Problem 1: It’s difficult to understand the overall condition of your patients because you rely only on the information you receive from family caregivers over the phone.
You do your best to understand each patient’s condition and then to prioritize visits based on need. But we all have stories of a nurse rushing out the door first thing in the morning to drive across town, only to discover that her patient was doing quite well. These stories are annoying, but forgivable.
There is a dark side to this same story, when a patient who needs care soon because of worsening condition, but your team didn’t understand how bad it had become because their caregiver didn’t tell an accurate story. You arrive late in the day, sometimes too late.
You have trouble sleeping at night. Your heart hurts.