Why HH nurses quit

Specialties Home Health

Published

I have decided the biggest reason home health nurses quit is no time off. You work non stop all day 8 am to 5 pm then get home and still have 2 to 3 hours of charting. It is nuts.

Blessings

~Golanv

Specializes in COS-C, Risk Management.

Yes, I found the OASIS in 30 minutes, but it's based on OASIS-B. Of course it won't be possible to do your complete admission assessment in 30 minutes, but this gives you ideas on how to combine things so that you are as time efficient as possible. One change I would recommend is that you do NOT get the consent form signed until after your assessment, in case there's any reason that you will not take the patient under care that you don't discover until the end. I just did a google search and found it. www.cfmc.org/files/hh-tools/30-Minute_OASIS_Assessment.doc

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Specializes in COS-C, Risk Management.

If the link doesn't work for you, PM me your email address and I will email the file.

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Specializes in ER, L&D, ICU, LTC, HH.

I handed in my resignation yesterday. I have 3 nursing home offers for employment and I am going to take one of them. I just can't keep doing 10 and 12 hour days even though I love the patient care. I can not deal with the micro management by RN's who have no brain either. Yesterday I was called into the office over not faxing a doctor. I had called the doctors office on 3 visits in a row for a patient having chest pains requesting the MD see her. I documented all about the chest pain and the things about it that were not present also. I went in depth about all of it. I explained I did not have a fax machine in the car and if I came to the office to fax every MD I called I would add 2 to 3 more hours to my day. Then the Clinical Manager actually sat there and asked had I referred the woman for PT. I nearly choked lol this lady having chest pains so lets just work out and give her a total MI. I thought to myself do they even think or they so hungry to make money that is all they think about. I think the director saw the horror on my face and said I think we should wait on PT until the chest pain is resolved. Thank God. I would have argued to my last breath to keep PT from happening. Maybe it is promote to the highest level of incompetency. I had 15 emails asking questions on my charts yesterday and all they had to do was read them. It is so stupid. I just don't get it. Any way I am still fighting for fair wages for home health and maybe I will return if that ever gets passed.

Love you all

~Willow

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Sorry to see you leave home health. Those people sounded particularly obtuse.

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Specializes in ER, L&D, ICU, LTC, HH.

They are and thanks. They are losing a real nurse not one that does drive by nursing. Their loss.

~Willow

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Specializes in COS-C, Risk Management.

Sorry to hear you're leaving, Willow. You've definitely opened up a lot of really good convesations here. I think your time spent in home health was not in vain, you just happened to get some pretty sucky agencies. I hope that you are much happier in your next position and if you ever make it to NE FLA, look me up!

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We'll miss you Willow!...

good luck to you.

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Specializes in Home Health.
Yes, I found the OASIS in 30 minutes, but it's based on OASIS-B. Of course it won't be possible to do your complete admission assessment in 30 minutes, but this gives you ideas on how to combine things so that you are as time efficient as possible. One change I would recommend is that you do NOT get the consent form signed until after your assessment, in case there's any reason that you will not take the patient under care that you don't discover until the end. I just did a google search and found it. www.cfmc.org/files/hh-tools/30-Minute_OASIS_Assessment.doc

We are required to obtain consent before we touch the patient. The consent is what allows us to do so.

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Specializes in Home Health.

Willow, best wishes to you. Please keep us posted.

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Specializes in Home Health.

Home health nurses think about quitting when it takes a minimum of 1.5 hours to do wound care on one patient. Ulcers to ble, profore to one leg, unna boot to another leg. Way too much for me, esp when the person wants to be seen late in the day and the hh nurse is prn.

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Specializes in COS-C, Risk Management.
We are required to obtain consent before we touch the patient. The consent is what allows us to do so.

I would suggest that you take this up with upper management. The consent is a binding contract obligating you to care for the patient within the terms of the contract. You do not need the service agreement signed to perform an assessment, but once it is signed, you are obligated to continue to care for the patient, even if that patient is not appropriate for homecare.

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Specializes in Home health was tops, 2nd was L&D.

WE also have to get consent signed first but if not admitted to services, we have a form (Medicare has specific one) that patient would sign to acknowledge they will not receive services and no charges will be rendered.

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