I am to start a new hospice case manager position in a few weeks, and am freaking out a little bit inside. Looking for your thoughts on a bunch of questions...appreciate any help or insights you can lend.
1. What do you wear? I know this sounds silly, but I forgot to ask if the case managers wear street clothes or scrubs? I'm thinking street clothes....but I don't know. If this is the case, I need to get shopping, as I'm currently a critical care nurse with a closet full of scrubs and then jeans.
2. What's the absolute worst part of your job? (Appreciate specifics, here...I've already been told about the horrors of the paperwork -- what kinds of charting are to be done on each patient/visit, i.e., WHY is there notoriously so much paperwork?)
3. The facility I will be working for has a lot of its clientele in skilled nursing facilities and assisted living facilities. If you work in this way, how do you get along with the facility staff? Do they resent your being there? Do they "dump" on you (i.e., leave patients unturned and in soaked briefs because they know you'll be coming soon?).
4. How big is your case load? I'm nervous about this; one person at the company said 10-12 patients; the other said 10-15.
5. As a case manager, how much time, on average, do you spend with each patient, and what do you do in that time? I've been reading on here that an average visit should run about 30-60 minutes. That seems so short to me -- what can honestly be accomplished in a half hour other than a set of vitals and an assessment, maybe a turn or dressing or undergarment change? I'm going into this specialty because I want to bond with the patients and their famillies -- not do a "drive-by" assessment in 20 minutes then have to chart about it for two hours. Am I too idealistic to believe that I'll actually have a chance to get to know my families and patients?
Tons more questions, but I'd be happy to get responses to these. Thanks again, so much, for your time?
Oh, one more thing...what's your favorite thing about being a hospice case manager?