Hospicetex

I am so sorry! I hate when that happens. I hope that you get some sleep. Weekend Hospice call is very difficult and I don't think our patients or their families really understand they are not our only patient or family which is as it should be...bu...

Hugs butterfly! It is a requirement at my office that we attend all of our patients funerals and we are able to reschedule to do this. At the prior hospice company I worked for it wasn't possible for me to attend funerals as they did not rearrange t...

We are getting a lovely .32 per mile with gas being 3.89 this weekend. I have spent at least 100 on gas for call this weekend and it isn't over yet! I do have a great mileage car but it has bugged me this weekend as reimbursement will not be what I...

The company I work for now uses and provides them. I really don't like it, but do see the appropriateness of using a pulse ox in the admission process as a general baseline measurement. My thought is why use it on a routine VS? What are we going t...

It is frustrating and we have one of those here with nightly prn visits. They just don't want to be on board with the POC but I know the nurse is doing everything she can in regards to education.

Hope today is a better day for you. It can be very frustrating at times and you sound like a great nurse doing exactly what the patient needs you to do.

That's true! We are told when they call go no matter what...I do use my judgement and if a facility says they are just calling to report and don't want a visit then I don't go. I also don't go when med refills for Monday are needed unless they need...

Which is why I am now employed elsewhere. I too have worked for a company with similar values and our patients do deserve so much better than that!

I really thought you were referring to my present boss. I swear you are my work partner! I have finally found a new job at another hospice. I am so hopeful that it is the professional place that places emphasis on patient care and those that care ...

Are you in my office? Things have gotten so out of control where we are. Our call has increased to the point that I am breaking and have accepted a new job at another Hospice and will give my notice next week. I do not want to take call three time...

Like you I have been a RN for many years but that first weekend on call I called my back up more times than I would like to admit. She was great and I really appreciated her but it was very overwhelming. I think with a couple of weekends under you...

I have been in a Hospice a year now, not very long but a very eye opening year. I make almost ten dollars an hour less then I did at the hospital. I have been a nurse > 15 years. But with call and mileage I manage. I don't do it for the money b...

You know I forgot to add in my post that I have also called the answering service and given addresses and details when I get spooked or things don't seem quite right and that if I don't answer in such a such time or call them by a time frame to pleas...

Usually in the less savory areas I am on constant alert and watching my surroundings. I have had many families meet me at the door and walk me back to the car. The families are usually as fond of us as we are of them and they don't want bad things ...

I wanted to give you a standing ovation but it would only let me give you one kudo! I am looking for another job. I do love Hospice nursing and feel it is where I belong but at the end of the day I belong to my family and my life. Your right in ea...

I am certainly not living my life to work and to please my boss. I work so that my children can have a better way of life. I am a single mother to three. I have no choice but to work. My boss will call close to quitting time to ask me to drive t...

I too find Hospice nursing requires more than the typical work week. I also agree with the above posters that 50+ hour weeks are on the low end of common. I think many of us work more than 50 hours. I have heard from management that we are expecte...

Checked my schedule for the past week. I had 15 patients with two regular visits then add my recerts, admits, and prns. It was average 7-9 per day. No wonder I keep having 9+ hour days without lunch. That is also not taking into account the long...

We will see. I have a vacation coming up and did sign up for my weekend of call but noted "vacation" on my slot when I would be gone during the week.

We are still using paper charting but hope to have computers next year. We have a check off system of charting with narrative on the last page. I usually start on our narrative charting area and proceed to our progress notes as needed. I will als...

This is a tough situation. On call we cover three areas. We have 100+ patients and there is always the lead RN and then back up LVN or RN. My PCC"s are available via phone/text at all times although one will jump in when it is bad and make visits ...

If it was a new patient, I don't think I would have entered. There are a few neighborhoods I am leery going in to begin with. If my patient doesn't answer the phone our protocol is we still attempt the visit with a knock on the door. If no one ans...

We report pain levels above a 3 to our PCC. I have had situations in which one of my regular patients always has a pain level of a 5 or 6 which is acceptable for him. He refuses 24 hour follow up visits when his pain level is at his acceptable lev...

During the week we wear a required color scrub set, while during weekend call we can wear nice jeans with our logo t shirts.

I too took a pay cut. 10.00 per hour from the hospital to Hospice, am working many hours at home doing paperwork so that I can come home and do laundry. I agree it is so much less physical stress but I do take call one night per week and am current...