sparenurse

I work as a manager of clinical practice for a PDN agency. I have about 25-30 clients. I am responsible for updating the POC-plan of care or 485, and Medicaid authorization. Besides this I handle complaints and questions by email or phone all day. I visit clients at their homes to update the POC every 60 days and Medicare every 6 months. I participate in fund raisers and skill fairs and orientation for new staff. I have been working here for a little over a year and put in 40-50 plus hours a week. Does anyone else have this workload, how do you deal with it all. I would appreciate any help in organizing my day.

YES exactly, RN caregiver was calling different Docs and adjusting the medications herself. Lesson learned the hard way.

Thank you everyone for your thoughts and comments. Over the past month I have had a chance to step back and look what happened. I have never been ' written up' for errors or such in the past 14 years as a RN. This job I had been written up ( 3 times in the last 3 months) for customer complaints that were just not true or valid. I should of realized then the writing was on the wall so to speak. I really feel it was my manager -that is new and trying to make an impression-and just did not really listen to what I was saying. Did I make mistakes, of course I did, was anyone harmed...no. I was still in the probationary period and had always worked in a hospital-this was home health. Huge learning curve. I have applied for a few positions and have been called back for a second interview with one company. Yesterday I was offered a position as manager of clinical practice at a home health agency. I had to supply an evaluation from a previous job. In reading the evaluation ( great eval) from the hospital that I had for 10 years, I realized that some managers value you and others could care less. So in summery it is about perception. I just was not valued at this job that I loved. Did that sting? very much so. I have learned from this. In my new position I will think about this everyday in my dealing with others. We all have something to bring to nursing and we all should be valued.

Such good advice uRNmyway I do have an interview with another agency on friday. I am meeting with the nursing director at my old job to see if I can vie for my position or a the least to ask her to give me a professional courtesy and let me resign instead of the stigma of being fired. Happy Nurses Week to me.

It was because I did not follow protocol and actually view the med containers. I feel that, yes I did not follow protocol, instead I was going over the meds with the pt sister who is a well seasoned RN instead of following protocol. I admit I did not follow protocol. No patient harm was done. I am devastated to be fired and wonder how can I find another nursing position.

I was fired from my dream job for not following protocol when doing an SOC and not actually looking at medication containers to verify medications resulting in an error. A few months before that a pt called the agency and told my supervisor that I was incompetent for not being able to get a faulty wound vac to work. God I am so devastated. I am the breadwinner in our family. During the meeting when I was fired I was so shocked that I could not say a thing. Please does anyone have any words to help me.

Oh thanks so much spankssnowbunny, we have family in Naples so that would be a good place to start. I'll research this summer then plan my getaway by november.

Thank you for all your wisdom NedRN. I have never been a travel nurse and my background is mostly ICU. I have recently started working as a home health nurse and love it. A great change from hospital nursing. I plan on traveling to a warmer climate in november. This past winter in Maine was the changing force.

Thank you NedRN. I just went to their sites and yes they do have available positions. Have you looked at the website Ultimate List Of Travel Nursing Companies

Good Morning Nurses, has anyone ever traveled as a home health nurse? If so what travel company lists home health nurses. I have not been able to find any job postings for home health travel nurses. Thanks for all your help. sparenurse