital setting, long term care, and I am tired of the 12 hour shifts. I would like more freedom and feel like I actually did something good for my patients. I am not sure if I want to go into Home Health through agency or what. However, I went into nursing knowing I could work as much or as little as I wanted. So, I had to go PRN due to the department rotating schedule which I hate! It is so constricting. I want the flexibility to work as much or as little as I want. Who knows, I may want to do Home Health full time. We shall see.

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121 Visitors; 2 Posts

I love home health but it has changed a lot !!! I am currently working home health and my last pay period (2 weeks) I worked over 106 hours and drove over 700 miles. This sets you up for failure before you even walk out the door to see your first patient. Charting is over the top and I am salaried. Management makes you feel as if there is something wrong with you that you can't keep up on the charting. It's not just me. Not one RN I work with can keep up with the charting. On call is not on call, it's working. I drove 131 miles Saturday to see 4 patients. I have been a nurse for 30 plus years. I have a ton of experience from ER, cardiac, ICU, Infusion RN, chemo certification, OCN etc... and traveled for 5 years. Home Health used to be the "cush" job and had a very low turn over rate. Not true today. The flexibility is all but gone and the push for more is never ending. :-(

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84 Visitors; 4 Posts

Home Health can be very rewarding. It can be a little intimidating at first getting used to being in someone else's home, but you get to know your clients on a much deeper level. There are challenges as in any other setting but nothing you can't get through.

Good luck!

Edited by dianah
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310 Visitors; 4 Posts

All true I'm afraid. I love it but I can't do it full time and I'm done doing it per diem. I can take 4-6 visits of any kind a day but I can get a break when I need it. Can you try per diem so you can see for yourself? A company may be good in terms of culture and financial reward but home care is home care wherever you go. I've watched four very good nurses come and go in the last year alone as well as two supervisors. I hate that the job is presented as eight hours a day. Maybe eight hours minus drive time, phone calls/emails/ order writing/reports to coordinate care. 8 hours if you have six basic, uncomplicated visits within a 0-5 mile radius. Never happened for me. You're told to document as much as you can in the home but you can't document easily or completely because of the environment and/or time factor. How can you document while you assess the patient, change dressings, educate and collect blood specimens?

You finish it for six patients when you get home. Visit pay may be good but that covers chart review, travel time to the lab, wound vacs, PICC line dressing changes, IV drug administration and anyone you have to send to the ED. My low ball hourly was all of the above. Little documentation happened during the visit I think it came out to less than $10/hr when all was said and done.

Edited by JudiRNNJPAWA
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dag1625 has 1 years experience.

64 Visitors; 1 Post

My agency just rolled out the new COP - medicare conditions of participation- documentation. It is a nightmare. Plan on spending 2 hours just charting on a new admit after hours. We already met with another software vendor but it was no better. Even a revisit note is tedious- half of note will no longer preload as medicare will not accept cookie cutter notes any longer. Charting in the home is going to be a thing of the past. I used to be able to do the visit and have documentation done before I left. Anyone else having same experience?

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629 Visitors; 12 Posts

I just saw that you make 1000-1800 a month! Is that correct?

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April5293 has 25 years experience.

74 Visitors; 7 Posts

I am in the same boat. Many years of LTC/Rehab as LPN, now an RN and want to move into HH, very excited! Good Luck!

Edited by April5293
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freesia29 has 5 years experience and works as a LPN.

7,705 Visitors; 258 Posts

How is it for an

LPN? What are you doing for patients?

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