On to the field work, my first case was about 16 miles from the office. I arrived there on time as planned. The visit went well, the patient and family were very pleasant and thankful for my care. I did a little education on the patients disease and a new med she was prescribed. I also had to make my first call to an MD and this went smoothly as well, the MD got right back to me, so I was able to let the patient know the update plan of care within hours of seeing her :) I was pretty much done the visit within 20 minutes but a very concerned family member happened to call and wanted to speak with me just as I was about to leave. I spoke with the family and the vist ended up being 50 minutes! But I was still on time to see my next patient. This visit was just an observation/follow up. I just had to go and literally check on the patient. I was in and out in about 20 minutes :) thankfully the patient was doing well. After seeing my second patient I had a whole hr before I was due to see my last patient. I thought about calling and asking if I could come early, but decided that wasn't necessary. Instead I drove to a parking lot and charted on my first 2 patients, I made it to patient number 3 ten minutes early. This visit went smoothly as well, no issues. This was a teaching visit and the patient seemed to be doing well at home. I did my assessment and teaching and finished within about 20 minutes. My charting wasn't completed in the home because I could tell this lady just wanted me out of her house lol.
I arrived back to the office around 1330 and finished all my charts, chatted with my DON and got all my questions asked. finally my email acct was live so I was able to email report to the case manager to let her know all was well with the patients I seen today.
I must say I was pleasantly surprised with how well my day went. I still worry that I didn't do a good enough job, even though I'm pretty sure I did ok. I'm not feeling all that confident in documenting goals and writing out why the patient is still home bound, I really love the one on one patient care and I feel like I am really doing nursing care as opposed to the hustle and bustle of hospital nursing. I have time to sit and chat about anything the patient may be concerned about, I get to educate my patients, meet lovely families, see beautiful homes, eat when I want and enjoy the beautiful sunshine. My work day started at 9 am and I was home by 3! I know this isn't typical of home care especially full time, but knowing as a per diem nurse I can pretty much have everyday like this is very enticing. As I get more comfortable I will of course take more patients. I think I can defitenly do 4 now as I am much better with the charting. The hardest part for me so far was planning out my day.