Hospice Calls when I'm NOT on Call

Specialties Hospice

Published

First of all, I do LOVE this hospice I work for. I've only been there for 2 months, but they are a good group. I work another job 6 days a month, I've rearranged my days at the other job to facilitate seeing patients-my own, and another nurse who is out with a medical situation....

Anywhoo, here is the thing... The hospice first called my home, and my husband said she is on day "6 of 6 in a row, and she won't be home until 7:30pm". Then The hospice text messaged me with "can you call mrs. G, she is upset, her cardiologist said because she was in hospice, he wouldn't see her...she is mad because we haven't been flushing her port, she expects you to see her tomorrow." NOW, I receive this at 4pm today, and I'm working a medical ICU unit and have 4 patients, 2 on cardizem drips, and the other two are confused and in roll belts and wrist restraints. :angryfire

I had a minute and called the hospice, the administrator told me the situation with mrs. g, and ended with "so if you could call her..." I said "NO, i can't, I'm working for the hospital right now, and I barely had this minute to call you...I haven't even had lunch yet." anywhoo, she said "well she wants you to see her tomorrow.":angryfire

Before I was hired, this administrator did visits, and called patients and handled situations...but of course 2 months ago she was called the "director."

It isnt FAIR to ME or to MY PATIENTS to expect ME when I'm on my other critical care job to expect ME to handle these kinds of situations...This happened the other day when I was pulled to the ED, I had 5 rooms, 2 chest pains, and 3 medical ICU holds...and I was asked to speak to the other nurse about a nursing home patients medications....

What do you all think. I mean we have 7 patients right now, we have 2 prn nurses, and i"m one of them...I have 6 patients, and the other nurse has 1 (cause our other nurse is out for her medical stuff.) I don't mind the extra patients, and I do need the hours, but it isn't fair to my hospital or the hospice patients when I can't adequately give my time to either when i'm being spread soooo thin. That is why I NEVER take night call on the days i'm scheduled to be at the hospital...

What would you do. I have to go into the office tomorrow, and I'm going to address this.

I am a supervisor at a hospice and I wouldn't dream of treating one of my nurses this way. Everyone knows you need your time off to regenerate your energy.

With a nursing shortage, there is no reason you have to put up with this behavior.

I think you love Hospice itself butthis employer will burn you out if you are not able to set limits. Please take care of your self, we need great hospice nurses

Specializes in Med Surg, Hospice, Home Health.

if you want to stay in hospice you absolutely need to find out how much of "you" you need to protect - otherwise you won't make it for the long term

Thank YOU Hospicenurse

I want to do the right thing for my patients, and for myself, because if I don't take care of me, there will be no ME to care for THEM.

Specializes in Med Surg, Hospice, Home Health.
I find it funny that you started off with I love this hospice I work for then went on a listing of things that drive you crazy. If you really love it then I would put my foot down so you don't regret it later. Also if your not on call this is not professional and in some states employer harassment.

Clarification: I DO love the patients, and I love helping the families. I just don't like to be on call 24/7, when i'm only on call from 5pm-8am a couple of days when i'm not working my hospital job. BTW: I was gone 10:30p-6am with a dying patient, and they called me at 0900 to go and pronounce the patient. I said NO, i was out there 7.5h and i've only had 3 hours sleep. administrators response "well i'll call Nurse A, but if she can't go i'll call you back." I turned my phone off til I awoke at 12:30, I called nurse A, said she took care of it, it wasn't a problem. I was only on call til 8am...

thanks for your input, I never would have thought of the harassment angle.

Specializes in Hospice, Psych, Geri, LTC.

I love Hospice and I love my pts..but when I am not on call..I am not on call and do not call me...my office does this..triage first calls my work cell which in on vibrate. then my personal cell which I screen..I learned the hard way to just not answer it..they have even call me at 0130 to go pronounce a pt just because I was closest in proximity and they couldnt get hold of the RN on call!

The office and mgmt does not understand I am a person first, a wife and mother and an RN and I need my down time...after all come 5PM they go home

Specializes in Cardiology, Oncology, Hospice,IV Therapy.

They shouldn't be calling you when you are off. You are not on duty or on call 24/7.

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