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Jmg Jmg (New) New Nurse

Jmg specializes in Geriatric.

I am new to HH and really like it but the way my scheduling is done is a lot different than I have heard from other companies. I am an RN so I do a lot of Soc/roc and recerts but never seem to see any of the patients I have admitted back. I do not have the ability to move visits or reschedule visits on my tablet. If I need anything sent to me patient wise I have to call my office and have them send it to me. My schedule is almost never set the night before and I when it is I will have called to set up times with my scheduled patient just to have my office call and tell me to call them all back cause I need to see a whole new set of patients instead. Example today I waited and hour and 45 mins for an admission to come to me I worked a 9 hour day saw 3 patients and only made $165. Is this normal for HH or is it just the company I work for?

I would find this arrangement unacceptable. Perhaps you could find a better job with another agency. Of course, discuss it first. They could be doing this because they don’t know that you are not happy with things as they are.

VegGal, BSN, RN

Specializes in LTC Management, Community Nursing, HHC.

On 7/6/2020 at 7:43 PM, Jmg said:

I am new to HH and really like it but the way my scheduling is done is a lot different than I have heard from other companies. I am an RN so I do a lot of Soc/roc and recerts but never seem to see any of the patients I have admitted back. I do not have the ability to move visits or reschedule visits on my tablet. If I need anything sent to me patient wise I have to call my office and have them send it to me. My schedule is almost never set the night before and I when it is I will have called to set up times with my scheduled patient just to have my office call and tell me to call them all back cause I need to see a whole new set of patients instead. Example today I waited and hour and 45 mins for an admission to come to me I worked a 9 hour day saw 3 patients and only made $165. Is this normal for HH or is it just the company I work for?

I agree with the other person who posted before me. I would find that totally unacceptable too. I work in HH, actually I do scheduling and QA for HH on a part time basis, and I ALWAYS have the schedule ready a week in advance. I do have some last minute admissions though and for those times I contact several nurses and tell them what I have, where the patient is and pick whoever is able to go first to do the SOC. 

Also, maybe your agency has mostly LPNs, in which case they'd send them to do the care and send you to do all the SOCs and recerts because LPNs can't do either. If your clients are VA patients, then they have to open the SOC within 72 hours of receiving the referral, so that could be why they send it to you overnight or the same day, but you always have the option of asking if you could the following day or 2 days later. With any admission, we want to see our clients ASAP or patients and families will think we're not that interested in providing care, so I do understand to a certain extent why the cases are pushed out to you at the last minute it seems, but you can still discuss it with them and try to make things better for yourself. 

Also at the agency where I work, we give our RNs access to change their schedule a little. So they can go a day earlier or a day later, and they can see all their clients and the days the clients have, but they can't access any other clients. You just have to ask for a little more flexibility and maybe even talk about possibly self-scheduling if that's an option, but know ahead of time that not all agencies allow that. 

Jmg

Specializes in Geriatric.

Thank you for all the advice my company is working with me a little but they just state that isn't how they do things. " We say the job is flexible but it really is not flexible" the response I got from my director. I am going to work with them for as long as I can but keeping my eye out for other opportunities as well. 

VegGal, BSN, RN

Specializes in LTC Management, Community Nursing, HHC.

On 7/12/2020 at 9:21 AM, Jmg said:

Thank you for all the advice my company is working with me a little but they just state that isn't how they do things. " We say the job is flexible but it really is not flexible" the response I got from my director. I am going to work with them for as long as I can but keeping my eye out for other opportunities as well. 

I think that if you were covering mostly Skilled Nursing and Recert visits vs SOC, then your schedule would be a little more flexible. If you're doing mostly SOCs then it would just depend on what comes in each day, or the day before. Good place to learn about home health and then move on to another agency with more flexibility, if that's what you still want to do. All the best to you!

LuisHH

Specializes in Home Health wound care.

Ya, thats horrible. The company I work for, Bridge, always finalizes schedule day before before 6pm to give us enough time to plan and make your day efficient. Of course, if you work for more than one company, scheduling can get tricky but I use a system for home health workers I found online called zigbuddy that helps with scheduling, routing and mapping. 

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