Ruth1201

Our nursed work every 4th weekend and only get a day back during the next week if they do at least 6 visits on both Sat and Sun. otherwise no day back which means they have to work 12 days in a row. What are other agencies doing about days back? Thanks

We are MCA certified, dropped our Joint Comm a while back to cut costs. We have a DOPS, FNS, a PI person who does OBQI along with the OBQI committees, team assisstants who enter orders, 485's, etc ( this will be done by the casemanagers soon) and answer phones. The intake nurse does the insurance auths. I have heard that some agencies use team leaders instead of supervisors, don't know what the differences are. I just know that we would like to do more to help the staff that sit and audit all day. We have approx 300-350 ct. Thanks for all of the replys, every bit helps. It's great support.

Thanks, sounds like pretty much what we do. The biggest problem is that the auditing seems to take up about 70% of the day. Doing anywhere from 5-12 packets a day. Freq. interrupted while trying to get a picture of what is going on with the new cts. We don't feel that we are much help to the staff out in the field.

We do only intermittant skilled nursing. The FNS has to do joint sup. visits with each nurse 4 times a year to assess their job performance. We are not casemanagers but have to do casemanagement and ct visits if a CM quits, until we can hire someone else. Wanting to know job description of other supervisors in home care. Thanks

Wondering what the responsibilities of some of the FNS are. We are struggling at our agency. Expected to review and audit all new admits (usually about 60 pages), all recert and dc paperwork. Some doc is in the computer, some on paper. Do in-field sup. visits with all nurses 4 times a year, all yearly PAs and evals. Carry caseload if a nurse quits, orient new staff (this is ongoing since we can't seem to keep staff), run the staff meetings, do overflow visits when short staffed, cover intake if intake nurse is out, and attend anywhere from 2-5 meetings a week. There are 2 FNS and 11 nurses, and 1 HCA. Therapies are contracted so we don't sup. them. We just can't seem to keep up. All that plus the dozens of questions and problems that staff have everyday. Let me know how some of your agencies structure their management and what the job respons are. Thanks