Re: How Hard Is It To Get In TO Hospice Nursing?
ITA that no nurse is an island, but in any kind of home health position, you are out there mostly alone. You will always have your coworkers to discuss situations with during case conference and your resource people if you have a protocol question. But when you are out in the field, it's just you and the patient (and family). Your assessment skills, your clinical judgment skills, your communication skills, all have to be above par. If there are other skills in your previous working life that mesh well with hospice and home care, then you are ahead of the game. However, you're not a nurse 'til you're a nurse, ya know? It's an awesome responsibility and my personal feeling is that you need to have some solid experience as an acute-care nurse first. It's not about cure vs. palliation, it's more about getting comfortable in your nursing skin. You have to be assertive yet gentle, learn how to read people and develop the instincts to know what they're ready to hear (or not). You have to learn to walk that fine line bwetween patients, doctors, family members. You have to learn to supervise CNAs and LPNs and other nurses.
I've been a nurse for ten years, and in that time I've done a little bit of everything. I've done LTC, cardiac tele, agency staffing relief, nursing education, dialysis. I am just now getting started as a hospice nurse, although it's something I've wanted to do for a long time. Years ago, I shadowed a hospice nurse for a case management assignment and was amazed at all the hats she wore in a week. The responsibility was overwhelming and she had the most amazing attitude, totally humble about being allowed to participate in a family's life that way. I hope that I can be as good as she was.
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