Shortone7

Both of the hospice companies I have worked for do have the case managers visit their patients in hospice house no matter what the level of care is.

I think a lot of the time after work spent charting is dependent on your software program. I have had two horrible charting systems and now on a better one and I am able most of the time to get about 90% of my charting done in the home which I could never do before. I have not worked for a company that gives designated office time or down time, you just fit charting in where you can. I personally HATE to go to bed at night with undone charting, but many nurses I know get up early the next day to chart rather than staying up late.

Well I asked for it and thank you to both of you for giving it! That is not really what I wanted to hear. Ours is a very large non profit company and our region is fairly small still. I know the manager leaving is leaving for those very reasons that you two just described! I am getting close to retirement though and I really do need more money. Ugh. Tough decision. Like both of you, I LOVE the rewards of being a case manager. !!!

Do you seriously have to tell the BON you are bipolar? Is that just Texas or any state? I find that incredible.

Has anyone gone into hospice management after being a case manager? Did/do you like it? Regret it?

Where do you get oral quinidine? Or are you using injectable?

We HAVE to do at least FIVE visits to "meet productivity." I only dream of having four visits a day...

We are having trouble keeping our hospice aides. Management then asks nurses if they can bathe patients and this is fine with me if I have the time. The dilemma comes in when I don't have the time, when I have an already full caseload and I can't promise I can bathe a patient. How much of bathing is the case manager's responsibility and how much is this managements responsibility? And if a hospice is not staffed to give adequate care by the interdisciplinary team, isn't that a problem?