OUTPATIENT NURSE | DAY IN THE LIFE NURSE VLOG | HOME HEALTH RN
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- Опубліковано 28 вер 2024
- Interested in leaving bedside nursing? Check out a day in my life as a home health RN. I recently started my job as a home health nurse with 1 year of RN experience. When working as a field nurse, there is a lot of autonomy! You also have to be very organized. My current schedule is M-F, 8-4:30PM with some days working overtime. If you love creating relationships with your patients and having control over your schedule, definitely check out home health nursing.I hope you guys enjoy these types of videos!
Again, if you guys have any questions you can reach out to me on instagram at Kriziaann__
Yo, I just wanted to thank you for the actual specific examples and the actual processes in being a hh nurse. Like I'm interested in transitioning from bedside cause I'm so burnt out. This is the first video that gave me an actual idea of what I might be doing such as the lab draws etc. Thank you so much! The autonomy is really what I'm excited about.
Thank you for watching!! Yes, home health is soo rewarding! Never felt burnt out, so much support from my teams, & making my own schedule makes me feel like I’m not working! I’m not tied to a schedule or stuck in one place!
‐😮I'll
Thank you so much for the video! It gives me a good idea of home health nurse. You are awesome! Please make more contents like this!! I want to be a home health nurse!
Loving these uploads. Inspiring me to get started on my UA-cam journey. HH doesn't get enough shine. Don't forget to write off those gloves on your taxes!!
Thank you so so much for showing the big picture and the little details. You're an awesome teacher. I've been out of work for a while now trying to get back in it. Not sure where I'm headed (:
Off topic, but your eyelashes are so beautiful! Thanks for sharing about your day as a home health nurse :)
This eas soooooo helpful keep it real. I just started my journey as a hhc nurse nervous but I need the flexibility nothing else gives me that
Thank you for being so transparent and share your journey 🙏I am thinking about trying Home health but I not sure if it will be for me yet.
Of course! Thank you for watching! Let me know if you have any questions!
Hospice RN case manager here! Just curious what charting system your company uses. I may make the switch to regular home care case management in the future, but I'm hesitant because the main complaint I hear about with that is the charting!
Devero! It is a lot of charting! Normal visits are about 2 pages, which is a full body assessment. Then typing your education/intervention. I’d say each patient charting takes at least 10-15 mins. Admissions take about 30-45 mins
How many nurses screaming LAVENDER when she said cbc lol
Me😂
I like how real this video felt
Can you choose an area? For example, if you live in a big area like LA county can you only say you want to do select cities and their neighboring cities?
its useless to try to reach physicians; most of the time they do not answer. Great report!
So is this hourly or salary? Just curious because if you’re behind do you get paid for that?
How many weeks was your orientation prior to being on your own?
Love the videos! Do you recommend a new grad nurse to get into home health or would it be difficult to transition? Thanks in advance!
Hi! Sorry for a late response, if you’re good at taking initiative, making decisions, and not afraid to try new things or failing, home health is great to way to learn! The patients aren’t acute but you learn a lot of critical thinking skills!
@@nurse_krizia how long are you at a patients house? And can you know ahead of time if a patient have pets?
@@BishimDeja it depends, can be as little as 30 mins or up to 2 hours. Sometimes they tell you ahead of time or when you call the patient to schedule, you can ask them and kindly ask to put them away during the visit.
@@nurse_krizia thank you!
Why did you switch from hospice to HH?
Hi Krizia! Thank you so much for all the insights. I’ll be transferring from ED to HH. If it’s ok to ask, are HH nurses paid per visit or hourly? If per visit, how much usually is the range? And is there a mileage/gas allowance? Thank you so much!
HH nurses can be paid hourly or per visit. Per visit ranges from $50-85 for follow up, $100-120 for recert/discharge and up to $150-160 for admission
I believe Mileage is 0.53 cents per mile, some only pay for mileage after a certain amount of miles. For example, if it’s less than 20 miles they reimburse mileage
@@nurse_krizia thank you so much! is it realistic to do 8 visits per day?
@@kevinbarbin8540 it is, but you’re gonna feel rushed at every visit. If it’s simple visits, yes it’s doable but sometimes things pile on during the visits.
@@nurse_krizia thank you so much for the info. last question though, do you advise purchasing an ipad for the initial charting/documentation during visits? or it is more convenient if I do it on my phone instead? Thank you!
are you hiring from the philippines im interested of home care.
You should invest in blue light glasses since u are looking at screens all days!
