RealiRN

Thanks for the reply. I've been a nurse for 10 years, and have never been expected to work "off the clock", or pay out of pocket for expenses R/T patient records. I'm really surprised that this is standard for home health agencies. Evidently, it's not as unreasonable as I originally thought.

Hi, I'm a new home health nurse, hoping to get some advice. The agency I work for has just informed the nursing staff that the nurses will now be responsible for the cost of postage and mailing of the nursing documentation/time sheets to the office at the end of the week. In addition to the cost, I question the appropriateness of taking a clients medical records home with me. Also, we are expected to arrive at a client's home 10 minutes prior to the start of our shift, in order to get report from the previous nurse. We are told not to document that we arrive early on our time sheets or nurses notes, and are not paid for this time. Is this standard practice for home health agencies? This all seems very odd to me.