icare4icu 1,539 Views
Joined: Oct 25, '05;
Posts: 31 (3% Liked)
; Likes: 2
I like the heroic part of her character but not her flaws. Although we nurses have too many flaws but I am still rooted to the concept " intent to do no harm" and be remorseful when you do harm unintentionally.
How about starting the visit as early as you can. When my patient tells me that they are up early, I offer them an early schedule. I had a patient who gets up at 3 AM, and saw that patient at 4 Am. I had 8 patients that day and I was done by 10AM. Also , when I have a full day visit, I let my husband who is retired drive and I chart away while he is driving. The office know and as long as I don't take him inside my patient's home, it is alright. Most of the time the patient invites him in but we refuse. It's an everyday, M-F hurdle and you need to improvise to get the visits done and patients seen.
I do not get mileage at all because I do shift work and going to my shift is considered the same as going to a regular job. My agencies also don't pay me to go from one case to another in the same day. They save money this way. I put up with it because as far as I'm concerned it is better than working in a facility.
The highest mileage I've seen so far is $0.50/mile. In AZ they pay anywhere from $0.41-0.46. I traded my suv to a pt cruiser in Feb. Now I'm wondering if I should get bus routes, lol, or tell my patients to meet me in a community center so I can see them all in one location, That's still will qualify them since it's like doctor's appointment.
Thank you for replying to my post. It's too bad that as a home health nurse we don't get paid enough. The assessment time is nothing! It's the charting, mileage,time spent while driving answering calls from the office, tracking down doctors or medical assistants or a clinic nurse to give us the orders, and avoiding traffic and accidents. On top of these, how many eat or not eat at all. I munch on bird- like- food and have a late complete meal when I get home and I can't even make my bladder gladder. I used to scan in between visits for not necessarily nice toilets but clean at least but now with questions from my company for " gross mileage", I could not do it no more. Well, my argument on not getting mileage from home to first visit and last to home , is that.... we are not going to the office, we are not office employees, we don't even have an office for crying out loud. There's only so much planning you can do to have a perfect route, perfect day. Call your patients the night before and tell them no buts or ifs, that they are going to be seen at such and such time, plan your route, see them at least 5 min each, call the clinics and the office and let them handle the phone calls, chart as fast as you can by using prepared canned notes and hope and pray that you don't get in an accident.So what are we going to do ? I guess, start looking for another job and start all over, go back to hospital job,and go hungry and broke. But inspite of all these, you get appreciated by your patients and that counts, but it does not pay the bills.
:spin:Hello to all HH Nurses, unappreciated, overworked and underpaid.
Tell me what you think about the mileage with the gas prices soaring. Let me me know about your routes and how you organize yourself in getting your visits completed. Do you work like I do, complete your visit, then chart afterwards? How do you manage to live normally, get pay less and work after hours whether on the phone or charting?
Does anyone have good suggestions in looking for nursing jobs in Dubai? 13 yrs experience, Critical Care, Peds and Adult, PICC certified, Charge Nurse, Home Health experience,SWAT Nurse, ER, etc... Are those agencies that assist on CV development worth paying for? They are asking $410-$498.
Please post reply... thanks Icare4ICU
A follow up on this situation.:spin: My story is like a sopa opera scene.
Got to work and no CNA working. The one and only working on nights got cancelled and they still cancelled the agency CNA. Reason? None. We had 20 patients! and 5 nurses. Everybody had to do basic care plus chart, pass meds, answer call lights, stuff charts,vitals, I/O, housekeeping, etc. Day shift had 6 nurses plus 3 CNAs! They only did it to me. Sounds like a setup for failure I said. Did the right thing. Called the on call person begged to give me at least 1 CNA. Nope, was answer and I was told that, " we'll discuss this matter sometime". Well, I did not give them that satisfaction of seeing us fail. We almost had a full blown code but caught in time and saved the guy. So, everybody worked hard and missed their lunch break. We ate whenever we can while doing our job. We all put in for no lunch, and I signed their requests. Well, the word coercion came out from management. That I forced people into claiming no lunch. They refused to pay the 30 min no lunch to everybody! Plus, I was instructed to meet with my boss before I went back to my shift to discuss that issue. That was the icing on the cake. I quit that day. I had enough with them and their BS.
The prn CNA got fired, she got caught sleeping!. The other one, who was also "employee of the month", is still there. Smoothing his way. He must have some immunity of some sorts to get away with so many write ups. I am aware he's got a lot. From me he must have 5-6. Maybe it never got to the right person? Anyway, I am done with that mess. I quit a month ago.
Give yourself a pat on the back. You shouldn't feel embarassed by your own reactions. I've seen nurses actions worst than that. For example, one charge nurse tried to pull the crash cart without unplugging it. She pulled so hard that she fell backwards. I, in one occasion pinned one RT against the wall with the patient's bed and bruised the other RT on the leg because I pushed her aside to do CPR. Well, she was stunned and did not move.
It would be a good idea to suggest to your director to have a mock code often, or have the specific functions of each nurses during a code. Hey, if the hospital has a code team, once they get there, it's their job, usually.
Anyway, take it with a grain of salt, the more you get exposed to it, the better you'll be at it. Good luck.
I emphatize with you. I had a similar situation where rumors and hearsays are encouraged by management. I got called in to discuss a gossip! When I asked my director to have a meeting with the person tattle telling, management said No. I told them that they wasted my time and I stood up and walked out of the office. Where am I now? Working in another hospital. It is hard to change the acquired culture in the workplace.
Most VA have that kind of reputation. Most hospitals do too. You will hear opinions of such from most nurses too. Overall, nurses are burnt out. It is best to get the experience you need to prepare you. Be a sponge, absorb what you can, and retain the good learning experiences and learn from the bad ones. Don't let yourself get comfortable in one setting or in one hospital for a long time. Once you've made it. Start out for a year or two in the hospital you've chosen, then do travel nursing or registry/agency nursing. That way you'll make yourself more marketable and you'll be able to decide where you'll establish residency. Goodluck to you.
I did state the referral bonus but not for me. For them who bring in their friends. It's like 2% of what they make. Ask any other agencies, how do they get more people in, same as in the hospitals., there's the referral bonus. Besides, these percentage does not affect the salary of the nurses they referred.It's like " thank you" for telling their friends about the agency. If the employee who referred somebody quits, then that person forfeits the 2% referral bonus.
I was trying to help a fello RN and giving them some insights on Registry work in Phoenix. Just letting every Nurse know that they hav e a choice. Whether they sign up with the company I referred them to, is of their own choice. The info on all agencies are for the public. As far as rthe " bone", I was referring to added benefits to compete with other agencies. Heck, I care less for whether anyone comes forward to apply. And as far as getting something out of it. I don't get anything other than just being helpful. I guess, the world is full of people like you who thinks that there's no honest and decent folks.Yes, everyone should be leary, that's why you need to do some research .I make very good money with what I do and don't need to gain anything other than helping those who need help.
welcome to AZ!!!! You guys and gals. Just FYI, if you are a seasoned nurse, you get paid more than $24 somewhere else. Email me if you need info.
How about in the high 30s and 40s?
Advertise With Us