superjamiek07

Thank you, you are confirming what I was thinking and we are working on making sure there is one primary nurse. I feel less lost now as to how I should be doing things. We all of course disagree on how things should be organized lol, but hopefully we can work it out if not, of course I can move on.

I"m not private duty but affiliated with a hospital. I do multiple skilled visits in an 8 hour day and/or admissions, dcs, resumptions, etc. We do have a policy handbook but where there is a discrepancy is where there is an order for a dressing change and wound care using specific orders for how to treat the wound but I have yet to see one of the nurses treat the wound how it's actually ordered to be treated. Or there will be a pressure ulcer with orders of how to treat and one nurse will go in and say no it doesn't need a bandage, then another will go in and say yes it does, and the order says yes it does. The RN with the assisted living is confused as to what she should actually do if the bandage falls off. We also have issues with nurses getting involved in medication management and one nurse will get an order to start one med, another will get an order to say stop that med, and yet another will start it again. As someone who is still learning its very frustrating. How am I actually supposed to be doing this? But maybe this is normal?

So i'm new to HH and just been nursing for 9 months. My issue with HH is that there seems to be no standard of how a nurse cares for one pt. We often have up to three nurses who see one pt and everyone does it differently and it is confusing to the pt. When I bring the issue up, the nurses all say, that's just home health, or that's the beauty of home health, or there's more than one way to skin a cat. I find this to be frustrating and can't believe this is the norm. Is it the same for you guys? I can come in after a nurse and they've changed everything I just did. I was just looking for input on how you all do it?

Google calendar has an option for businesses that is HIPAA compliant but it's not free. Our office is looking into it so we can actually put names on our calendars.