joy09

Per diem used to mean you work the shifts you want to. No more in my neck of the woods. I must do weekends, holidays and call as scheduled which is equal to what the regular staff is required to do. When I am get called out on call I get paid mileage...

Redo nurses notes? I wouldn't do that. Stay away. Don't let them drag you back into that mess. I worked for an agency that assigned holidays without compensatory days off. The scheduler told me the other nurses worked right through. That's12 days on....

This is a great thread you have provided, especially with your updates. I heard HH nurses are the most abused in the profession and I now see it and believe it. I work pediem and take up to a full load with the same results. I cant take a fulltime jo...

How many patients do you see?

Fulltime? No.

The elephant in the room is that home care nurses are supposed to get six-8 patient visits, documentation and travel done in forty hours per week with few exceptions. Some agencies pay a salary to avoid OT. In my personal experience, observation and ...

I burned out in five weeks covering for a full time nurse. I can't handle exactly what you describe. I do per diem while I look for another fulltime job.

I do alot of SOC. At first it took me 3a hours visit and documentation. Now, most of them are one hour in the home with some documentation and one hour to finish documenting unless it's a vac, significant wound care or other direct pt care or hands ...

One hour total for a basic visit. 1/2 with the patient and 1/2 documenting average.

Wet to dry and wait until morning unless assessment indicates need for a visit. I would not send a patient to the ER.

Can't beat that story! Imagine what you can accomplish in 8NO years with your health. Repost then!

Toomuchbaloney is right. You need to draw boundries. Why are you putting your safety at risk in high crime areas, neglecting family time? Keep looking for a job and take the risk of honoring your priorities. You are entitled to and deserve a reasonab...

I don'think there is a protocol but this is what would be done: PT eval on admission; the HHA would call the supervisor who would advise her until a nurse could get there (or would be directed to stay with patient and 911 called if necesary). RN woul...

Excellent post by Yosemite. I'll add that you should do as much documentation at the visit as you can. Don't get into the habit of taking notes.

I am paid like you: same pay for a short or extended visit. In the end, it should even out. Consider taking the patient just to help out and to get experience if you don't have it with the skills the patient needs. I would decline a two hour visit kn...

I am paid like you: same pay for a short or extended visit. In the end, it should even out. Consider taking the patient just to help out and to get experience if you don't have it with the skills the patient needs. I would decline a two hour visit kn...

I hope you find the standard and rationale in the literature. That is the way to go about it. A stron willed nurse needs more than say so to change practice.

I live in Pa suburbs and get paid by the visit. I don't get travel time, just mileage. I take four patients a day and clear around $950 biweekly. I get $35 per visit. I do a little better if I do 2 admisiions at $75 each. I can do my visits anytime....

I wish you luck. I turned down a clinical supervisor position because I didn't have experience. I've been doing field nursing for almost 2 years and still have a lot to learn. I have been a manager and educator and feel most comfortable when I know t...

I learned oasis by using HomecareHomebase and from inservices and my clinical manager. I have some cheat sheets but have never used any books. In my bag I have hand sanitizer, papertowels, gloves on the outer pockets. My equipment pocket with stethes...

I start my morning at 8am. I get my assignment on my droid st that time. I review my charts, make my calls to schedule visits. That takes about an hour. I start my visits at 10.

If I have to work more than 10 hours a day in an 8 hour day job, that is too much. I just left a full time job because I was documenting into the evening, working up to twelve hours per day by the time I was done. Ideally, if I am paid for eight an...

If you ever get the chance to teach techs, I hope you will think about it. Your standards are just good patient care. In the meantime, you should have a discusssion with your manager and see if there is a way to bring this up down the road so it is...

I don't know about Gentiva but I just left a fulltime job at another company because I was documenting until 8 or 9 oclock at night and still not finishing. The patient load was only going to get worse. There was no on call but it was eating, breat...

I have an opportunity to bid on a hospital based hospice RN position. I have decided not to continue in a physician office because of the multitasking, fast faced environment. I don't have the same level of mental and physical abilities I've had in...