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In this episode I welcome back Shelley Henry from Amity Group to discuss the “Your Opinion Matters” hospice nurse survey she conducted last winter.

During the episode Shelley shares with us the 3 biggest takeaways she got from doing the survey.

1. Redundant Documentation
2. Nurse-to-patient Ratios
3. Compensation

Shelly shares some of her discoveries surrounding redundant documentation that adds almost an entire day to the week.

Shelly also shares with us her tour schedule for October 2023 that covers the national hospice conference in Little Rock, Arkansas as well as trips to Alabama and Boston.

Please be sure to follow Shelley on all her social media platforms. She uses the handle, “For Hospice Nurses,” for all her social media work.

Facebook
Instagram
LinkedIn
TikTok

The Hospice Nurse Your Opinion Matters Survey will return this fall starting in October. Be sure to check it out and share it with your hospice nurse friends!

Click here to take the hospice nurse “Your Opinion Matters” survey starting October 1st 2023!

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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

Be sure to check out The Hospice Nursing Community for more hope, help and encouragement!

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In this episode I explore the frequent, maybe even normal, conflict that can arise between sales and clinical.

I review what I believe the clinical team needs to do to be more accommodating and show the sales team we are serious about growth.

I also review some things that the sales team can do to help lessen some of the stress they can inadvertently place on the clinical team.

I review the fact that our patients can, at times, misrepresent what the sales team has said or promised to them. The same thing can happen when our patients or referral sources misrepresent what the clinical team has said or done.

In the end we are all a team, and we are all on the same side.

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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

Be sure to check out The Hospice Nursing Community for more hope, help and encouragement!

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In this episode I review some of the challenges we can face when caring for patients with a long history of substance abuse.

During the show I review the psychosocial reasons we will find ways to not admit people who need hospice.

I also discuss how we can easily complicate the qualifications for hospice when we interject our own feelings and fears into the situation.

At the end of the show I share the story of a heart failure patient with special needs, and how we adjusted our plan of care to make sure this patient got the care he needed.

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As always, 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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This is part 2 of my conversation with Kris from The Hospice Nursing Support Group on Facebook.

During part 2 if this conversation I ask Kris the following questions.

1. How does IDT work at the hospice house?
2. Do all hospice house patients die?
3. How do you describe the hospice house to your admissions?
4. What are the pros and cons of being an inpatient hospice nurse?

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As always, 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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In this episode I welcome back Kris from The Hospice Nursing Support Group on Facebook.

This episode will be the first as we discuss the 4 levels of care that Medicare requires all hospice organizations provide.

During the episode I explain that my conversation with Kris will be broken into two shows due to the amount of content we covered.

For this portion of the show, we cover the following questions.

1. All the different names that are used for Inpatient Hospice Care.
2. Where can Inpatient Hospice Care occur?
3. How did Kris became a hospice house nurse?
4. What is the purpose of the hospice house?
5. What is the typical week like in a hospice house?
6. What are the typical routs of medication administration at the hospice house?

Part 2 of the conversation will occur in episode Thirty-Four of the show!

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As always, 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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In this episode I explore the realization that, if we are honest, we all have feelings of insecurity and inadequacy.

Imposter syndrome is something that we all will face at times in our lives. We will especially face imposter syndrome when we are adventurous and are willing to take on new challenges.

In this episode I review many of the different ways we can experience imposter syndrome and why we might experience it.

I mention a recent article where I explain why hospice nurses are not trying to kill their patients. You can access that article HERE.

I also review a strategy on how to avoid imposter syndrome. Do you want a hint? You can’t avoid imposter syndrome if you are going to engage life!

At the beginning of the show I thank Shelley Henry with The Amity Group. During one of her tips for hospice nurses this week she gave The Hospice Nursing Community a shoutout!

You can follow Shelley Henry on Instagram and TikTok for more help!

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As always, 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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In this episode I welcome veteran hospice nurse, Michelle Ery.

During the show, Michelle shares with us how she obsessed over her patients to the point that she started using substances to manage the anxiety and obsession.

