Re: questions about hospice
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My hospice makes broad use of LPNs (of which I am one.) I strongly suggest that you have hospital experience before working in hospice. School just doesn't prepare you for what you will see, and the fast decisions you need to make. You will always have a RN to call for backup, but sometimes you have to make the decision that handles the immediate situation. There's no place like a hospital to prepare you for that.
I work for the Continuous Care team. We spend 8-16 hours with one patient, usually in their home, occasionally in an ALF or nursing home. We are a support team to the Primary Care Nurse, who calls us in when a pt is actively dying, or there is a change in condition, or if the pt has just come home from the hospital or hospice house. Many times there are new meds, new equipment, a newly bedbound pt, etc, etc. and the family needs teaching... sometimes lots of teaching. We are the eyes and ears for the PCN, and usually, if we call, they listen. I would not have been comfortable in this position without hospital experience, as well as home health experience. (Home health agency work is a great way to get experience.) During my shifts it seems that I am either jumping all the time, or watching paint dry. The work can be VERY boring. (I've completed my entire RN coursework via distance program while doing this job.)
The hospice I work for also uses LPNs in the Hospice Houses. All positions are offered PRN or full-time.
Again, I'd encourage you to get hospital or LTC experience before working for hospice. (I think my hospice wants you to have 2 years experience.) I work with two new-grad LPNs, but they are mature, with previous careers and lots of life experience, and both graduated in the top of their class. They are truly exceptions.
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