The meeting went awful, I'm job hunting

Specialties Home Health

Published

The owner of the company came to the office today to hear our concerns about the sudden switch to pay per visit. We were told she was doing this to help put our minds at ease in an effort to keep from losing nurses. Boy were we misinformed!

She comes in, sits down, passes out an information sheet to everyone. The information goes like this:

For meeting time you will be paid the rate of one regular visit minus 25% the length of the meeting is not taken into consideration you will only receive the one amount regardless of the length of the meeting.

Any office time is already figured into the pay rate of the visits.

If you are stuck in traffic for a wreck, construction or road work you will not be compensated. You need to plan ahead.

Dropping off labs at the hospital will not paid, that time is already figured into the pay rate of the visits.

If you have computer problems that are keeping you in the office you will not be paid for that time.

The reason for these changes? One nurse with excessive OT. Hey someone deal with her please...don't punish all the nurses for the actions of one. Also excessive visits by SN. Hello....the care manager and DON set those frequencies. We have told them we felt they were excessive. When you're in the home saying to yourself "why in the heck am I here" is a darn good clue that the visits need to be decreased!

I could not believe what I was hearing. I'm no longer Home Health Happy. I assured them I would give a 2 weeks notice. I'm soooo saddened by all of this. I felt as though I'd be working there until I retired, a mere 12 years.

Specializes in Maternal - Child Health.

I'm so sorry, Dutchgirl. I never cease to be amazed by the rampant stupidity of those in decision-making positions within healthcare agencies and isntitutions.

Best of luck to you in your job search.

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Specializes in OB, M/S, HH, Medical Imaging RN.

Thanks guys, I appreciate the support very much. I can talk to other people but they just don't understand.

They have decided to cough up another $10 when an admission oasis is involved. Whoopie.

I went over to the hospital yesterday and as luck would have it one of the RN's in imaging turned in her notice that morning. I talked to the manager and he said "we would love to have you take the position". I'm supposed to hear something in the next couple of days.

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Specializes in OB, M/S, HH, Medical Imaging RN.
Mulled this over in my head whle at work today. Definately think call to office of wage enforcement in your state needed to run situation past them.

Karen, that is an awesome idea. I will call and I will run the details by them and see what they have to say. Thanks!

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Dutchgirl I feel your pain, I left HH 2 years ago because of pay per visit and went to an insurance company and worked as an RN case manager for almost 2 years and just this past Jan I took a job with a hosp as an RN case manager on a med/surg floor and I love it. I was hired because I had a long home health history and insurance case management experience. The biggest bonus was I am getting $8000 more a year over the insurance co. Go luck in whatever direction you go

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Specializes in OB, M/S, HH, Medical Imaging RN.

Thanks for the kind words. I have thought about case management but the hospital where I was working was kind of clickish and I couldn't get my foot in the door. I recently saw an old friends name, as case manager, on an intake form from another hospital close by and I know for a fact she hadn't had any prior case management experience so I think I'll give her a jingle. I'm also feeling good about the radiology dept having a position for me soon.

I love the people at the home health office and thoroughly enjoy the patients but this pay per visit is for the birds. I had a recert today $49.00.

It took me 45 minutes to get there, 1 hour for the visit which also included wound care, 45 minutes back home, 1 hour paperwork. 3 1/2 hours spent. $14.00 an hour, woo hoo! I worked too hard to get my license to end up making such little money.

I'm glad it's worked out for you. I think it will for me too. I believe God doesn't close a door without opening a window.

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None! and neither is anyone else. We were told that this has only affected nursing since we had the one nurse who had 40 hours overtime consistently with every check for the past 2-3 months. She supposedly had been counseled each time. When one of the nurses asked how PT and PTA's were handling the change the owner said "well they are not on per visit because they don't have any overtime issues". I think in the end the owner will be very sorry about her sudden decisions. I said "if you don't have any nurses, who will see the patients?". There's always nurses she answered. I don't know what she's been smoking because that just ain't happening. They're in a big hurt right now.

Is the nurse with the overtime, friends with the owner or something? Sounds kinda funny to me. That is not fair. I am sorry that happened to you. I will say a prayer that something even better will come along. Good nurses deserve better then that. Good luck.

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Specializes in OB, M/S, HH, Medical Imaging RN.
Is the nurse with the overtime, friends with the owner or something? Sounds kinda funny to me. That is not fair. I am sorry that happened to you. I will say a prayer that something even better will come along. Good nurses deserve better then that. Good luck.

She was hired 6 months ago at the same time that I was and she was new in town.

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I do not blame you one bit for looking. I quit soon after I sat down and figured up my pay for the week and was making $14 an hour. I went to a hospital and can make in 2- 12 hour shifts a week what It was taking me all week to make in Home Health. LOVE the visits but would only do it now if it was paid by the hour. Good Luck to you. I do not know how the home health companies get away with this.:uhoh3:

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Specializes in Case Management.

DutchgirlRN,

Good luck in whatever you end up doing. Case management whether hospital based or insurance company based is a good job. I have done it for years and never regretted it.

I was wondering, were you able to expense your mileage?

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Ok, so next Tuesday there will be a 5 car pile up on the freeway, so i should leave 3 hours early......:rolleyes:

That sounds about as rational as the one employer i had that told us "if you're going to be sick on Christmas, you need to let someone know two weeks ahead of time."

I had to wonder as I read your sign off in your posting,why do we as LPNs always feel the need to "qualify " ourselves?

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Specializes in OB, M/S, HH, Medical Imaging RN.
I had to wonder as I read your sign off in your posting,why do we as LPNs always feel the need to "qualify " ourselves?

huh??

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Specializes in MICU, Endo, HH.
what is wrong with people!!!!! run off good nurses and keep the dead weight!!! give your notice, that meeting you all had makes NO sense at all....i also hate when no one speaks up, i am like you , the one that opens my mouth, and i say "i am just saying what everyone else is thinking" and they still don't open their mouths! well best of luck to you, not all pay per visit agencies are like that one, we are paid per visit, but they take your hourly rate and 1.5 it for a regular visit, anthing with oasis is 2.0, office time is paid hourly and hourly for anything that is long travel like that 5 car pile up that you can't avoid.....every day i am amazed at the things i hear, .... good luck to you

Hello all. I also am amazed at what HH is going to. We are required to see 5-7 pts, admissions, ROCs, recerts are all counted the same as a f/u visit, and you are NOT allowed any OT, get it done in 8!! People keep quitting.....what to do?......

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