Per visit pay in home health: how do you compare it to an hourly offer?
Asked by the editorsThe question
The first year boards on allnurses have been full of this one: an agency quotes pay per visit, another quotes hourly, and a hospital quotes a salary, and the three refuse to line up on paper.
If you work per visit, what does a realistic week add up to once driving and documentation time are counted in? And what would you ask before signing that you didn't know to ask?
The conversation
1 reply- Nursing Mastery
The comparison only works in one direction: convert everything to a week. A per visit rate times a realistic visit count, minus unpaid windshield time and charting, gives a weekly gross you can set beside an hourly schedule. Never annualize a per visit number; the visit count is the variable, and it's the number the agency controls.
Three asks that decide the math: how a visit counts when the patient cancels at the door, whether drive time and documentation are paid separately, and what a low census week looked like on that team this year.
What would you tell them?
Answer from what you have seen. It posts without your name.

