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Discussion

When is enough enough?

First off, I LOVE home health. It's my niche. I can't imagine doing anything else. I'm at my second HH company. First was Medicare Psych pts for med management and safety checks. Paper charting, 10-15 pts a day. It was doable because visits were short and to the point.

This job is fantastic from the outside. Pay is substantial as is insurance. Computer charting. Acute care visits. My issue is that I'm getting fed up quickly. Upon hiring I was told that I would see 6-8 pts per day. After a few months of constantly being scheduled 10-11 and then getting MORE added on by morning-I stood up for myself. I requested that I see no more than 9 patients a day. They said okay and yet I have 14 tomorrow. I'm an LPN. The RN's won't see more than 3 visits and one start a day. They call all day everyday even up until 9pm. If I am not available I get "talked to". I do my charting in home, check my revised schedule each night and make my calls for the following day. My family is fed up that I'm working 12 hour days and coming home to work more. As well as being available via my cell. I am afraid to say "I cannot see anymore patients today." When is enough enough?!?

Maybe a rant, maybe a question. Just fed up. Missing my old company. In another state.

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    • Featured Replies

    enough will be enough when you really stand up and say it is, and mean it. You should only say it once, and then act accordingly when you need to.

    If they really keep wanting to pester you, bring up a compromise: how about the Rs taking an extra two or three to you taking an extra one, since you already have twice what they have. And when the HH give you a "talking" to, give 'em one right back. You take a chance here doing that, but it sounds likes you may be for the better to be rid of them.

    They are getting alot of free work out of you, remember that.

    Oh, and get a cell phone specifically for work.

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    Enough is enough when you find another employer and give this abuser your resignation.

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    • Experts
    Enough is enough when you find another employer and give this abuser your resignation.

    This is what it takes for a lot of employers, but only when you decide that you have had enough. Until that happens, they will take advantage of you, and probably laugh about your gullibility behind your back.

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    • Author

    Thanks guys! I went in yesterday and asked what I HAVE to do to be full time. They told me and I said I am available for two more per day than that and no more. I also said I do not answer work calls or texts after 530pm. So let's see if that works...

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    I would like to ask you, how is it possible to see more than 7 patients a day on a regular SN visit? That is just bad nursing imo. How can you do a full assessment? How can you actively engage and teach your patient? It takes me almost an hour to do one regular visit and with BCBS they demand you do an hour visit and we have a few of those.

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    • Author

    I can walk in, initiate conversation and keep it geared toward the focus area while I do a head to toe assessment. I complete wound care or the skill and sit down to chart while continuing to pull information from them during easy conversation. I recognize the area that education is needed, educate and chart. I can do it all in 30 minutes for stable pts but typically 40-45 min. Rarely an hour. I am an LPN so I don't do starts, recerts, or discharges.

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    • Author

    Also today was my day off (I don't get that many). I got a call from the office because I need to be available for my patients needs. I'm done as soon as I can find something. I hate to be a job jumper and the pay is great. But I'm done.

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    Also today was my day off (I don't get that many). I got a call from the office because I need to be available for my patients needs. I'm done as soon as I can find something. I hate to be a job jumper and the pay is great. But I'm done.

    your experience scared me. my maximum is 12.25 patient but they have to pay me for two days work this day, i do not work for free. so, find a new job, and get your RN.

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    Also today was my day off (I don't get that many). I got a call from the office because I need to be available for my patients needs. I'm done as soon as I can find something. I hate to be a job jumper and the pay is great. But I'm done.

    Out of curiosity, what did you say to them when the informed you that you no longer had a day off? Are you getting paid an on call stipend? Do they pay you a bonus when you get called out?

    I would recommend that on your next day off you do NOT answer your phone if your employer calls. That is a good alternative when one feels they cannot say NO without receiving some punishment from their employer.

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