New to Hospice

[OrleansRN]

Hi everyone!

I am new to this site and I am also new to Hospice Nursing. I have been an RN for 8 years, but this is a whole new field for me. I was just hired into a full-time position today and have yet to start. I guess I am wondering if any of you veterans out there have any advice for me that may make this transition a little easier. I have previously worked adult med-surg, pediatrics, mental health and bone marrow transplant...mostly in the Navy. I am SO excited about this opportunity but I am also extremely nervous! I am hoping I will love this position as much as I anticipate to. Thank you all for doing what you do!

[aimeee, BSN, RN]

Welcome to the rewarding world of hospice care. Sounds like you have a nice varied background to draw upon.

Advice: Above all, make time to take care of you. Take a lunch break, even if it is a short one and make yourself eat something at least halfway healthy. Make regular exercise a part of your life. Schedule something fun on your off times and something to feed your spirit.

Remember that you don't need to have all the answers, brainstorming with colleagues is encouraged. Remember you are part of a team and utilize those counseling services staff members. Recognize that being fully present to your patient/families is sometimes the most powerful thing you can do for them.

[suebird3]

welcome to allnurses.com, and the hospice forum!

aimeee has some good advice there. i would add enjoy the job!

suebird :)

[leslie :-D]

Recognize that being fully present to your patient/families is sometimes the most powerful thing you can do for them.

i agree.

also, do not take any expressions of anger, frustration personally. the pt and their family, go through sev'l stages before accepting the impending death. not all do.

i recently read a highly recommended book: "final gifts" by maggie callanan and patricia kelley.

it's about understanding the needs and communication of the dying. often they present as confused and disoriented. this book eloquently explains the reasons and provides invaluable insight into what the dying experience.

welcome, and best of luck. you will truly love this specialty.

leslie

[BeExcellent]

Man o man u are gonna LOVE hospice. (IF) You get a good foundation. Hospices don't all have good orientation, support networks or access to solid hospice clinical info. You just might have to play lone ranger and go exploring for yourself. I think the basics are having a hospice (loving) HEART, don't sweat the small stuff ATTITUDE, a huge amount of FLEXIBILTY (think Gumby), natural CURIOSITY, COURAGE based on knowledge (300mg oxycodone may really be what pt needs)and HUMBLENESS to understand "It ain't about us." Hey, earle pearly thanks for book reference!