nursecritter60 380 Views
Joined: May 19, '10;
Posts: 1 (0% Liked)
Chenoaspirit, I read your initial post and happen to agree with you: people think you can just fork out the $ if you are a nurse.
Unfortunately, nursing doesn't really pay all that well where I live -if you are an LPN like me, that is.
In East Tennessee, in the Tri-Cities area, an LPN can expect to get between $11-$12 an hour in a doctors' office, around $14 an hour in a nursing home or other similar long-term care facility, and around $14-$15 an hour (if that) in a hospital.
Home health care (which has gone to "H" in a handbasket) pays the most at between $16-$20 per hour for no other reason than it's considered "hazard pay" because of all the potential for harm to the LPN due to the drug-crazed, violent, and unstable on-site environment you are highly likely to walk into.
I don't know about the hospital-owned home health companies, but far too many of the small to mid-sized (but well-known) franchised or corporate-based home health companies in the area where I live are extremely greedy companies, always seeking out the cases paying big government money and frequently signing them on without assessing the potential safety issues they often present to the nurses they send to the cases.
Moreover, these home health companies are rarely truthful about the risk of harm to the LPNs in these environments.
In Tennessee, the state of risk of physical harm to nurses who work in home health cases has been strangely silent.
The intro many years ago, of TennCare and the cases it generated to home health companies -IMO- seems to have been the beginning to this problem.
Home health companies began to lap up the 'gravy' suddenly produced in excess by the (very generous) TennCare program and began to wildly -and nearly blindly- accept cases that had only been skimmed from the top -and failed in the assessment for physical risk to the nurses that would eventually work the cases.
We all know that greed has many symptoms -one of them is that it creates blindness.
Home health companies were blind to the future issues of safety to its nurses and -ever since- the problem has worsened.
Home health companies do not want to hear their nurses complain about these problems because -now- the former sea of 'gravy' has become a tiny trickle and they feel threatened by some of the current political administrations' guildelines taking away a significant chunk of their income that shut down their beloved 'gravy' supply.
So -they want to hold on tight to the cases they already have -enough to ignore the LPNs pleas to focus on the worsening risk issues in the cases -because- too much focus will illicit added attention.
Added attention will domino-effect in the eventual prompt to do something about the problem.
The action they fear is one that may cause them to shut down and lose the case.
The loss of one or more cases at a time when the 'gravy' has run out may be just enough to close down an office.
And -regardless of any risk or harm to any nurse- these companies are simply not willing to give up any cases.
Now you understand why the pay in home health is higher and referred to as 'hazard pay'.
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