I did long term care before Home Health, and I gotta tell you, my CNAs and Med Techs were the bomb! They were my eyes and ears on the patients, the ones that truly knew what was going on. I had too many patients to get to know them on the level the aides did.
I hate hearing nursing homes having problems like that. I worked at some great facilities I guess--I just thought it was normal care, but when I hear things like that I realize we must have been stellar! We had lots of residents who never had family visit, and they always received good care.
I have to say, I always kept someone in the hospital with me, though. From June to November I spent 10 weeks total in the hospital, and I always had someone else with me--my honey, my mom, sister, friend, etc. Even being alert and able to speak for myself, and a long time RN, I just felt safer having that second set of eyes. I highly advise anyone staying in the hospital to do the same, even if the staff doesn't like it.
Our home health agency has a folder we're supposed to leave in the home, with the RN case manager's name and number.......most of us like to make up a bright orange sheet with the agency number, RN manager name and number on the fridge, usually next to the POLST or advance directive--makes it easy to find, and the first place EMTs check. Maybe your agency could do something similar?
My job before I got sick was to monitor our high risk patients and try to prevent as many hospitalizations as possible, so I was on the phone a lot with our HHAs, and scheduling prn nursing visits. Sometimes we could keep them home, sometimes not--you just can't treat everything at home!
HIPPA prohibits posting such info on the fridge (MOLST and DNR excepted) The fact that the person has a nurse/aide coming to the house isn't to be posted. Hmmm...cuz why? Did I meantion that common sense is not allowed? And yes, they leave a folder. Try getting that info out of a dementia patient. Most file it and *I* never see it.
But there are some who nurses care. And some that don't. Some Case managers that are awesome and some that just phone it in.
I work for an agency and rarely do I have a case where I am not asked "do you do private duty when not working for the agency?" Why? Because I care and it shows. But I can't be cloned, so you get what you pay for. (And I make minimum wage. Boohiss)