American Train: I swear we must work in the same office.
I am serious. Unfortunately, I do not feel safe indicating where I work. I, too, am looking for a new job. The director of the company I work for is definitely more interested in the bottom line (and padding her salary) than in patient care, although she puts on a good show when she needs to do so.
We have one LVN who is very willing to see patients, another who is definitely NOT willing to do so (unless specifically told to do so by the PCC). We also have caseloads of 16+ (which might not be a lot for some people, but literally ALL of the nurses in my office are about a week or more behind with documentation, even when putting in the extra hours) and are expected to take call and do admissions. I always work at least 50+ hours per week (usually more) salary. I and the nurses in my office have stated multiple times that we are overwhelmed and that we need to have more manageable caseloads, but when this concern is addressed, the director mentions the census - basically, the caseloads have to get high enough (too high) that it warrants hiring a new RN, and then the caseloads drop to a manageable level for awhile - and then the cycle begins again.
It is very sad to me as I truly love hospice and my patients and families (and most of the nurses with whom I work). It just feels as if I am being sucked dry.
Nursing (especially hospice nursing) IS a "calling", but for me, being a wife and mother is also a calling - and for me personally, it is a higher calling than any career. I just don't feel I have the time and energy to give to my family with this job (and my family confirms this).
Hopefully, I will be able to find a position at an agency that has more ethics than the one where I currently work - I will, however, have to be very careful when I apply, as every agency is going to claim to be ethical and "patient centered" whether they are or not. American Train, I hope you have had good luck - please wish me the same!