The programs are still new, so it's not clear where cost savings will end up, or how those savings might be passed on to patients, but the American Hospital Association says early data show there are also potentially big cost savings from lower hospital readmission rates for patients receiving care at home. We are paid on an hourly basis but typically work a set amount of hours per week (typically 32). Then change it. Marcia Elder "They use physical therapy or skilled nursing care less. (This is a great benefit because I was able to make it to a family lunch gathering and was able to schedule my patients after lunch). As a result, at-home hospital care is fast becoming an option for acute care for many conditions, even for treatment of cancer, or for patients like Elder, recovering from complex procedures. Post-pandemic, even hospital care goes remote. Check out my Non Traditional Nursing Jobs Workshop! I have been working at home health for 6 weeks and hate it. Risant Health | Kaiser Permanente A BIG factor is the agency you work for. I am an RN for a large home health company, get paid per visit, we use the point system and we use OASIS. Her experience spans emergency departments, cardiac units, pediatric urgent care, and occupational health settings. Let doctor's offices know when you expect a call back. Local paramedics and transportation are on call, in case a patient must be readmitted, for example. It really takes half a year at least to get even used to home care and getting the hang of it. You're on your feet for 12 straight hours (if you're lucky; many nurses work up to 14 or 15 hours a day! Is it the hours? Trinity Health Mid-Atlantic 3.2. By the time you get home, you're too tired to enjoy your free time and just fall into bed. The hardest part about growing a business is the marketing & sales side. ), and you hardly ever get to have a real break to rest or even eat. I thought it would make my work/life balance easier since I would be home at night and able to spend more time with my wife and small kids. Hospital patients get three meals a day, not always at home. Fired: What Are the Differences and How Do They Affect Your Job Search? And maybe its partially from going from a crazy trauma unit to people complaining about a cold here in primary care, but Im SO over this career and whiny patients. Try hard to document as much as possible at point of care. Change is healthy and it could be everything that youre needing. I'm a New Nurse and I Hate Bedside NursingNow What? PNW Aging Specialty Services can help. Partnership Brings At-Home Specialty Care to Patients with Heart Failure In these 60-minute sessions, learners can bring related questions to share via chat or voice during the Q and A part of the session. Effective immediately, it is expected that all providers use the EVV vendor of their choice for every home health visit. The positives might seem to outweigh the negatives, theoretically. The more complicated documentation for certification / OASIS I safe for the office because I need to focus more but I still get as much done right with or right after the visit. As a result, the nursing profession has felt an extreme pressure unlike anything in the history of nursing.