SoCalRN1970

Well, welcome to hospice... it's alot of smoke and mirrors. I have been in hospice 8 + years. Only two of my employers ( and i have worked alot of perdiem or part time hospices.. too ) have never done the bait and switch. I will say the worst...

FYI for what it's worth. I worked at a small hospice ( it wasn't a small business it was affiliated with a huge medical center ) but we had like 20 = 30 patients at any given time. Our consents showed we provided actually 4 levels of care, routine,...

Dear RNWAH, I need to say thank you for elaboration. So many regs and compliance issues are super simple to fix, but what you described is a HOT MESS! All it would take is a disgruntled pateint or family to call your local state regulatory hot lin...

MY BIG CONCERN.. was this patient you admitted "appropriate for hospice"?? I have worked at Vitas and a smaller but larger hospice doing admissions for a few years. #1 Both agencies I worked for had often sent em out on the fly with no info exc...

I also wondered why one would wait 5 years before taking the boards? There are alot of reasons I am sure.. But... if you don't use it you lose it. I know that I was extremely lucky.. and I mean lucky to have been hired as an IP, and get my licen...

In the end... we can not force our beliefs or opinions one way or another. We can not treat patients to our standards without approval from the patient or DPOA. The best and only response I have done to clear my conscience is to do what I posted e...

There is a huge learning curve for the speciality of hospice. One as an RN must have sharp assessment and clinical skills. These can not be taught but rather learned on the job. Hopefully your employer will make good on the "gonna train you" part. ...

The patient who was seeking treatment with herbals etc was alert. This was her wish. It was very clear. Patients who are not able to communicate and show non verbal signs of pain, and the family prohibits proper pain relief this is a different si...

We as Hospice Case Managers can not fix it all. I understand the struggle with this as most nurses do in this speciality. I had a family that believed in holistic medication only. NO pain meds despite having severe pain on a 1- 10 scale being 10...

Hello all, I am in a crossways of sort. I have just spent the last 7 months working as a hospice case manager and I am beyond burnt. I feel horribly sad admitting this. I resigned from an agency that has been utter chaos since I stepped foot in...

I love it when I see a new grad wanting to jump into hospice. But this is really not the case. It's a case of desparation to get into a middle zone while a position might be offered downe the road at an acute hospital if I read it right. Hospice is ...

I feel the same.. hunt down he share holders. Our office had multiple complaints I mean multiple... ( 5 ) that I know of and many more not admitting to the corporate integrity line. NOTHING WAS DONE in the 6 months I was there. No kidding.. O...

I'd suggest KY. It's been used before with great response..and it's alot less expensive then the items you mentioned.

Hello there.. I have been very fortunate to have had pretty good outcomes when it comes to issues with abuse. Not always physical, but rather emotional, financial or neglect. APS for the most part has it's hands full. Often they open a case and m...

I work at this time for the big O. They are hourly. If census is low.. you still make your 8 hours as long as you work it and are full time. Only Perdiem staff get cancelled. Wages here on the west coast are about 80K give or take a few thousand...

benefit the family in most cases. Some patients ask for it, but usually it's under pressure from family who is concerned about . Many cultures have a hard time regarding nutritional and feeding terminally ill. Sick = feed = get stronger.

Very concerning. I had a SW who was giving medical advice to patients unsolicited. I actaully instructed my patients family to tell her that "that sounds like it should come from the nurse" and not a social worker don't you think? The only reason...

BIG O.. pays 43cents a mile. Recently gave us a big 2 cent increase with gas prices up. OH THANK YOU. lol

I agree with the previous poster. I know for sure that there are areas that are just not safe day or night, but I have gone to them in order to see a patient. I never felt unsafe... Most patients who are going to take their lives are planning th...

Hey Twedie.. After my last last 6 months at the big o.. time to go. It's a holy mess batman. it's so unfortunate, the program has wonderful staff, but at the end of the day... I am not proud to be wearing their name tag. My day is full of I am sor...

Vitas, Companion both are fairly reputable companies... also Silverado has cleaned up so much..so glad to hear this.

Hello there.. this a very common question. I often find it quite touching that families and friends will ask how do you do this kind of work? I always have the same response. I find it the most rewarding line of work I have ever done,and I love it...

LOL.. Our cost of living is crazy though.. seriously.

Hello all, I am not sure what to say when I am asked about salary for the mentioned position. Its for our current office. This job has been open for months.. I am more than qualified and feel that it's my way of helping out our stressed out, poor...