Haddoa

I made an error where there was no harm to the pt, it was still a significant error to me. I felt I had no one to talk to, no where to turn. I ended up seeing a therapist and with in a year leaving bedside nursing all together as the ptsd and trauma from being the 2nd victim is such a real thing.

Did I miss something? This is for a HH nurse to go do home visits? Masters preferred? Seriously? I was an ICU nurse at a high acuity regional hospital, I needed a change, a complete change and went into home health per visit nursing and I have thrived. I have an ADN. I am a smart, amazing, and experienced nurse. Maybe broaden your search instead of looking to narrow it more. I can almost guarantee you are missing out on some great prospects.

It all depends. The Pts who have been on services forever, no. Newer pt yes. Also some docs want to be called with every little thing, some just say hey fax me with stuff like this thanks.

Ours supplies a tablet we use homecare homebase.

I have also been in home health for a year and am leaving for the same reason. Along with call, weekends, and holidays. I looooove the job but there is no home life balance. Instead of going to the hospital cause no, I am staying with my current company that I love and going into business development. It will be very different not being with Pts in such a nursing role but you still get to talk with Pts and it is straight business hours. I transition out of the field in two weeks and can not hardly wait!!!!

We do it. It's taught the same as any IV medication in the home would be. With the added layers of checking BS. Tho from my experience that is often times added in a week later for whatever reason. Maybe as to not overwhelm the pt. It's a lot of education.

Yes it should be because we often times have to give up 2 regular visits to take 1 SOC and so it's a money loss for us.

I would love to know what others make!! I am in WA state we get: 45 a visit 50 for ROC, ODB, recert (not enough at all for an ROC) 72 for SOC (also not enough) we get reimbursed 0.45 cents per mile.

I am in WA state. 45 regular visit 50 oasis 72 admit mileage at 0.45 cents a mile drive time max 40 min (rare) very often 3-10 min.

We are payed 45 for a regular 50 for ROC, recert, or Oasis DC (not enough) 72 for a SOC our DOO is in the process of getting us increase pay for oasis visits.

Our wound care orders have to be written like that. Doctors have to be specified. But we only check bs at each visit if it is ordered. If it is which is rare as we see then 1-2 times a week. Then we do it takes 15 seconds. We have to specify tub or shower can't pick both but our very competent bath aide deals with any changes or what the pt needs so I can't say that has been a problem for me personally. Oh and when I write my orders and goals I alway put in prn O2 sat for increase sob or change to lung sounds, easy and always covered! medicare always looks for reasons to not pay. That is why everything must be so specific! Annoying at times but I am so used to it now it's second nature.

That is the most insane thing I have ever heard!!! Run away like that place is on fire! I work 8-230 as that is my chosen times. I work in a very small territory with some days having 3-4 pts in one ALF. And they still don't allow us more than 7 pts a day. Which is fine by me. I like 6-7. As far as I understand that is a Medicare expectation. Each pt deserves 40-60 min of undevided attention. There are so many times I would not have seen subtle things without that. So thankful for my DOO and management team that are so supportive. Please know agencies like mine exist. Move on. It is not worth the heartache.

We take a rotation that is a ROTATION which means we share it evenly. We do one week night a month and one weekend a month with another RN. Every 4-5 months you have no weekend but do 3 weeknights in the month (that is me this month and I would rather have a weekend haha) what is hurting you is your territory. I only drive about 30 miles a day with the occasional 50 but my pts start from 2 minutes from my house to like 15 at the furthest. Maybe look for a company that can get you closer to home? I also loooove home health but some of the stuff you mention would be a deal breaker for me. Good luck!!

Haha I always had mine around my neck and when a doc asked to borrow I would say nope you guys always steal them. Then I would grudgingly hand it over (sometimes) Never lost one!

I'm in a fairly low/mod cost of living area and still make about 37 and hour with 6 years experience. That seems low for any RN.

I don't know if any training material. I am sure your agency will provide plenty. I believe you can succeed as a new grad just as many do in ICU and ED. It will all come down to the support you have from your agency. I went in as a nurse of 5.5 years 2 of which were in a high level ICU and I still call my clinical manger allllll the time. Because the questions I have are different and have nothing to do with hospital stuff. More with like do I send out. Should I try and get into a doc. I can't get into the doc. Can you see if you can blah blah. Trust your assessment and trust your gut. You will have times where you may have over reacted. Who cares. Better to error on the side of caution. Home health skilled nursing per visit which is what I do and sounds like what you will be doing is the best job ever!!!!! I love it and have so many of my hospital friends in line to come work here. We just aren't hiring because no one leaves. Don't feel you are missing out not being a slave on some crappy acute care unit. Those jobs are so overrated. You friend hit the jackpot. If you have good management and a good agency and fair pay you are truly the lucky one even if you don't know it yet. And trust me your friends who go the acute care route will be jealous!

