That is my goal actually! I’d also love to teach at the college level regarding hospice nursing. 🥰 thank you so much for your comment, absolutely made my day
I tried home hospice nursing. I guess it all depends on the company. The company I worked for would say, "hey, can you stop here since you're in the area? Can you go by there on your way home? Can you fill in for this CNA or nurse that called out for the 20th time this month?" I was salaried and expected to work 20 hours a day....I had a really bad experience. And since facilities suck even 10 times worse....I left nursing for real estate and do a prn nursing home shift a weekend a month to keep my license..... Never been happier. Maybe when companies learn that they need RNs WAY MORE than RNs need them, I'll return to the field.
Some definitely take advantage of their nurses/staff especially since they know how much we care for our patients. I am thankful for the nurses who trained me to set boundaries. It’s hard for nurses because we are naturally so empathetic.
They definitely do! I’ve had patients see relatives, even a baby that was miscarried, and pets! I think it’s comforting to family to know people are waiting on the other side 🫶
@@HospiceNurseAllie But they like never see a living people like that? Because if that was just imagination or hallucination, you would expect them to see people who are not dead. You know, like someone old wants to see their child one more time could easily hallucinate them.
Why did you mention a deposition? Are you saying like for malpractice lawsuit or is this something Medicare/Medicaid does when investigating providers falsifying charts and such? I wouldnt think hospice would be affected by that, unless under extreme situations, because the patients are dying. Even if they die sooner b/c of malpractice I assume there isn’t a lot of money for lawyers since there won’t be much legal damages since the patient didn’t have much life left.
Because at anytime during any medical professionals career you can get called into court. Also, lot of our charting is geared towards Medicare/Medicaid and if we don’t do that correctly we can be charged with fraud. Even in hospice, you just never know what will happen. I feel thinking this way also helps you chart safely and thoroughly.
When charting is it checking boxes that applies to the pt or do you type out the whole head to toe assessment? Or does it all depend on the system your company uses?
I would say all of them have a combo of both. We also always have to do a narrative on top of the rest of the charting as well. I would say the head to toe is checking boxes and then any clarification of issues etc would be part of the narrative
Hi, Allie Do you know if the same companies that hire for a nurse to visit hospice patients also hires for Cardiac Sonographers to come out also to treat/sonogram patients? I ask because I'm considering going to college for Cardiac Sonography and I would like to find a mobile position where I go out to visit the patients. I've been told there is positions like this.
There may be! Hospice nurses work for hospice companies and usually we don’t utilize cardiac sonographers for our patients. I know currently on staff we don’t have any. But maybe homehealth companies and traveling radiology companies might! We have portable xrays that go to ALFs and patient homes.
We do! Ports, central, you name it. We don’t typically utilize the central lines though. Although it of course it depends on the agency and the acuity of the patients they admit.
Hey mike! This is primarily a channel on how to guide future hospice and current nurses as well! Jsut know that every agency has different regulations and personally we don’t report it, it’s legal here, but we do take into consideration the smell and often ask for patients and families not smoke while we are in the home as we have other patients who may have sensitivity to those smells. But if a patient smokes we do like to know just to keep in mind for medication interactions. Have a nice day!
As an RN on the visiting home care side we end up seeing EVERYTHING. Im not sure I've ever "reported" anything at this point but if I feel my team members could be approaching a dangerous situation I 💯 will share the information. Like don't take your jacket or bag in d/t roaches or heavy smoke or be aware of the dog, etc. Most who have been in pts homes for so long typically arent surprised by much and are only focused on providing care for our pt or advocating for pts who need care but only get it when we're there
