Got a Per Diem Hospice position

Posted

Finally I was able to secure a PD Hospice position at my local hospice after searching for a whole year for an ARNP position! I am nervous but excited at the same time. The Medical Director will train us and teach how to dictate our notes. I go back on Monday to get finger printed and to finish the rest of the HR stuff plus pick up my guidelines and protocols. Anyone have any pointers on documentation and what to focus on? Thanks for your feedback!

nursegreen

nursegreen

179 Posts

Congratulations on your new position!

Shaggyb2000

Shaggyb2000

38 Posts

Yeah, can't be any help with documentation but I can add my congrats! Congratulations!!!

reddgirl

reddgirl

253 Posts

Lol!! Thanks all!!

jenniferm1023

jenniferm1023

30 Posts

Do a search on "palmetto Medicare LCDs" if you are going to be doing face to face visits and you can print the active LCDs. This helped me quite a bit when I started doing face to face visit because they list the requirements for each diagnosis. This helped me with documentation.

reddgirl

reddgirl

253 Posts

Ok. I think this is the handbook I'm supposed to be picking up this Monday with a dictation summary card the the Medical Director made for us. When I did hospice it was called the Palmetto GBA guidelines. Thanks for your feedback. I'll go and look that up until I get my guidelines on Monday.

TX RN

TX RN

Specializes in ICU, CV-Thoracic Sx, Internal Medicine. Has 11 years experience. 255 Posts

Hospice and palliative care is going to be the next BIG thing. Many of the ACO's are ramping up by recruiting palliative and hospice trained providers. Congrats on the new job. I think it can be a great opportunity.

reddgirl

reddgirl

253 Posts

Thank you Texas RN! I'm nervous but also very excited! I go in on Saturday morning for 2 hours to start seeing my first patients inside the IPU with the Medical Director. It per diem but at least it's something on my CV. They will be opening up a palliative care program soon and us PD'er will be considered for FT positions first before they advertise outside. I think this will be an excellent learning experience for me.

SlyFoxRN, BSN, RN

Has 1 years experience. 1 Article; 137 Posts

Thank you Texas RN! I'm nervous but also very excited! I go in on Saturday morning for 2 hours to start seeing my first patients inside the IPU with the Medical Director. It per diem but at least it's something on my CV. They will be opening up a palliative care program soon and us PD'er will be considered for FT positions first before they advertise outside. I think this will be an excellent learning experience for me.

Sounds wonderful! Good luck. If you don't mind me asking, what does per diem pay for hospice? It's something I'm interested in.

reddgirl

reddgirl

253 Posts

Currently in South Florida, because we suck at pay they start off at $40 bucks an hour. I heard the FT'ers break the bank which I found to be a bit backwards. There are a lot of things I hope the ACA can iron out for us providers down here because obviously there will be no one wanting to go into this field with so little pay. I find that to be a huge problem. I know I am a new grad and all but we do have student loans we must pay back and food to eat! Then again, I guess it is not their problem either.:sarcastic:

reddgirl

reddgirl

253 Posts

Update! We get paid around $80 per visit depending on how difficult and how much time we spend with the client.

zoidberg, BSN, RN

Specializes in Critical Care. Has 7 years experience. 301 Posts

anyone with hospice experience:

do you think an AG-CNS program + palliative care 4 course+extra clinical specialization would be a good thing to work as a APRN in hospice? My state allows CNS, NP, and CNM all the same practice and prescriptive privileges, PLUS, CNS's typically work as more of an educator/case manager role, so I feel like the CNS would be well equipped for the specialty. I like the idea of trailblazing the new consensus model CNS role, there arent many of them in my state, so I can make the role what I want i would guess!