Welcome to part 2 of my series on the my strategy for orientation of a new nurse.
In this episode I explain how I feel like I learned the most. My biggest take away from the week was that I need to create a more robust training program for new visits. I’m great at having all my visits organized and planned out. I need to put together a more detailed plan for the week for introducing new staff to hospice, hospice philosophy and hospice guidelines as required by medicare.
When I finish creating this program, I will share it with my listeners/readers and make it available in my ”tool download” section of the website.
Here are my main points from today’s show.
- 4 visits per day is perfect when orienting new nurses to hospice
- Every day should end with all work complete and nothing left for the next day
- The more questions we ask our patients/caregivers the more likely they are to discover the answers on their own.
- Not everyone learns the way I learn. I need to adjust some of my trainings to be sure to incorporate multiple styles of learning.
- Hospice is a heart job
As promised, you can find an updated menu item above that will take you to available tool downloads. Be sure to watch this menu over the next week as I will be adding a Hospice Test to the menu for download to use when helping new hospice staff learn the regulations.
Don’t forget to call, text or email to leave feedback! I would love to hear from you!
816-834-9191
James@confessionsofahospicenurse.net
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Hi James, just found your podcast. It has been so helpful. I just started 5 months ago, brand new to hospice, came from the hospital. The agency I work for was in dire need of a fulltime RN case manager. They have been surviving off their retired prn nurses for the last year. I also was not given a good orientation, was just thrown into the field. One thing I didnt realize or was not explained to me was how to chart the decline of the patient, and how important that was in claiming medicare reimbursement. I didnt know that there are hospices that just admit even if a pt doesn’t meet criteria, kinda extreme. But I know now. My manager also left for maternity leave and our coporate hospice director has been video attending our IDG meetings and has helped with some pointers. We serve a rural community on the oregon coast and I am the only fulltime RN care manager so its a lot of pressure. Actually i am the first full time RN that has stayed 5 months in 2 years. But I really believe in hospice and I want to stay. Thanks for your help!
Hey, Fresca! (I fixed your first response for ya. I’m such a nerd!)
It’s great to hear from you. A lot of agencies are having staffing problems. It’s a national issue.
There is a lot of debate around “meeting criteria.” There are a lot of medical directors with different philosophies of care.
Stay the course and don’t be a stranger! I have some other things in the works that will help you! Stay tuned!