JuiceRN

I have been doing some brief research online, and really have only come up with one indicator that may be the impetus to upper management pushing this agenda of productivity. The CMS has started rolling out the Obamacare plan/Health Care Reform, ie.FY 2013. I'm not sure how to interpret the language of the Health Reform, but it speaks to Productivity adjustments in Medicare and so forth. Terms such as "market basket updates" and "productivity adjustments" is all greek to me and Im sure anyone attempting to intepret the damn thing. The terms are soo nebulous that one can not even define what the terms even means~! Therefore allowing management to play their cards any way they want. Any thoughts??

WOW they don't deserve you, it appears they are the one with Substandard systems in place, and obviously won't survive as agency if they keep up their standard of 15 page correction rap sheet! Good luck in finding your new job

Team Leaders are a myth! In my agency, I've seen the Team Secretary provide more support the our TL could ever in her entire Nursing career. Sad, but true.

I think you need to leave nursing, in NICU the last thing you think about it YOURSELF, and you have barely minutes to respond to your patient when tending and nursing these little people. There is ZERO time to self absorb, only time to think about your patient. I strongly suggest you think about maybe working in a lab.

Upper management once again is pushing the productivity quota on the Hospice nurses again. I understand the agency has the business side of things, but with the kind of work that we in hospice do, you can not put a quota on the amount of visits or Start of Cares that one does in a day. If hospice is being paid per dium by Medicare, why does this even matter?