What's your caseload number and daily quota?

Published

I work in a county agency in a rural area. The nurses may travel 50-100 miles per day. Average caseload is expected to be 20 - 25 with 4-5 visits being made a day. The agency tells us that other agencies are making 25 caseload a norm with 5 visits per day. Well then I'd like to ask you who are doing this....when do you get your paperwork done? For any start of care the paperwork can take up to 2 hours to complete. I guess because we are rural the mileage thing is the issue.

I see between 3-5 patients/day. We do not have a quota. I do not get mileage, but keep track of it for filing on income tax. I use my own car. I'm paid per visit so that I can take all the time I need to do my job, my way. I love my job !!!!!!!!!!! For the first time in my nursing career I do not feel stressed, feel valued and appreciated, and feel I give excellent care to my patients, as well as have the time to visit/talk that so many of them seem to need. RC

Up Vote Up Vote ×

I have 20 patients and have 4 credits per day. We are not using laptops. When we have an oaisis/admit (21 pages) it takes me at least 3 hours. I have 3 hours of paperwork in the morning before I even head out. We work 8 hour days, but I have over time often. I travel 40-70 miles/day

Up Vote Up Vote ×

the five visit per day quota came from a 2001 hhl healthlinks study

the average mileage for the nurses was 17 miles per day (I wish). interestingly, mileage was "found not to be a factor" in how many visits a nurse could do.............what really boggled my mind, is that if you were to look at a statistical chart, my 100 plus miles a day wouldn't even fall on a plot line..........so how could they say it wasn't a factor????? this was supposed to be a well mixed group of rural and urban home health agencies???????

Up Vote Up Vote ×
Specializes in Vents, Telemetry, Home Care, Home infusion.

Most Urban/suburban agencies will have you closer to 6-7 visits a day. While smaller or rural areas aim for 5 visits a day per my latest info from Home health line.

A homecare "bible er insider" publication that most agencies subscribe to is Home Health Line or Eli's report. Ask your agency if you could read those publications as have latest CMS/ national statistical reports in it.

Will look to see If I can find that info this weekend.

Up Vote Up Vote ×

our agency has case manager in the office who handle scheduling, insuranse approvals, calls to md ,review oasis,monitor labs collected sending results to md,and varies other tasks. the field nurses see 6-8 visits per day with recerts and admits counting as 2,dc 's or scic ,post hosp 1 1/2 with average 50 miles per day

Up Vote Up Vote ×

I work in the midwest. I do Maternal child. We do have laptops. We are salaried...so no overtime. I rarely do paperwork off hours, however our generalists who see adults do. Their productivity rate is 5.8. Ours is being raised to 6.4 though we are fighting it. Currently we do 6 per day. We do extra pay if we go over the expected number of visits. There are 4 of us who serve the county for maternal child and about and about 40 others who see the adult population. We also are on call 1 night a week and every 4th weekend. I am not wanting to increase my productivity however, so after 15 years may be looking elsewhere! :o

If you would like more info, please feel free to PM me.

I supervise the HHA q month
We have to do HHA supervisory q 2 wks....is this reg or what??
Up Vote Up Vote ×

I am new to this site and am already in shock. I read these posts over and over. Last week I saw 30 pts. and had one day of mandatory training, traveled 70+ miles. My car, my gas. Pts have my cell and home # and can call at anytime. Most paperwork was done 'after hours'. This is my first time in HH and I thought this work load was usual. Boy, do I feel like a fool. Thanks for setting me straight.

Up Vote Up Vote ×

I did HH nursing for awhile. I loved the freedom, but the paperwork was brutal.

Up Vote Up Vote ×

In HH for last 12 years. Recently load getting worse......

caseload = 25-30 pts, 6-7 visits per day + 1 admission, 100-150 miles per day. Paper work and phone calls at home til 8-9p. On Call 1-2 nights per week. :uhoh3: Work q3rd- 4th w/e. All this and SALARIED!! Still love the job..........just have to sched time for my life!

Up Vote Up Vote ×

I just went back into community nursing. I make from 3 visits a day to ten visits. Some patients are daily, BID, or a couple of times a week. We don't get paid to do paper work at home. I may travel 50 km to 100 km a day easy. I refrain from giving my patients my cell phone or pager #. If they need me, they call the office, then the office pages me. I'm not on call for them for 24hrs. The last two weeks I work seven days in a row - 35 to 40 hrs. I find it very tiring.

When I get home, I then make phone calls, do paper work, then go to bed.

not very exciting - I need to get back into the hospital!!

Up Vote Up Vote ×

No way would I go back to a hospital. Even though HH paperwork, phone calls, etc are horrible at least I can do it at home in my comfy chair with my kids running around. I can also usually work my visits so I can make a MD appoint or go to a school program..........no way was this possible at the hospital.

Put in many more hours with HH but I have a lot more control.

Take care

Up Vote Up Vote ×
I see between 3-5 patients/day. We do not have a quota. I do not get mileage, but keep track of it for filing on income tax. I use my own car. I'm paid per visit so that I can take all the time I need to do my job, my way. I love my job !!!!!!!!!!! For the first time in my nursing career I do not feel stressed, feel valued and appreciated, and feel I give excellent care to my patients, as well as have the time to visit/talk that so many of them seem to need. RC
What agency do you work for ? Im interested in homecare and speed is one of my weaknesses . Is getting paid per visit allow you to spend more time with your clients?:)
Up Vote Up Vote ×
+ Join the Discussion