Grasshopper11

The hospice I work for is Monday to Friday only for Case Managers with 4 weeks vacation. We have evening and weekend dedicated staffing.

Personally, I think we should just go salary with time and a half for overtime. Currently, we have to fill out logs for everything we do and turn them in to get paid.

I would like to know what Nurse Managers are thinking of doing to give Home Health RN's more downtime in the evening. Most of the RN's finish their 8 hour shift and then go home to document for 3 to 4 hours especially if they have starts of care. Any ideas?

I am a nurse for over 9 years and will be starting hospice nursing. I am hearing about nurses in Home Health going home and charting until all hours of the night. Is this the same in Hospice Nursing? I heard it was not because Hospice Nursing does not involve the oasis requirements. Also does your company schedule you for office or documentation time during the week so you can catch up on paperwork?

Hi all! I am about to start home health soon. I see people documenting in the car, leaning on steering wheel, etc. There must be a more comfortable way, isn't there? Any tips and tricks? I have a SUV and was thinking of turning down 1/2 the back seat and setting my computer on that, like a desk. Does that work? Also how about organizing paperwork and keeping track of mileage....

I work dayshift but I would love 11a-11p. Too bad you don't work where I work. We could "team up"!

Thank you. I could just imagine being in someone's home and looking like an idiot because I can't do something and I have no back up.

Did you ever have a situation or emergency in a home. You are by yourself so you can't call a "rapid response" or notify a charge nurse who is right there.

I've done Med/surg, LTC, Rehab and now I am thinking of changing to Home Health. I just wanted to find out the pros and cons of this line of work.

Where I work, we have a really nice supervisor/charge nurse that is older. She is ready to quit but unfortunately she has a mortgage to pay. The twenty-somethings bully her to death just because she is older. It has been reported to management but nothing happens. She is so stressed out. So if you are wondering where the older nurses are, they probably get fed-up and quit.

I work with a lot of twenty-somethings that are absolutely wonderful. I want to hug them everytime I work with them. I just gave you their ages to give you their background of being tweinty-something and no previous job.

We have two new twenty-somethings that just graduated a few months ago from nursing school who are our supervisors, yes-they are supervisors of nurses who have been nurses 8-10 years. All they do is complain for a full 8 hours, not exaggerating. They never had another job in their life and expect everything to be perfect at the end of the shift when they take over. If not, they expect the previous shift to stay and complete "their" work. All we get is bratty back talk as soon as they come in. God-forbid they have to get a stool sample that was not able to be obtained or a dressing that was unable to be done because the pt was in an activity. With them there is no 24/7 and it is causing some of us to stay much later and getting in trouble from overtime. We are now starting to document everything in writing to the ADON but it does not help. Anyone have any suggestions out there?

I would have shipped both out. Good decisions on your part. Better safe than sorry!

We have two new twenty-somethings that just graduated a few months ago from nursing school who are our supervisors, yes-they are supervisors of nurses who have been nurses 8-10 years. All they do is complain for a full 8 hours, not exaggerating. They never had another job in their life and expect everything to be perfect at the end of the shift when they take over. If not, they expect the previous shift to stay and complete "their" work. All we get is bratty back talk as soon as they come in. God-forbid they have to get a stool sample that was not able to be obtained or a dressing that was unable to be done because the pt was in an activity. With them there is no 24/7 and it is causing some of us to stay much later and getting in trouble from overtime. We are now starting to document everything in writing to the ADON but it does not help. Anyone have any suggestions out there?

I actually like working in a place where all RN's wear one color and CNA's wear another. This way the staff and the patients know who is who. When I worked in a facility where anybody can wear anything, a patient told me that she was talking to "somebody" about her medical tests and the "somebody" was giving her wrong instructions about her diagnosis. Turns out the "somebody" was a CNA. The patient stated she did not know because everybody looked alike.