I work on a progressive unit on which we care, primarily, for people with pulmonary issues (pneumonia, COPD exacerbations, etc), and we see our share of expirations, as well as a good number of transitions to palliative/hospice. Most of our patients are very acute and if we send them to hospice it's because they are going to die very soon, within hours to days, usually. In many cases, we terminally wean them on our unit.
Recently, I had the opportunity to interface with the nurse who comes down to do the admission evaluations for ip hospice placement. She's wonderful, but anyway, on a second visit she started asking me when I was going to come work with them. Evidently, between the patient family report and her own observation of me, she thought I would be a good fit.
I have to say, the idea of working where the family and patient have already crossed the rubicon as it were, and where the effort to "fix" what can't really be fixed has been stopped has a certain appeal, but I am not sure what to expect. I dont mind hard work, but I am used to three or four patients, albeit usually ones with multi-system failures who require a lot of management.
What is the usual patient load on an ip hospice unit? And if you could direct me to a thread which gives an outline of a usual shift I would appreciate it, or, if you like, just tell me here.