Would you go PRN at 2 hospices?

Published

Hi,

I have been an RN since 1991. I have been interested in hospice for several years, but am just now pursing it.

I have accepted one job, but have applied with 2 hopsices. I want to work 24 -36 hours a week. I am really impressed with both hospices for different reasons. At hospice A, I think I can get more PRN day shift during the week hours. At hospice B, I think I can get more weekend, night hours.

Would it be too much to accept both PRN positions, or should I just chose one? In general, is there work for a PRN nurse during business hours during the week? I have accepted a job with Hospice B, but really want some of my hours to be during the week when the kids are in school.

Thanks for your input.

Cinda

Up Vote Up Vote ×
Specializes in PeriOp, ICU, PICU, NICU.

I don't see why you couldn't do both. As long as you think it is not going to be overwhelming then you should give it a try. If it doesn't work out then you can leave one of the two and stay with the one you like best.

Good luck to you :)

Up Vote Up Vote ×

Your employers may have a problem with it. Hospices are very competitive with each other...just a thought.

Up Vote Up Vote ×
Your employers may have a problem with it. Hospices are very competitive with each other...just a thought.

Educate me please wise ones...are these a place/building pt.s go to? I'm a HOS RN,but we do only in home. If our pt. leave home it's to a Nursing Facility ie nursing home 'cause they don't have 24 hr. care or go to Acute for pain control or respite.

What are these Hospices like,who/what are the caregivers?????

kid from the sticks wants to know:-)

Up Vote Up Vote ×
Educate me please wise ones...are these a place/building pt.s go to? I'm a HOS RN,but we do only in home. If our pt. leave home it's to a Nursing Facility ie nursing home 'cause they don't have 24 hr. care or go to Acute for pain control or respite.

What are these Hospices like,who/what are the caregivers?????

kid from the sticks wants to know:-)

We had Inpatient contracts with all of the nursing homes in the area to provide care that way...but we also had a hospice residence. We were a fairly large company. The hospice residence was in the same town as the corporate office...and it was a larger town. They were staffed just like a hospital or nursing home. The staff provided 24 hour care. People went there under special needs such as not being able to stay in the home for whatever reason. Usually had to be quite declined...nearing imminent status. It was not a long term care option. In the nursing homes, we saw regular patients there...if appropriate we would change them to inpatient status...which increased amount of hospice visits...also was higher reimbursement...so everyone benefitted.

Kathryn RN CHPN

Up Vote Up Vote ×
Educate me please wise ones...are these a place/building pt.s go to? I'm a HOS RN,but we do only in home. If our pt. leave home it's to a Nursing Facility ie nursing home 'cause they don't have 24 hr. care or go to Acute for pain control or respite.

What are these Hospices like,who/what are the caregivers?????

kid from the sticks wants to know:-)

We have a hospice house that we send our home pt's to for symptom management or respite. If it is full, then we use contracted nursing facilities for the same reason. We are fully staffed with nurses, CNA's, chaplain, SW. Our facility is not for custodial care, though some hospices do have rooms available for that and pt's can stay for several months. Medicare does not pay for custodial care and the hospice that I used to work for would collect money from the family for it - as well as raise money.

Up Vote Up Vote ×

Both of the hospices I have talked to are home care or nursing home care. I do not believe there are hospice houses in my city.

Cinda

Up Vote Up Vote ×
We have a hospice house that we send our home pt's to for symptom management or respite. If it is full, then we use contracted nursing facilities for the same reason. We are fully staffed with nurses, CNA's, chaplain, SW. Our facility is not for custodial care, though some hospices do have rooms available for that and pt's can stay for several months. Medicare does not pay for custodial care and the hospice that I used to work for would collect money from the family for it - as well as raise money.

Ditto....the nursing home patients we had, if they met medicare criteria to be an inpatient (symptoms management issue, etc) we would change them to hospice inpatient status under medicare...if they no longer met that criteria, they went to routine home care status....at which point room and board at the nursing home was either medicaid or private pay if they were not medicaid eligible. Hospice still receives the routine home care per diem for regular hospice care...just like the home patients...as the nursing home is their home.

Kathryn RN CHPN

Up Vote Up Vote ×

Just check to see what there minimum requirements are for you........even though you would be PRN, they may have requirements as to the number of weekend shifts that you have to work or be available and that could be for each facility. Also check to see what the holiday requirements are, or you may find yourself working every one of them.

Up Vote Up Vote ×
+ Join the Discussion