I'm starting my HH nursing journey next week as an LPN and I am nervous but excited! I'm also burnt-out working at SNF setting...
I’ll be looking forward to you videos. I’ll be start home health next week. I could you do a videos on doing the SOC/admissions?
Do you plan to share your journey?
@@AccordingToTawanda I do want too!
Check out pediatric home health nurse
Hello! Yes I can do a SOC/admissions video!
thank you for sharing your journey, I have just started in home health as a Nurse. I also have 1 year of experience and i'm just trying to wrap my head around the entire job role. I would love to ask you some questions when you have time :)
Hey! Send me a DM on Instagram @kriziaann__
Are you still liking it?
This is really interesting to see what nurses do in this field. It's not for me but this was really informative
Hi ICU RN here! Do you work Monday- Friday? Or do you make your own schedule? I’m very interested but I’m not sure I can do Monday- Friday. Are you also on call and work holidays?
Do you normally leave late/early before your shift is over? Sorry so many questions :)
Hey! Yes I work Monday-friday schedule from 8-4:30PM. I make my own schedule, such as appointment times with patients. If I need to deal with something like take my dog to the vet/groom etc, I schedule around that. Some people schedule around their kids school schedule. You determine how many patients you see daily, as long as you meet your weekly quota.
No on-calls, and one weekend shift every 4 weeks.
Once I see my patients, I head home to finish charting. I usually finish around 2:30 on a good day or work until 4:30 and still chart after.
@@nurse_krizia thank you so much for your reply! So as long as you meet your points/patient quota you still get paid regardless of you going home early or not? I’m really nervous leaving my 3 12s for a Monday- Friday!
@@joceytorress yes, as long as you take care of your patients you make your own schedule!
@@nurse_krizia Hi, I might missed it in the video what is your weekly points/patient quota? What happened if you don't meet them? Thanks for you answer!
@@EmjayBB22 28 visits a week with 4 of those admissions. I usually like to average 6 visits a day. If you’re consistently not meeting the quota, they will talk to you about it/possibly let go.
How is the traffic in southern California for visits? Does the agency keep you assigned to a territory, or do you have to branch out all over the place?
Depends on where you live! Los Angeles, horrible and can probably take you up to 30 mins between each patient.
My employer kept me in an assigned territory but sometimes can be 30 mins from one patient to another. That’s why it’s important to group patients in the same area on the same day. Also depends on the census, if they don’t have a lot of patients to see, they send you all over the place wherever the patients are.
Thanks for sharing Krizia! I am going to start nursing school soon! Is it possible to work in home health as a grad? I am looking for something at a chill pace rather than fast paced consistently for 12 hours
Usually they like for you to have at least one year of experience
Keep us posted
Anyone here who needs help with charting and documentation for home health, please let me know.
Yay.. I'm a newly licensed and will have orientation soon 😍 I can't wait... Thank you for this video.. I will be watching toget some insights, I did caregiving job during my NCLEX review and really enjoyed it !!!
Hi, Are you based SoCal? I am interested and want to apply as a homehealth nurse coz im tired of bedside nursing, may i know which company are you working for and are there available positions? i have 15+ years experience and currently working in inpatient rehab setting. Thank you.
May you please answer these questions for me
is LVN allowed to give IV in CA
And is there a caregiver in Home Health?
I love your videos. Your day is pretty busy. Thanks for sharing with us.
Thank you for watching! It was pretty busy!
Which Home Health Company do you work for?
Do you get payed per visit and how much ?
Can't hear a word you're saying
Did you leave hospice?
Yes I did! I wanted to do more case management than just admissions. Now with home health, I’m able to do both! With home health I’m also able to work on my skills.
Do you use the oasis system for charting
Love thiss
hey, im a behavior tech, and im going to have to go to someofmyclients home(kids) would you say youve had an overall good saftey experience while going into people's home alone???? any feedback or tips would be helpful?
Yes! I’ve never had an issue or felt in danger going into a patient’s home. I feel that the patient’s feel the same way when letting a stranger into their home. I be as respectful as I can when entering (taking off shoes), non judgmental as some homes I’ve walked into are filled with personal belongings everywhere (hoarding)
Great video! I’m planning on starting home health nursing soon
How long do you spend on a new admission case?
Depends! Fastest is about 20-30 minutes visit, then another 30-45 mins on charting. Charting is about 15 pages but most of it is clicking. Then need to complete a medication profile of all meds.
