nurtch04

I am the weekend nurse for the agency I work for. I was curious as to how other agencies handle the weekends. At first I was getting 7.75-9.0 points, now I am getting 10.25-13 points not counting drive time. Today is Sunday and I have 3 SOC's, luckily I have a husband and wife in the same home to admit. The houses will be about an hour drive apart. Friday I had 1 SOC, and 6 visits. Saturday I had 1 SOC, 2 ROC and 3 visits, and the dreaded 3 SOC today. I also am on call from Friday at 5pm to Mon 8am so I have to pick up any prn visits and all of the other beeper calls such as referrals, "what time is my aide coming next Tues" etc.... If you have ever done on call you know what type of calls you get. I really enjoy the weekends but I am only human I am just too tired to finish up paperwork when I have been on the road from 8am to 7pm sometimes later. After doing so many SOC in a row I find myself getting pts confused in my head. I believe they are putting most of the oasis work on me because we have one nurse that they won't allow to do any oasis work because of the number of late locks this nurse has had. I really don't mind working weekends, I know most ROC are done on weekends because thats when the hospitals turn them loose but I feel like weekends could be better organized or something. I am new to home health, I started in November after working critical care for 5 years. Maybe that is the problem. I have no problem with time management and my productivity is 85-90%. I would just like some suggestions as to how other agencies work the weekends. I thank you in advance for any suggestions.

http://www.wilkes.med.ucla.edu/inex.htm Found one for heart sounds too!!!

http://www.rale.ca/ A site for lungs sounds.

We have one unit clerk on nights that is fantastic. The other 2 are just too anxious for the job. One will keep charts for hours on end. New admissions are horrible to deal with when she works. The other one is so moody. You know when she is on because everyone says oh no kay is working better walk on eggs shells. She screams at the nurses, lies on the nurses and nothing has ever been done to her. The one night she screamed at me I was in charge and notified the nsg supervisor and she was sent home. Needless to say I am no longer permitted to do charge. (thank goodness)

We have one unit clerk on nights that is fantastic. The other 2 are just too anxious for the job. One will keep charts for hours on end. New admissions are horrible to deal with when she works. The other one is so moody. You know when she is on because everyone says oh no kay is working better walk on eggs shells. She screams at the nurses, lies on the nurses and nothing has ever been done to her. The one night she screamed at me I was in charge and notified the nsg supervisor and she was sent home. Needless to say I am no longer permitted to do charge. (thank goodness)

Yes it was written by an MD.

Pt came up from ER with admitting dx of "Sinkable episode"