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RN who has an idea to do CNA skills only, for nurses pay.

Entrepreneurs   (12,739 Views 22 Comments)
by IowafemaleRN IowafemaleRN (New) New

1,182 Profile Views; 10 Posts

This might sound crazy. I have been a nurse for 6 years and some days just feel burn't out. Sometimes I wish I could just be a CNA again, but still get my RN salary. I've had the idea to start an independent non-medical home care buisness. (Showering pt's, cooking, cleaning, errand running.) I would not have anyone working for me. I would have a lawyer write up a form basically stating that I am there only for these services and not to assess the pt medically. What do you think about this? How do you think this could work or do you think it's a crazy idea? :)

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K+MgSO4 has 12 years experience as a BSN and specializes in Surgical, quality,management.

1 Follower; 1,646 Posts; 22,127 Profile Views

this sounds like a home help service.

Best of luck with it.

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2 Followers; 14,620 Posts; 103,780 Profile Views

I would have a lawyer write up a form basically stating that I am there only for these services and not to assess the pt medically. What do you think about this? How do you think this could work or do you think it's a crazy idea? :)

There is no way you can legally say that you are there only to do ADL-type services and not function as an RN. Your RN license is 24/7/365; you can't turn it on and off at will. If something went sideways at a client's home and they sued you, the court would hold you to the standard of care for your highest level of education and licensure, regardless of what you and the client had agreed.

We all have days when we wish we could have an easier job "but still get my RN salary." :) But this is what you sign up for when you enter a licensed occupation/profession. We are voluntarily agreeing to accept a higher standard of accountability than the average citizen.

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eatmysoxRN has 1 years experience as a ASN, RN and specializes in Med/Surg,Cardiac.

728 Posts; 8,590 Profile Views

I think if that was an option, we would all do it. Less responsibility and stress would be amazing. Have you considered a different type of nursing? Maybe case management?

~ No One Can Make You Feel Inferior Without Your Consent -Eleanor Roosevelt ~

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CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

1 Follower; 6,071 Posts; 60,230 Profile Views

Why would someone pay a nurse's salary to someone who was doing CNA work??

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10 Posts; 1,182 Profile Views

I thought I could get the same pay, because if you call around to non-medical home health agencies they charge around $40.00 an hour just for an aide to come out. I agree with you ELKPARK though theres no way getting around the legal aspect of standard of care for highest level of education. Therefore this would not be realistic. I've thought about doing home health case management. Not sure how stressful that would be. I'm deffinitely not lazy, but feel very stressed some days working in the busy hospital. Thanks for your guys feedback! :)

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amoLucia specializes in LTC.

5,192 Posts; 45,958 Profile Views

To OP - agencies may charge families/pts $40/hr but the HHA/CNA certainly isn't getting paid $40/hr!

That's why I get so annoyed when facilities whine $$$$ budget, budget, budget, but they'll pay an agency for temp nurses at basically double to triple a nurses's salary. Yeah, some agencies DO pay their nurses well, but not triple!

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10 Posts; 1,182 Profile Views

Thats why I thought if you were a nurse you could do the CNA skills yourself for the pt in the community and charge less than a Home Health Agency because you don't have the overhead costs or have to split your profits with anyone else, (except paying your own taxes).

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3 Posts; 1,095 Profile Views

I'm about to start a business doing similar work, but marketing myself as a personal-care RN (sort-of a private duty RN but not doing high level nursing like trachs or kiddos). My plan is to market to elderly or other folks who aren't getting medicare-paid home health but who need extra help doing simple medical tasks like help with medications, safety checks, bp checks, wound care, blood draws, vit b12 shots, ride to Dr's office, Rx delivery, diabetes checks, education, etc. I will offer to communicate with their doc if needed. My background is working in a physician office, home health, in-home care and in-patient rehab so I really don't have skills to do high acuity nursing.

Maybe you could offer lower-level nursing services like this so you can still market yourself as an RN and charge RN rates.

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2 Articles; 11,114 Posts; 14,415 Profile Views

The only way to do this is to give up your RN license. Since I am sure you don't want to do that, you'll need to figure out a way to integrate the state licensure requirement to be held to RN standard of care Into what you want to do.

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100 Posts; 3,939 Profile Views

If agencies in your area are charging $40.00 and hour, who says you can't do aide work as an RN. You will be your own agency, working under your RN license, just not taking care of very sick individuals. Just make sure you are ready to with withold taxes including employer taxes and pay for health/liability insurance. So your $40.00 an hour may be alot less than that amount at the end of the year.

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nursel56 has 25+ years experience and specializes in Peds/outpatient FP,derm,allergy/private duty.

1 Follower; 6,655 Posts; 43,535 Profile Views

Home health aides in my area make just a bit more than minimum wage. I know there's some overhead involved there but nowhere near that much money goes to pay the HHA or CNA.

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