@@nurse_krizia wow! Is this an oasis soc assessment done in 20min??? plus getting consents, vitals and performing any teaching and/or performing skills you're there for (gtube, wound vac, wounds, IV). How do you get that done in 20 min? I'll admit, my fastest soc in the home is 45 min and that's someone with no wounds or skilled care to perform. Just not sure how you get thru consents, vitals, education, med rec, assessment, and leave the pt understanding what's going on , in 20 min. Shoot, med recs alone can take 30 min if they've got meds all over the home.
@@blessedx2rn just looked back at my response and feel like I need to explain myself more. lol I definitely feel like the demographic of the area/situation and needs of the patient affects how long an SOC can take. The fastest SOC I have had was 20-30 mins, and this is a perfect scenario. A perfect scenario is a patient who is organized, keeps track of all meds in one place(patient in a board and care or facility with med techs, list of meds, those who use pill boxes, separate meds in ziploc bags for AM/PM) etc, discharged home with no skilled need. I also get d/c notes, hospital records that I review before seeing my patient. I pre-fill the OASIS and medication list before seeing the patient and review it with them during the visit. I do as much as I can before the visit so that helps me a lot for the visit and finishing on the charting.
@@blessedx2rn I would say average is at least 30-45 minutes for the visit, fastest 20-30 minutes, longest would be 1 to 1.5 hours. It really all depends on the patient, living conditions, etc.
I just found your video and I love it!
Thank you… so helpful
I love it!! You said i love leaving messages 😂😂 sounds just like starting in 2 weeks I’m nervous
Lol I love leaving messages! Gives me less anxiety 😂
hi maam. may i know which state you are working as a home health nurse?
California!
I wish my SOC charting only took 45 minutes 🥴 we use OASIS and visit and charting together takes 2-4 hours usually
same thing for me
I can help with your charting and documentation.
You are 5 hours in the field and then 3 charting? Or 8 hrs + 3 for charting ? 12 hrs a day?
Everyday is different, 8 hour shifts 5 days a week. Busy days can be 5 hours in the field (includes driving and visit time with patients) and charting for 1-3 hours at home. Other days less hours in the field. When employers pay per hour, you get paid your full 8 hours even if you don’t physically see patients or chart for 8 hours. For example some days I have no patients or only see 1-2 and still get paid my full 8 hours.
But if u are charting past 8 hrs of the day do u still get paid the extra?
@@claref2281 no you don’t. If you do 2 or 3 admissions its tons of paperwork most likely you’ll do more and not get paid. The expectation is you do your work regardless
Hey I'm gonna start home health soon as a new grad. Any helpful tips?
Don’t be afraid to ask for help! Always call your supervisor for everything or when something feels off.
Time management is so important! When scheduling patients, give them a 2 hour window. For example, if you plan to see a patient at 1:30, say you’ll be there between 12:30-2:30
Yes they repeated themselves so many times about asking for help. I'll definitely know that. I'll have more idea about what questions I need to ask once I start. Right I just don't know what to expect. How many visits do you recommend I should do in a day?
@@shahinahalani5115 starting off I’d say 3-4 max! No more than 1 SOC in a day. Do a focused assessment and prioritize on what the patient needs the most help with. Med management, education, etc. things to watch out for, when to call 911.
Don’t ever give your personal number! Refer them to your agency if needed
Thanks! If you can make a video about emergency situations and when to call for help that will be very helpful. :)
What’s your scheduling like? I work in the ICU and I work 12 hr days but 3 days a week. I pick the days I work though, which is nice.
Monday to Friday, 8:30AM-5PM, 8 hour days 5 days a week, every weekend and holidays off, except on call rotation which is once a month. I usually see patients from 9AM-2/3ish then spend the rest of the shift at home/coffee shops charting. Not all days are the same, some days i’m busy and see 4-5 patients, other days are easy and I see 1-2 (still get paid 8 hours even if I end my day early). I schedule my patients, so depending on the day I can start early and end early or start later and end later. This type of schedule works best for me as I spend my nights going to the gym or hanging out with friends.
@@nurse_krizia that sounds so nice! I work night shift and I’m getting so tired of it, and I’m not sure how much longer I want to work bedside. Do you get benefits through your agency? Like medical, dental, etc?
@@Taymariecook girl I understand! I worked night shift too as a student nurse (mostly CNA work) and I’m dead the next day, can’t even function. Yes, we get all the same benefits (medical, dental, vision, 401k, etc) medical benefits just may not be as good as the hospital, unless the agency you work for is associated with a hospital