60 visits a week quota ?? sound possible?

[SweetRN007]

Ive been offered a job with a home care agency to do sixty visits a week per their quota. It will be for a RN case manager with mix of mostly med admins, SOCs, recerts, transfers and discharges. ... The company seems to think I wont have a problem at all meeting that quota and most nurses go well over the quota and earn extra money for going over. I will have to do 12 visits a day ... some of behavioral health med admins and and some a skilled visits ..

but most agencies here in CT are requiring 25 or 30 visits a week ..making five or six visits a day... which sounds alot more possible than sixty visits..

do you think i will be able to handle sixty visits a week, i will be sallaried, and the salary includes my money for gas.

[SweetRN007]

Chuckster: And i think what you are saying is very true . Even if all 12 patients were a mix of med admins and some skilled dsg changes and treatments in thr same facility it can still take 8 hrs easily to do all the work and chart and how do they expect to add travel time and charting to the mix

[NRSKarenRN, BSN, RN]

60 visits in 2week pay period is normal = 30/visits per week. National average for skilled care intermittent visits is 6 per day.

If they are going to group homes and giving bubble wrapped or prefilled meds pouring into patient's hands, observing them swallow with multiple patients in one location ok.. Otherwise they are taking advantage of you and short changing consumer. What happens if patients are not present in home during med time: at doctors, grocery store, dinner eating etc and you have to come back for just 1 resident who was off site...

Considering average OASIS admit take minimum of 2 1/2-3 hrs with all documentation submitted, calls made to PCP, pharmacy, DME, CL Mgr etc. NOT safe practice to expect 60 visits/week.

[WhereIsMyCallBell]

The Home Health Agency I once worked for (not for long) was VERY unrealistic about their nurses "productivity quotas". If others are supposedly doing 12. Um... there has to be some serious corner cutting going on, possibly with a bit of cutting and pasting during documentation. The SOC's and re-certs will take you a while to get used to and get quick and efficient at. Even with a good computer based program for all informatics necessary, these days it's quite in depth and time consuming. Not to mention the pharmacy and phycician phone calls you will need to keep up with. Oh and making sure the new patient gets all DME's necessary. Lots of good luck and god bless and PRAY you have several patients in the same LTC facilities to cut down on driving. My heart goes out to you!

[WhereIsMyCallBell]

ok I am thinking out of the the proverbeable box here. How about. All these patients get on the sernior bus, find a ride, take ambulance, find the keys that have been hidden from them for who knows how long and get their hineys to her home. They can all sit in her living room or out on the porch, depending on whether) as she calls them one by one to take care of their health care needs??? NO? I know it would be a rediculous thing but I just don't know how else to get it all done.... seriously and hey it would still be "Home Health Care" shrugs*

[PennyWise]

No way! not unless they are next door to each other. You would have no time to chart or even stop and take a Pee break! We see 6-7 pt a day. Est. 1 hr with each pt and it should include traval time. Ask the other nurses how the make 12 pts a day. Good luck!

That's what they're counting on. No charting time. Charting gets put off later and later until it finally spills into...........your time.

I've never done Home Care but I know more than a few who are now in the hospital because they hated it. They all had the same complaint: "Too much charting to do at home."

[Laura Z. Pam]

NO no no!!! ***** dangerous for you, dangerous for pts., and bad for other nurses. Keep looking, because this is not a job. Also, never NEVER work a direct-care position salaried. There is just too much work. You will end up working for free and depressing the market for the rest of nurses. Bad Idea All The Way Around.

[paradiseboundRN]

No! Sixty visits a week equals 60 hours per week work. Once you count the visit, the drive, the documentation, etc, each visit will take about 1 hour. I have been in home care for 11 years and I know what I'm talking about. Of course, they want to pay you salary so you won't get the OT you deserve. Most agencies expect 25-30 points a week with a SOC counting as 2 points and recert/resume counting as 1 1/2 points. DO NOT TAKE THIS JOB! It will be a nightmare!

[norlns24]

60 visits in 2week pay period is normal = 30/visits per week. National average for skilled care intermittent visits is 6 per day.

If they are going to group homes and giving bubble wrapped or prefilled meds pouring into patient's hands, observing them swallow with multiple patients in one location ok..

This made me laugh!

[guest606416]

I worked as a supervisor for a pediatric home care agency. What I learned is that all visitis are not created equal. Many take longer than expected. When you add travel time in the best of traffic situations it's still hard to envision more than 7 visits in a day. You may want to check out options with other agencies. Think also about the wear and tear on your car. More frequent maintance and tires etc.. Just the price of gas alone will be impressive. The pay they offer may be sufficient but I'm skeptical of a company that pays you flat rate for that number of visists. The company I worked for had a small economy car for the staff to drive. Several agencies do this. Just check things out very clearly.

[SweetRN007]

I worked as a supervisor for a pediatric home care agency. What I learned is that all visitis are not created equal. Many take longer than expected. When you add travel time in the best of traffic situations it's still hard to envision more than 7 visits in a day. You may want to check out options with other agencies. Think also about the wear and tear on your car. More frequent maintance and tires etc.. Just the price of gas alone will be impressive. The pay they offer may be sufficient but I'm skeptical of a company that pays you flat rate for that number of visists. The company I worked for had a small economy car for the staff to drive. Several agencies do this. Just check things out very clearly.

the salary for the position was almost 72,000 which includes compensation for gas, they dont pay extra for mileage ...i shadowed with a nurse for two days, the second day in six hours we had only seen 7 patients and still needed to see 5 more... they were a mix of skilled visits and med admins, about 5 were skilled and 7 were med admin visits...there was a lot of driving... i just told the company I cant do all that driving and resigned...

and the better news is, i just got a job with another agency better and bigger agency (new england home care) that has a quota of 30 visits a week which is the norm, 6 visits a day for a 40 hour week.. which is a lot more reasonable

thanks everyone for the input , im so glad i wont be working with them and driving all over the place ..

[BabaLouRN]

60??? 60 visits a week ?? Are these patients really sick enough to qualify for home health??

Even seeing 12 patients a day in a hospital setting would make me pull my hair out!!! This reads like a quota for TWO nurses.

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[ChristinP]

I live and work in Ct for a large HH agency. I only do revisits and I have to do a minimum of 35 visits a week. I average 8 Pts a day. If its mostly status checks & prefills without problems I'm finished In 8 hrs or less. But lately my 8 Pts are all wounds, mix of wound vacs, new ostomys, none of my visits the past week have been simple, they are very involved with lots of teaching and f/u. I work approx 10 to 12+ hrs a day & average 15-20 miles a day all in one large city. And there is always something that needs to be charted when I get home. 12 patients on one day?? Nope I wouldn't do it!