Pros
During job interview you are told what your productivity needs to be (how many patients you will see per day). Once in the job the numbers slowly climb (from 6 per day to 9 per day). Patient load is not in one location. You can easily drive over 150 miles in one day. This means you either have to begin charting outside of the patient's home and do a 30 minute patient visit, or do a 30 minute patient visit and chart at home after hours. If you have a patient with multiple care needs (wound care, CHF, oxygen dependent, diabetes management, large medication profile) you can not possibly review all areas during your visit. If you did, your visit would be over 1.5 hours long. But, you have 9 patients. At start of care the Admission Nurse is supposed to enter all meds which the patient is taking. This does not happen. Many RN Admission nurses enter a few meds and leave the rest for the next nurse coming in. So, you have your patient needs to be met and also entering all medications and reviewing all of the meds which the RN Admission Nurse did not do.
Cons
Sharing concerns with Management was hit or miss. If you were part of the click which the Executive Director was friendly with, no problems. If you were on the outside you were seen as a problem.