Do any of you have to deal with marketing people at your agencies that accept patients when you don't have the staff to care for the patient? Or one that "overlooks" homebound status. I am the only RN on the road at this time. The DON is on vacation, and our other RN is playing DON, which translates into...stay in the office behind the desk, since the DON does nothing but her hair/nails/cell phone calls to friend/family. Next week first off I start with 5 SOC and 7 reg visits in one day. This is also happening with the PTA's. They are doing as many as they can, and writing missed visits for the rest due to "scheduling". I told them it was poor business, not to mention unethical, to take on new pts when you can't provide services to the ones you already have. That didn't go over well. And yesterday, I caught crap for not admitting a patient who not only was not in need or interest of HH (she was looking for a caregiver), but clearly stated she was not homebound by any means. I referred her to our local Medicaid Waiver/Personal Care program. I was told I should have come up with "some reason" to admit her. So, once again the "gang" is ignoring me, not speaking unless they have to. Are all for-profit agencies like this?
