I'm a "newish" RN. passed NCLEX in Jan '09.
I was an lpn for two years in a ltc facility. I just accepted a job in hospice as a home case manager. when i was in lpn school we had a lecture on death, dying and pain management by the lady that i'll be working for. she made hospice sound like such a wonerful and rewarding job...is this true?? i'm a little worried about going into people's homes though...I think i would be more comfortable working in the hospice house as a "newish" RN but there wasn't any openings...this will "get my foot in the door"
Does anyone have any suggestions/tips/advise for me concerning gong into homes?? The nurses that do the home care there say after i've done home care for a while i will not want to work in the house because of the schedule flexibility that i'll have doing the home care...is this true???
Just needing some advise
It is helpful when going to do an admission, first pull out all the paperwork that will need to be signed by family and set that out to one side with a paperclip. If you have a folder that you will be giving to family, put all the packets for their information on one side (stuff for them to read later including your end of life book). I only go through legals and do the careplan with the family, then do the physical assessment while in the home, and go over the 24/7 coverage by the hospice team... As long as patient is stable, I can usually do this within an hour. I tear off any copies that they have signed and put them in the other side of the patient folder. give them stickers for their phone. As for their medications, I tell them I will bring a copy of their medication list on the follow up visit (that way I have a chance to put the meds in the eho system and print out an MAR and mark WHAT IS COVERED based on their diagnosis). The second visit is usually 1-1.5 hours to reinforce hospice services and a nursing physical assessment.
The last two admissions I have completed, i've been suprised as the families thought medicare/medicaid would provide nurses 24/7. I reinforce that we have an inpatient unit for patients in rapid decline, or for respite...
as for working at an inpatient unit. I LOVE our inpatient unit, and I still work there PRN during the week. I work the weekend on call for our homecare hospice patients and I love the flexibility. If I didn't do the weekend job, I would like to work full time at the inpatient unit, because you do your shift and you are done. Thirdly I would work in the field monday through friday, there is alot of driving and you have a caseload of 12-14...
Last edit by AtlantaRN on Aug 11, '09
: Reason: to add information