Hospice4me

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1. Negativity????!!!!!!!

   Hospice4me replied to Hospice4me's topic in General Nursing

   Our secretary just completed our office newletter with the saying : "Attitudes are Contagious. Is Yours Worth Catching?". When I read it I told her that I was glad that I wasn't the only one who felt the negativity had gone too far. We had a group of...

2. Negativity????!!!!!!!

   Hospice4me posted a topic in General Nursing

   Is anyone else experiencing this? We are having a problem with negativity in our office. :smiley_ab :argue: It seems that if one nurse says something negative, then they all jump on the bandwagon. It seems that it is all just one big gripe session. I...

3. What's your story? Why did you take up nursing?

   Hospice4me replied to Joe V's topic in General Nursing

   I decided to go back to school 5 years after graduating high school. When I considered what to go back to school for, I looked in the newspaper and saw many ads for RNs. I thought "I could do that" and that was that. I was off to nursing school. I gr...

4. What is the ideal caseload?

   Hospice4me replied to Hospice4me's topic in Hospice

   Much of what you say is true. We do continue to take on additional patients without considering the staffing. We have asked many times at what point they would stop admitting. Unfortunately, the way we are set up, the department admitting is separate...

5. How long are your IDT mtgs? And content?

   Hospice4me replied to Cing_angels's topic in Hospice

   I don't know what state you are in, but if you were surveyed by our state and they found that you were having such a bare bones IDT, you would receive a condition. The purpose of IDT is to CAREPLAN on patient problems, add interventions, and allow th...

6. What is the ideal caseload?

   Hospice4me replied to Hospice4me's topic in Hospice

   We are on salary, so we do not get overtime. Of course, that means that all of the nurses are working over 40 for no additional money. However, because we are salaried, it allows us to be very flexible with our time (when our caseloads are at the rig...

7. What is the ideal caseload?

   Hospice4me replied to Hospice4me's topic in Hospice

   Penny4URthoughts......Fortunately, we do not have that problem. Our policy is that EVERY death or impending death requires the presence of the RN/RN on-call. We also provide 200-400 hours of continuous time care per month for dying patients. I am tha...

8. What is the ideal caseload?

   Hospice4me replied to Hospice4me's topic in Hospice

   Unfortunately, at a caseload of 15 or more it is all the RN can do the make the minimum visits. Heaven forbid someone is not doing well and needs extra attention. I feel like the all need extra attention!! Req Read you are right that it seems like th...

9. Nursing Shortage

   Hospice4me replied to olichi's topic in Safety

   Wow, I guess some places can afford to get applications and not hire anyone but not here! I think that the lack of slots in nursing programs is a major problem. We are not graduating enough nurses to keep up with the need. We are short staffed now. W...

10. What is the ideal caseload?

    Hospice4me replied to Hospice4me's topic in Hospice

    I am glad to hear that I am not the only one that thinks 10-12 is the ideal caseload. I posted the question to get some confirmation that our caseloads are too high. I have had as many as 23 patients by myself! As far as the question of weekly assess...

11. What is the ideal caseload?

    Hospice4me posted a topic in Hospice

    What is the ideal caseload for a RNCM? What if you have a LPN to help you?? I think they overwhelm the nurses where I work. We have 25 patients per RN with a LPN. We have 15 patients per RN without a LPN. We do you guys think?

12. frustrated and overwhelmed

    Hospice4me replied to kelluvanurse's topic in Hospice

    Unfortunately, I already have been doing what you have suggested for years now. I even give a questionaire that can be sent confidentially to our VP. I have not received a negative comment other than that the nurse were offered more money and NO on-c...

13. frustrated and overwhelmed

    Hospice4me replied to kelluvanurse's topic in Hospice

    I do work for a for profit, however, I have worked for them from the time they were a tiny new hospice and can say that they do care about the patients and the staff. I feel that the ideas and feelings of the staff are being listened to and I am work...

14. Acute Hospice Care Crisis?

    Hospice4me replied to leslie :-D's topic in Hospice

    Oh...I wanted to say that I worked in a critical care unit (pre-hospice years) and we used Diprovan only on intubated patients. We also used it in surgery for general anesthesia. I have never heard of it used for pain control in a non-intubated patie...

15. Acute Hospice Care Crisis?

    Hospice4me replied to leslie :-D's topic in Hospice

    I cared for a close friend's father for the last few months of his life as his hospice nurse. One day I was called to the home as he was restless and agitated. I knew he was actively dying. My friend who also is a hospice nurse was at his bedside. I ...