Weekend program in home health

cargalrn · Jun 7, 2018

More... I asked at the interview if they were eight hour days and she said yes and some charting. But now I'm told that I may be doing up to four start to care a day. If every started care is 3 hours that's a 12-hour day and I know it's going to be more with charting and follow-up phone calls even flowing over to Monday. Not to mention the night before on Thursday I'll have to make anywhere from 4 to 8 phone calls to my patients to let them know I'm coming. I have no problem with working hard but I do have a problem with putting in long hours. I think a 10 hour day would be reasonable but it looks like it's going to be a lot more.

Libby1987 · Jun 7, 2018

A SOC is expected to include a comprehensive clinical and functional assessment, medication reconciliation, any treatment that is ordered, essential patient/caregiver education, appropriate communication and follow up and care plan development as well as the documentation. Add driving and a multitude of logistical and unexpected complications.

Scheduling will also be a problem, it's not likely you can schedule them precisely as needed in order to fully complete one before going onto the next, and floating documentation to the end of the day will be a definite quality and safety risk. You're looking at over 12 hr days realistically for thoroughness.

12 SOCs in 3 consecutive days exceeds industry standards and I would say the quality would tank before the 2nd day regardless of any willingness to work overtime.

cargalrn · Jun 7, 2018

Thank you. I'm new to home care. There also should be incentive for working the weekend program and 12-14 hour days isn't one of them

cargalrn · Jun 15, 2018

I resigned today.

caliotter3 · Jun 15, 2018

I resigned today.

Good decision based on what you posted.

Libby1987 · Jun 18, 2018

I resigned today.

I'm sorry that you had a shameful first time exposure to home health.

We pay our EXPERIENCED home health nurses 8 hrs minimum for performing 2 SOCs and a one revisit if reasonable. Overtime for complicated logistics or just any reason things don't go smoothly as well as excessive driving. Biggest day we ever see is 2 SOCs and 2 revisits which will go into over time and we're grateful to that employee.

A common day is 5 revisits or 1 SOC and 3 revisits. SOC nurses do 2 SOCs with one revisit if in same location.

Our processes aren't perfect by any means, which we continuously work to improve, but we work hard to remove as many obstacles as possible and have a reasonable productivity expectation in order to have a good work experience for our staff and realistic to provide high quality care. Pay and benefits are good. We are accredited as well as both employee and patient focused.

That's how it's supposed to be. It's hard work, I don't know any nursing that isn't, but it is fair and reasonable.

cargalrn · Jun 19, 2018

So I almost had a nervous breakdown about this job. I put in my resignation via email on my iPad that they issued. I offered to meet somebody to pick up all the equipment in my computer my car stock Etc and the human resource manager is insisting I go 30 miles to the home office and have an exit interview and finish charting. Which he says it's not a lot but that's how they lie. I really can't even sit down to the computer and chart. I don't want to go to the office 30 miles away. We have a local office where I can drop off the equipment and I would not do an exit interview. I don't even want to look at these people. Do I have any legal right to ask them to meet me somewhere to surrender the equipment? Do I have any legal obligation to finish charting that I cannot finish due to extreme anxiety?

BBP42 · Jun 19, 2018

At my agency weekend plan is 3 SOC max per day for 3 days and you get paid for 40 hours salaried for that

caliotter3 · Jun 20, 2018

So I almost had a nervous breakdown about this job. I put in my resignation via email on my iPad that they issued. I offered to meet somebody to pick up all the equipment in my computer my car stock Etc and the human resource manager is insisting I go 30 miles to the home office and have an exit interview and finish charting. Which he says it's not a lot but that's how they lie. I really can't even sit down to the computer and chart. I don't want to go to the office 30 miles away. We have a local office where I can drop off the equipment and I would not do an exit interview. I don't even want to look at these people. Do I have any legal right to ask them to meet me somewhere to surrender the equipment? Do I have any legal obligation to finish charting that I cannot finish due to extreme anxiety?

Finish the charting. Think how much better you will feel once it is done. Ship the equipment to them via post office, fedex, or whatever, insured, with delivery signatures required to prove they receive it if you don't want to face them by hauling it all into the local office.

Libby1987 · Jun 21, 2018

Not sure why you took this job after being warned but the right thing to do is to complete the charting that you can do accurately.

cargalrn · Jun 21, 2018

They're telling me I have to go to the office to complete the charting and my anxiety is out of the ballpark about this. They're threatening to report me to the state. I really don't know what to do. If I could finish the charting from home I would but I can't. So are charting deficiencies reportable to the state? If you work in a facility and had not completed charting and had to leave and never came back what would they do about that?