Tag: RN Case Manager

Articles about the Hospice Registered Nurse Case Manager (RNCM) as part of the hospice care team.

Hospice Nursing Visit frequencies: A Guide for New Hospice Nurses

color coded hospice staff visit calendar
As a hospice nurse, determining the appropriate frequency of scheduled nurse visits for your patients is essential to providing effective and compassionate end-of-life care. Patients and their families often rely on your expertise to ensure their comfort and well-being during this sensitive time. In this article, we'll discuss suggested starting scheduled nurse visit frequencies, when to decrease or increase frequencies, and factors to consider based on patient acuity and changes in their condition.
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Review of the Hospice Documentation Master Bundle

Hospice Documentation Master Bundle
Whether you are a new hospice nurse or an experienced one like me, I would hope that it is your desire to prove and support continued hospice eligibility for your patients and families. In my years as a hospice nurse, I've always felt the training on what words and phrases to use to support hospice eligibility was weak compared to the training received in other areas of nursing. Now, you have a means of getting the education you need in a very portable setup that you can take with you, use as you see fit, and bloom!
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Understanding HIS Requirements for Medicare in Hospice Care

One crucial aspect for new hospice nurses to grasp is the Hospice Item Set (HIS) requirements. In this article, I’ll explain the HIS requirements for Medicare, providing you with a comprehensive understanding to ensure compliance and quality care delivery.
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What Hospice Nurses should assess every visit

assessment sheet top
Hospice nurses play a vital role in providing quality care and comfort to patients who are terminally ill and their families. They need to make accurate and timely assessments of the patient’s condition, needs, and preferences every visit. This article will outline the key aspects that hospice nurses should assess every visit, in addition to the standard physical assessment.
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The Hospice Nursing Visit from a Nursing Perspective — Home Patients

This article is intended to help new visiting hospice nurses who are struggling to maintain work-life balance who may have been told by others their visits are either too long or being questioned why they are taking work home with them. This article will deal strictly with home patients though the bulk of the tips will apply to almost any type of patient or visit.
Read MoreThe Hospice Nursing Visit from a Nursing Perspective — Home Patients

Considerations for Increasing Hospice Visit Frequencies

Hospice care is focused on symptom management, pain relief, emotional support, and spiritual care. It is a privilege to be a part of a patient’s end-of-life journey, and as a new hospice nurse, you may feel overwhelmed, but you can make a difference in a patient’s life. One of the essential skills you need to learn as a hospice nurse is to recognize when to increase the scheduled visit frequency for a terminally ill patient under hospice care.
Read MoreConsiderations for Increasing Hospice Visit Frequencies

The Importance of Documenting Hospice Visits at the Bedside

Our primary focus for our patients is comfort at the end of life as hospice nurses. We work tirelessly to ensure that our patients receive the best possible care during their end-of-life journey. An aspect of that care that is often overlooked, but incredibly important is timely documentation. Documenting hospice visits at the bedside is crucial for several reasons. Not only does it help ensure that our patients are receiving the best possible care, but it also helps the hospice team as a whole and reduces issues when the caregiver must be involved in triage services. Here are just a few reasons why documenting hospice visits at the bedside is so important:
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Hospice Eligibility and Hospice Recertification — information for families and new hospice nurses

As an experienced hospice nurse, I understand how overwhelming and emotional it can be for terminally ill patients and their loved ones to navigate the hospice process. Hospice care is a compassionate and comprehensive approach to end-of-life care, designed to provide comfort, pain management, and emotional support to patients and their families. However, many people have questions about hospice eligibility and hospice recertification. In this article, I will provide a generalized guide to help you understand these important aspects of hospice care.
Read MoreHospice Eligibility and Hospice Recertification — information for families and new hospice nurses

Learning Psychosocial Skills as a Hospice Nurse

psychosoical skills header
One of the hardest lessons to learn as a nurse, in my experience and opinion, is the psychosocial skills necessary to help patients and their families work towards their healthcare goals. These skills are applicable to every field. While I, myself, am still growing as a registered nurse (heading towards my 5th year at the time of writing this article), I would like to share with you some of the lessons learned. These lessons are based on real-life cases where I will present the scenario, what I did that worked, and what I internally thought of opposite scenarios.
Read MoreLearning Psychosocial Skills as a Hospice Nurse

Tips for new hospice nurses doing an admission

If you are a new nurse to hospice, one of the tasks you probably dread is doing an admission especially if you have scheduled visits the same day as the admission. I would like to share with you some tips that when applied may help lower your stress level, and help you remain on time even in cases where you have three to four visits including recertification to do the same day.
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INFJ and being a hospice nurse

As an INFJ I’m almost constantly doing introspection. Today I was helping out with an emergency situation where one of our wonderful on-call nurses was in a car accident. During my visit with a patient I admitted yesterday who is transitioning towards actively dying, I was in bewilderment in my own mind about how comfortable and peacefully patient I am when I’m around the terminally ill and their family.
Read MoreINFJ and being a hospice nurse

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