RN Case Manager, Cleveland, OH - August 1, 2016
I initially loved working with the VNA, but the longer I'm there, the more I hate it. I'm now actively looking for a new job. Its a shame too, because when I started with the company, I thought I would be there for the long haul. Unfortunately things have changed so much, especially over the past 6 months or so, the current culture of things makes it impossible for me to stay. I love my patients, and some of the people I've worked with are just fantastic, that being said, it has become a very hostile place to work. It used to be that I never worked a weekend, then it was a mandatory one weekend day, where maybe I would see a few clients, so would be more like a half day. Now we are mandated to work several weekend days a month, it is a full day's case load, and are given last minute notice and absolutely no choice in the matter. If you have not specifically asked for that weekend off, they will schedule you. There is no compensatory time for working the day either, just OT, so just about every other week is a 6 day week! They are firing entire departments of support personnel, and have gotten rid of really great managers, replacing them with people who have the personalities of piranha. Staffing issues are insane, with case loads as high as 40+. They try and hire people, and in some cases before they make it out of the month long, incredibly difficult orientation, they quit!! There was a mass exodus out of the med surg department recently, and they literally don't have enough nurses to cover ongoing cases. Of course though, they continue to accept new patients, even when they can't admit the ones they have. The computer system that is used is so UN user friendly its terrible. They try and cram not only learning clinical paper work down your throat, but also trying to learn the computer system in one month's time. IF someone makes it out of orientation, they get a very short precepting time, and then are thrown to the wolves. New hires are so overwhelmed, and over worked...and honestly don't know, what they don't know, so don't know how to ask for help, that if they make it that far...many quit out of sheer frustration!!! We are being told we have to see 7-8 patients a day, which considering each patient is supposed to have an hour visit time, is impossible to do and still get charting done as well as travel from place to place to see the next patient. An average visit is approximately 30 minutes, during which time it is impossible to chart on the computer and really give the patient the attention they deserve, so actual charting time is probably 20+ minutes. Then there is travel. Oh yeah, and don't forget the 100's of emails, calling doctors offices, returning patient phone calls, showing up at the patients home and they aren't home etc. All the "fun" stuff that is home care nursing. Things are so disorganized its frightening, and many cases are being desk managed which is completely unsafe for the patients, because they don't have enough nurses for the the patients they have on the roster. Oh, and did I mention that the CEO just "quit" with less then 2 weeks notice? The rats are jumping ship as fast as they can, and if this company manages not to go under before the end of 2016 its going to be a miracle. As a health care professional this would be the last place I would work, especially if I valued my license.