RENnurse4/17

I would love to put that in my discharge note..."discharged per request of manager" lol.

No and I would like to be more specific but I'm paranoid. Our "boss" and managers call us into meetings if they catch wind of clinicians talking amongst ourselves or "complaining" over our schedules, being too busy etc.... We have a high turnover and the rest of us end up picking up the slack at the expense of our physical and mental health. Sometimes we need to vent to one another but find ourselves looking over our shoulders. It sounds nuts....but true. These specific supplies are outrageous but not forever. I can't in good conscious discharge. Im more upset then I've enver been in my years in HH.

I was asked not to recertify a patient only going into her second episode. I believe it's because her supplies are expensive. I'm usually begged to keep patients for a second episode even if they are doing great. This patient isn't doing well at all and I'm asked to discharge???? Help. I need advice.

You did say in your op that you loved your current job!

Not a cashier. We had a front office that handled that. That seems like a lot. Have you accepted the offer?

I am leaving because I could just not get used to the early mornings (5am to 1pm) and the other nurses I worked with were gossipy and unfriendly. It's a small clinic in a rural area and I felt the gossip was unfair to the clients (everyone knows everyone). For me, the clients were the best part of the job but I believe my co workers were jaded....they have been doing this for too long. I basically dispensed methadone, made take home bottles, assessed for impairment or the need to increase dosage, did coordination of care with the clients pcps and made sure all the methadone was accounted for. I think it could be a good job for someone who likes routine and very strict rules. Me....I felt like I was in jail and just couldn't get the hang of the ever changing rules. Let me know if you have any more questions.

You don't live in NC by any chance do you? I ask because I am actually leaving my job at a methadone clinic and my last day is this week.

You don't live in NC by any chance do you? I ask because I am actually leaving my job at a methadone clinic and my last day is this week.

TammyG, we usually go in to our office first thing in the morning, especially Mondays when we meet to talk about the what happened over the weekend with the patients. The difference is probably that it is a small hospice in a small town. If I need to do anything like faxing orders to be signed by doctors etc... I'm pretty much on my own so that would be a time when I'm at the office, also to pick up supplies. Ncnurse29, you are right to choose yourself because if you let them they will walk all over you! I think that's one reason why the higher ups have such a problem with me.... I'm pretty clear on the fact that I can't work too long after 5pm. There are a few that put the job before themselves and family and I'm just not willing to do that. You've got to take care of yourself first in order to take care of others. We preach this to our caregivers....but who is looking out for us?j

We do one night a week and one weekend a month sometimes there is an extra weeknight or weekend day snuck in there. Unlike the last poster, there are no extra days off the week you are on call (on the weekend). We pretty much work twelve days straight with no days off. We are supposed to be allowed to flex time but it's usually just too busy. I'm not sure if any of this is "normal" or standard. I'm not a big fan of on call If you couldn't tell. It burns out full time case managers. I have at times been called out at 3am and just kept on working until 5pm. Hopefully this is not the typical experience.

Thank you for your advice! I am on the job hunt and trying to stay focused on the positives of hospice while I do it! I really do feel like I'm out there all by myself with no backup. And I agree, it's definitely a job that needs support and teamwork. It boggles my mind. There's so much more to this story than I can convey...two years worth of it. I wouldn't be the first person to leave this company because of the inept administration and rules that only apply to certain people at certain times. It's sad that I may have to leave a job I love d/t politics.

After almost 2 years as a hospice case manager, I'm finding the work environment to be increasingly toxic. My coworkers are backstabbing and gossipy. The sad part is that administration and management are in on it too. I'm pretty much getting in "trouble" every other week over what they "heard" was said or done. On top of that on call is killing me and although the day is 8 to 5, we are obligated to the job from 7a to 7p....which means if a patient passes at 4:59, we go, even if we are not the person on call. No overtime. Call is one day a week and one weekend a month...sometimes more. Is this normal or is it just me? I love my patients and families and they love me...but I'm now in tears on Monday mornings before work. Any advice or thoughts would be appreciated.