I recently accepted a case manager position in hospice. I've been on a few calls so far, including a death call, and the work itself i think I would love, and certainly don't see any difficulties in handling the load.
Here's what bothers me though...
When I interviewed the NM said...and if I notice you're looking burned out, I put a bottle of bubble bath on your desk as a hint to go on home and take some time for yourself. She also mentioned that we would be on call every fifth weekend. And an 'occasional' night of call for admitting.
Fast forward to the actual job.
First of all...we don't have desks. Nope. So it's going to be pretty hard to put a bottle of bubble bath on it. Warning bells started ringing in the back of my head.
The other day the NM went over the call schedule, and she was talking pretty fast, but there was the every fifth weekend all right, and every other monday and thursday. Er? Back up for the admitting nurse...during the day, it's okay.
Well...
Today I asked the case manager I was shadowing about call.
The deal is...every fifth weekend is for admitting. We have a policy that we HAVE to admit within three hours. So...admits can be night or day. Every other monday and thursday is 24 hour on call for everything. Death calls. Facilities wanting orders changed. Families that want help. Phone triage. Plus your normal work-day and normal case load. Now...I haven't had to do it so maybe it isn't as bad as it feels. But I'm nervous. And I haven't gotten my first paycheck yet, so now I'm beginning to wonder about the hourly pay promised. What if that isn't QUITE what was stated either?
An office person I was shadowing early on said, "we sure have been burning through the case managers." I'm beginning to get the glimmering of an idea why.
Okay...I've ranted a little. Now I'm wondering...is this a normal call schedule? It seems messed up to me. I was told they had a night nurse for call when I interviewed. So why is a case manager on call?
I would really love this work. I can see myself doing it, and being proud of the job I would do. But I'm old enough that I am not willing to kill myself for a job. I still have a son at home. I have a husband that I love and enjoy being with. I don't do well with lack of sleep. Am I in the wrong job? Have I just screwed up ROYALLY???
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