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Advice on hospice social worker role



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No. 10
Old May 15, 2009, 05:19 PM

Default Re: Advice on hospice social worker role
What did the supervisor say to all of this???

I am just not believing this. Good grief!
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No. 11
from Ms.Hobbes
Old May 15, 2009, 05:34 PM

Default Re: Advice on hospice social worker role
That was my question also. How can a nursing supervisor not recognize and support standard of practice, scope of work, etc. When I worked in home health and filled in for our hospice nurses we never had the SW doing patient care. That is just simply not their role.

Maybe you should pole other hospice nurses and see if they have SW's helping them. SW's are part of the interdisciplinary team, but each peace of the team does something a little different. Maybe you should ask your pastorial staff to start giving bed baths?? LOL

Good luck, hope it resolves itself quickly :-)
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No. 12
Old May 15, 2009, 05:34 PM

Default Re: Advice on hospice social worker role
She came to my defense on the nursing regs regarding privacy issues and patient advocacy - she is a nurse too. But mainly she let us hash it out.

The social worker still isn't convinced that nursing rules trump hospice rules.

steph
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No. 13
Old May 15, 2009, 05:36 PM

Default Re: Advice on hospice social worker role
Originally Posted by Ms.Hobbes View Post
That was my question also. How can a nursing supervisor not recognize and support standard of practice, scope of work, etc. When I worked in home health and filled in for our hospice nurses we never had the SW doing patient care. That is just simply not their role.

Maybe you should pole other hospice nurses and see if they have SW's helping them. SW's are part of the interdisciplinary team, but each peace of the team does something a little different. Maybe you should ask your pastorial staff to start giving bed baths?? LOL

Good luck, hope it resolves itself quickly :-)

The main issue is whether I should have asked the patient whether she could stay or not. Since we are a team, she thinks I don't need to ask at all.

steph
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No. 14
from Ms.Hobbes
Old May 15, 2009, 05:39 PM

Default Re: Advice on hospice social worker role
Well when I worked in home health or even in the hospital I would even ask them if they wanted the family members in the room during the more revealing assessments. It is common courtesy, sounds like the SW might be on a bit of a power trip if you ask me?
I always found my MSW's to be very helpful, resourceful, and respectful of our different roles.
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No. 15
Old May 15, 2009, 05:41 PM

Default Re: Advice on hospice social worker role
Originally Posted by Ms.Hobbes View Post
Well when I worked in home health or even in the hospital I would even ask them if they wanted the family members in the room during the more revealing assessments. It is common courtesy, sounds like the SW might be on a bit of a power trip if you ask me?
I always found my MSW's to be very helpful, resourceful, and respectful of our different roles.
I mentioned that and she came back with "This is not acute care - this is hospice and it is different". And since she has more training than I do, I don't know what I'm talking about.

steph
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No. 16
from leslie :-D
Old May 15, 2009, 05:57 PM

Default Re: Advice on hospice social worker role
Originally Posted by Spidey's mom View Post
The social worker still isn't convinced that nursing rules trump hospice rules.

steph
it should be of no concern to her about "nursing rules".
she should only be focused on her scope of practice and the hospice philosophy.

i found this link that gives much insight into the role of the sw in palliative/eol care.
i'm thinking it may benefit her to print this off and leave it on the bulletin board in the office.
(and to make it less obvious, a printout of the nurse's role, may take the focus off of her.)

NASW Standards for Social Work
Practice in Palliative and End of Life Care


http://www.socialworkers.org/practic...ds/default.asp

you may want to scroll down to "Areas for consideration in the comprehensive assessment..."
there is nothing remotely close that states sw part of physical assessment.
and being part of a "team" commands respect in allowing other members, to do their job.

leslie
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No. 17
from leslie :-D
Old May 15, 2009, 06:00 PM

Default Re: Advice on hospice social worker role
Originally Posted by Spidey's mom View Post
I mentioned that and she came back with "This is not acute care - this is hospice and it is different". And since she has more training than I do, I don't know what I'm talking about.

steph
oh, this is such bs!
yes, acute care is different...
but PATIENTS RIGHTS REMAIN THE SAME, REGARDLESS OF SPECIALTY.

yes, i was yelling.

leslie
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No. 18
Old May 15, 2009, 06:04 PM

Default Re: Advice on hospice social worker role
Originally Posted by leslie :-D View Post
oh, this is such bs!
yes, acute care is different...
but PATIENTS RIGHTS REMAIN THE SAME, REGARDLESS OF SPECIALTY.

yes, i was yelling.

leslie

Thank you - I tried to get that across many times but it was futile.

The nurse's role as patient advocate and protector of privacy is the same regardless too.

steph
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No. 19
from leslie :-D
Old May 15, 2009, 06:14 PM

Default Re: Advice on hospice social worker role
just continue to do what you've been doing.
should she be w/you at another pt's house in similiar situation, you excuse her from the physical assessment.
mrs. hobbes is right, in that i too, always ask spouses to leave bedside until/unless pt wants them there.

don't change a thing, steph.
you tell her that if she has a problem, to bring it to the boss.
in the meantime, it may not hurt for you to start writing any interactions down.
you just never know where this crap will lead...

leslie
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