Home Nursing Visit, Two Hours

Details

Two hours with a registered nurse, one patient, doing the practical work of care at home: vitals, medicines given to the written chart, catheter and tube care, wound dressing, pressure area care, repositioning, feeding help and mobility support. Nothing is done outside a doctor's written orders, and that is a protection rather than a limitation. A nurse acting on what a family remembers being said on a ward round is how a dose gets doubled and how a medicine that was stopped keeps being given. So the discharge summary and the current prescription are what the visit runs on, and where those do not cover something, the answer is to get it written rather than to improvise it. Everything done is written into a visit note left WITH THE FAMILY, every single time. Not carried away to a file. The note is what lets the next nurse and your doctor start from the same page, and it is the only way a family can see that what was paid for was done. Consumables are billed at cost with the purchase bill shown. Dressings, catheters, syringes and gloves are where a home nursing bill quietly inflates, because nobody knows what a catheter costs. You will see the bill. The time is stated because two hours sold without a clock becomes ninety minutes. If the work genuinely needs longer you are told BEFORE the extra time starts and it is charged in thirty minute blocks at Rs. 175, which is the same Rs. 350 an hour this visit is priced at. Nothing is added afterwards. No arrival time is promised. You are told the day and a broad part of the day and nothing narrower, because no visit has ever run from here and a promise with no history behind it is a guess wearing a suit. Vitals Clinic at A.P. Colony is not open. There is no practitioner in post, no premises registration and no appointment book, and this page does not pretend otherwise. What is written here is the specification: the qualification the role requires, the register the person must appear on, and the licence the premises must hold. Booking opens when those exist, and not before.

• 2 hours, one registered nurse, one patient
• Vitals recorded, medicines given strictly to the doctor's written chart
• Catheter, tube and wound care where written orders cover it, pressure area care and 2 hourly repositioning
• A written visit note left with the family every time, not carried away
• Consumables billed at cost with the purchase bill shown to you
• Overrun charged in 30 minute blocks at Rs. 175, told to you before it starts and never added afterwards
• Travel within 8 km of A.P. Colony, Gaya included. Night visits after 9 pm are Rs. 200 more, said before you confirm
• Female nurse where requested, said at booking. No arrival time is promised