AKRAZYRN

Thanks for the feedback all. I think just being an inmate might be easier. lol

Thank you for your feedback. That is exactly what I thought. There were no issues with my nursing care. Just had 38 notes to type. So instead of taking the weekend to catch up, they took my laptop and said rest up.

Of my 70 patients, 1 requires bi-weekly injections, approx 20 require 2-3 visits weekly for instruction and monitoring, 1 requires daily wound care and the remaining require 3 days a week for extensive wound care requiring an additional amount of time to perform. The largest setback in productivity is the immense amount of computer time requires to create documents. A SOC with wounds (which require photographing) and have 20 plus medications can take near 2-3 ours to input. This includes MD orders, the 485, ordering supplies, researching insurance deductibles, Then reiterating the findings again on another set of documents to request additional visits d/t Managed care policies. I am given patients with no working phones, have do do drive by's to locate patient and am often given incorrect info on referral. There are no in office schedulers. The nurse is required to keep count of visits and re submit new requests for authorization of additional visits. If a patient is referred and not found I am responsible to make the calls to locate the patient. Bottom line is the agency cares more about having the notes completed in 1 day. This is almost always impossible as the homes or in poor sanitary condition, and find it impossible to see 7 people daily, complete the for-mentioned and return home unharmed and uninfested. I have contacted my Union Friday but they were closed.

Of my 70 patients, 1 requires bi-weekly injections, approx 20 require 2-3 visits weekly for instruction and monitoring, 1 requires daily wound care and the remaining require 3 days a week for extensive wound care requiring an additional amount of time to perform. The largest setback in productivity is the immense amount of computer time requires to create documents. A SOC with wounds (which require photographing) and have 20 plus medications can take near 2-3 ours to input. This includes MD orders, the 485, ordering supplies, researching insurance deductibles, Then reiterating the findings again on another set of documents to request additional visits d/t Managed care policies. I am given patients with no working phones, have do do drive by's to locate patient and am often given incorrect info on referral. There are no in office schedulers. The nurse is required to keep count of visits and re submit new requests for authorization of additional visits. If a patient is referred and not found I am responsible to make the calls to locate the patient. Bottom line is the agency cares more about having the notes completed in 1 day. This is almost always impossible as the homes or in poor sanitary condition, and find it impossible to see 7 people daily, complete the for-mentioned and return home unharmed and uninfested. I have contacted my Union Friday but they were closed.

If you have a patient case load of 70 and they need to be seen 1-3 and at times 5 days a week it't not possible. You do the math.

My liscence is not in jepordy. McDonalds I don't think so. As a field nurse we are responsible for everything. Creating Oasis, coding it, submitting additional forms to Insurance carriers for additional visits, documenting every phone call, ordering supplies, checking insurance deductables. photographing wounds. Creating wound orders. I have been in home care for 17 years. First time I have never seen the office staff do nothing. A SOC OASIS CAN TAKE NEAR 2-3 HOURS DEPENDING ON AMOUNT OF WOUNDS AND MEDS. MY TURF IS IN A NEIGHBORHOOD WHERE HOMES ARE RIDDLED WITH BUGS, GUNSHOTS DAILY AND NEED TO GET IN AND OUT.

Is this reasonable or legal. It has destroyed whatever personal life I had. Supervisors only seem concerned with statistics not quality patient care. What are my rights related to working for this agency a normal pace allowing me time for my daughter and self ?