Omgggg why do you still work there??? I think everyone has pretty much covered it. I would have peaced out 2 years ago. Good luck with finishing you RN!

It may depend on what kind of HH as my office only does skilled visits (so no meds) as an RN I get 45 for a regular non oasis visit.

That seems insane. When we had one of ours out on maternity and they wanted us to bathe pts they were paying us for both our RN visit and the hha visit or something. I never did one. But if that is there plan I would get the hell out of there. Fast. Not a chance I would even do one visit that isn't at my RN wage. I can understand paying that wage but missing pay should be replaced with admin time/your hourly inservice time.

I went from a high level icu to home health 9 months ago. Best decision I ever made. Most weeks are bliss. There are parts that can be frustrating and your phone rings all day. But in general not being in a building or even with one of more than an hour is amazing. I live in my territory as our office puts in areas close to home. I can see 6-7 pts between 830-230 most days. Sometimes you have the random outlier but that's life. You must plan ahead and being in charge. My pts are told I am in you part of town these two days do you want morning or after lunch? No set times. You will be given about 45 min notice. It will be almost the same each week. 99.9% are like ok yay. Also and this is a must, chart in the home. They charting if you are electronic like me is not bad and if you can do most when you are in the field then you should be spending less than an hour at night fine tuning and preparing for the next day. This does not include oasis paper work which is far more intensive and I do not do in a pt home. Those are the times at home I have more charting. But like I said I am normally home at 230. So if I have to chart til 5 it's still fine and I am home!!! I can pick up my kids and never miss an event. Ok so long story short here. It was the best decision of my life. I love my agency and coworkers!! You could also always think of going to pacu? Good luck!

We are having this same convo as a group in our agency right now. We are also ppv and any time over 40 hours you get payed at half time. So they figure out what you averaged pay wise and then devide that by 2 so basically as an RN I get 13-17 an hour for OT. Insulting. Luckily in your situation today our DOO would allow us to put in for admin time or hourly pay. So you would atleast get your mileage plus like 32 bucks. Still annoying. On the weeks I get all my stuff done without working a ton of hours pay is fantastic. It's the long weeks that seem hardly worth it.

Yes you can do a nonvisit Oasis or a visit. I am payed per visit so we code as ODB (oasis discharge billable) or ODN (oasis discharge nonbillable) we do not get payed for the nonvisit so those are usually saved for people that fall out of homebound status or refuse services. I like to go and reinforce all my teaching over the cert period. So I go unless there is a good reason not to.

Ya I can't understand why it's plan C or D. It is by far the best job I have ever had. I worked ICU in the big name facility in our area. I was so proud to say what I did and yet hated what I did. But I had made it. Finally couldn't take another day and went to home health. Something I had never even considered. Now I want to beat myself over the head and scream from the roof tops, you don't have to work in the trenches! You can work a job that is so so flexible, you are so appreciated and make amazing money! The only advice I can give is find an agency that works for you and really sit and figure hour how to make home health work. Once you find your routine and get it down you will be amazed at how wonderful it is!

I responded to this but it's gone so I am sorry if you see it twice. Not sure if you were talking to me or not. I am 7 months in and I see 5-7 a day. By choice. I could see 8-9 a day if I want and some do as we are all PPV. I am not looking to make a million I left icu to spend more time with my kids and for the amazing flexibility! We have no shortage of pts, actually the opposite. We do tho have. Amazing lpns to take the overflow. I would cry without them! If you can average 5-6 a day I would try ppv I am making much more than the high level icu nurse I was.

I am 7 months in and see 5-7 a day. 28-30 a week average. That is my choice I could see 36 a week if I wanted. I give a couple pts a day to the LPNS. I have been 6 a day since 2 months in. It's not hard. Takes me from like 830-2. I live in my territory and we have very little traffic in our area. I spend about 45 min a pt (some wound care is more intensive and takes more time) today I saw 5 and did a soc all by 245. That included about 45 min at the office dinking around and sitting in the Starbucks drive thru :) now I am charting my soc and watching dr. Phil while kiddos swim. Wish I didn't have to chart the start I will say that! And yes ppv is very good money if you can get the visits you can't beat it