Michelle shares with us what happened to her on Memorial Day of 2020, and how this event was the catalyst that ended up changing her life forever.

Michelle covers her experience in a thirty-day addiction treatment center. She shares with us how this experience effected her nursing license. She also details how her place of employment handled everything that happened.

At the end of the episode, Michelle encourages any listeners who feel like they are struggling with addiction to contact her via her personal facebook page.

Facebook: https://www.facebook.com/MrsEryRN

During the show I also noted that I would provide a link to AA for anyone considering getting help.

Alcoholics Anonymous

I also encourage anyone who feels inspired by Machelle’s story to call the listener feedback line and leave her a personal voicemail.

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In this episode I return to reviewing my series on Avoiding Hospice Burnout.

I cover several issues that I have observed causing major burnout for hospice nurses.

1. Are you waiting for hospice to get easier?
2. Are you unwilling to work an 8 hour day?
3. Do you struggle with autonomy?
4. Are you unwilling to turn off your work phone after hours?
5. Are you unwilling to learn to chart at the bedside?
6. Do you have to always be right?
7. Do you have to fix every problem?
8. Is it you or your agency causing you to consider leaving hospice?

During this episode I don’t pull any punches. The issues above are what I have seen be the leading cause of burnout for hospice nurses. If we are unable to master the list above, this work may not be what we should be doing.

I don’t want anyone listening to this episode to quit being a hospice nurse. Still, this work is not for everyone. It’s okay to realize that hospice is not for you.

At the end of this episode I spend some time discussing The Hospice Nursing Community. This community has a private group dedicated to hospice leadership.

In the last week I have taken a hospice administrator position here in the Kansas City area. I will be sharing some of my experiences in the private group for hospice leadership.

I also share that I have made a change to the pricing structure. The monthly subscription is now $19.99 and there is also an option to pay $199.00 for a lifetime membership that does not expire.

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As always, 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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I’m back behind the microphone as I return from a month-long break from the show.

In this episode I take on the challenge of discussing hospice leadership.

I review some of my own challenges in my leadership experience. I also spend some time discussing the last 7 months I have spent in the field, and how much stress and emotion is involved.

I also mention that I would share some of my favorite leadership books here in the show notes.

Leaders Eat Last

It’s Your Ship

Developing the Leader Within You

Developing the Leaders Around You

The 21 Irrefutable Laws of Leadership

The Eight Paradoxes of Great Leadership (highly recommend)

I discuss some of the behaviors by hospice leadership that I think can be very toxic. I also share my thoughts on how leadership should handle staff members who are struggling.

Ultimately, I believe that the success of any hospice agency should be attributed to the field staff. Failures by the agency should first be examined by leadership to make sure the problem isn’t process related.

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In episode Twenty-Eight Chanel King returns to continue our discussion from episode Twenty-Seven.

In this episode we discuss Psychological first aide. Chanel reviews some of Maslow’s hierarchy of needs and integrates them so well into our understanding of the challenges we face when caring for the dying.

We spend the majority of this episode discussing boundaries and the good and bad that come from crossing those boundaries.

Chanel drops a real truth bomb on us when she says, “We are more alike than different.” In a world where media tries to convince us that we are actually more different, Chanel’s perspective is a breath of fresh air.

Towards the end, Chanel shares with us the concept of a Recovery Strategy Care Plan which can be referenced as the anacronym, RSCP or “Recipe.”

You can download the RSCP by clicking HERE. Scroll down till you find the orange flower and click it. Right below the flower you can actually schedule a free 30 minute session with Instructor king to help you create your care plan. I recommend you take advantage of this right away. I don’t think Instructor King will have this kind of availability in the future. She’s a big deal!

I also remind everyone to be sure and get a google voice number if you have to use your personal cell phone. You can learn more by watching this YouTube video HERE.

I also mention a new blog series I’m writing called, “What to expect from your hospice nurse.” You can access the series landing page HERE.

In this episode I also mention that I will be taking the next month of. I need to engage in some self care as well. I can’t preach boundaries if I don’t exercise some for myself!

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As always, 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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