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James Dibben
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The Hospice Nursing Podcast
Episode Sixty-One: Moving Indoors
In this episode I make some announcements on future plans for the show.==============================As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!816-834-9191James@confessionsofahospicenurse.net==============================Be sure to check out thehospicenursingcommunity.com for extra content as well as hope, help and encouragement from other hospice nurses just like you!
2025-03-16
10 min
The Hospice Nursing Podcast
Episode Sixty: Personal Loss with Mike Barrett
In this episode my good friend, Mike Barrett, returns to the show to share his own story of losing his mother in the last month.Mike shares with us why he wanted to share this with us so soon after his mother’s death. He also goes into detail on how overwhelming everything was. He explains how hard it must be for our patients and their caregivers who have no medical knowledge yet are still expected to make sure difficult decisions.Finally, at the end of the show, mike shares with us how is...
2025-03-02
57 min
The Hospice Nursing Podcast
Episode Fifty-Nine: Ask Questions; Talk Less
In this episode I talk about the importance of asking good questions that help our patients and caregivers move forward in their acceptance of an end of life experience.The questions in this episode are the following…Is what I’m seeing something new?What does the word “hospice” mean to you?What do you hope these appointments will do for you?What do you plan to do when she stops feeding herself?Does he/she seem comfortable to you?What does comfortable look like for you?How can I best help you today?At the end...
2025-02-17
52 min
The Hospice Nursing Podcast
Episode Fifty-Eight: 10 in 10 Part 2
Welcome to part 2 of the top 10 things I have learned in my first 10 years as a hospice provider!In this episode I cover items 6-10 of my list.6. Work/life balance doesn’t happen by accident7. Hospice is about repeatable and predictable behavior in every department8. Haloperidol is the best first option to treat terminal restlessness9. Staff centric agencies build the best foundation for success10. Hospice is 80% psychosocial….for everyoneIn this episode I encourage everyone to check out 3 different episodes of the show.Ep...
2025-02-03
1h 01
The Hospice Nursing Podcast
Episode Fifty-Seven: 10 in 10 Part 1
Welcome to episode 57 of The Hospice Nursing Podcast!In this episode I start with the top 5 things I have learned in my 10 years of hospice experience.Case management is the foundation of all hospice careCase management success is in the detailsThere is not just one way to do hospiceModel the behavior you want to see in othersYour current company isn’t as bad as it seems, and the company you want to move to isn’t as great as it seams.While covering these ideas, I make sure to point out that nobody is doomed to f...
2025-01-20
59 min
The Hospice Nursing Podcast
Episode Fifty-Six: Ebb and Flow
I’m back from a 6 month break from producing the show!In this episode I explain why I chose not to record any episodes in the last 6 months. I then review some of the things I learned during a massive growth spurt at my agency.I review the importance of self care, and I share some of my own personal health issues this year.I share what I learned about the importance of an orientation program. I explain the importance of hospice leadership being willing to get out into the field and...
2025-01-06
57 min
Unexpected Turns
Top 10-Jane : Menopause Champion
Since this episode was released Jane has achieved masses, including getting her dream job! Jane James, always up for a laugh and fiercely protective of her friends and family Jane was a joy to be around. Then suddenly she ‘hit a brick wall’ , becoming anxious and a tyrant to live with. Find out why and what Jane has done about it. #menopause #menopausemandate #hrt #womenshealth #mentalhealth #unexpectedturns #unexpectedturnspod #realtalk #menopausematters
2024-08-08
54 min
Unexpected Turns
Top 10-Jane : Menopause Champion
Since this episode was released Jane has achieved masses, including getting her dream job! Jane James, always up for a laugh and fiercely protective of her friends and family Jane was a joy to be around. Then suddenly she ‘hit a brick wall’ , becoming anxious and a tyrant to live with. Find out why and what Jane has done about it. #menopause #menopausemandate #hrt #womenshealth #mentalhealth #unexpectedturns #unexpectedturnspod #realtalk #menopausematters
2024-08-08
54 min
The Hospice Nursing Podcast
Episode Fifty-Five: Answering Pain Management Questions
In this episode I answer 3 questions from the hospice nurse support group on facebook. The first question has to do with giving liquid morphine every 6 hours scheduled and PRN morphine every 3 hours PRN.The second question involves using Tramadol for pain management.The third question has to do with elevated vital signs for actively dying patients.==============================As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!816-834-9191James@confessionsofahospicenurse.net==============================Be sure...
2024-06-17
54 min
The Hospice Nursing Podcast
Episode Fifty-Four: 11 Concepts I Learned From Chuck Schroeder
In this episode I explore 11 things I learned from my 30 year friendship with Chuck Schroeder. Chuck Schroeder went to be with Jesus on March 21st 2024. He was a monumental figure in my life. After speaking at his Celebration of Life service, I decided to do a podcast episode sharing what I learned from him.In this episode I explore the following lessons I learned from Chuck.Plan your work. Work your plan.Never give up on someoneDon’t be afraid to help your teamMeet you team’s emotional needs firstNothing (in business) is fatalDon’t make d...
2024-06-02
52 min
Heart Podcast
Exercise training in heart failure
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Grace Dibben from the University of Glasgow. They discuss the evidence for exercise training in heart failure patients. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful. Link to published paper: https://heart.bmj.com/content/110/5/373
2024-05-07
19 min
The Hospice Nursing Podcast
Episode Fifty-Three: The Labor of Life and Death With Barbara Karnes
In this episode I am privileged to interview Barbara Karnes, RN.Barbara is an award winning end of life educator, award wining nurse, NHPCO Winner 2018 & 2015 International Humanitarian Woman of the Year.Yeah, she’s a big deal, and she took time out of her busy schedule to spend some time on the show.To start out the episode, Barbara tells us the story of how she first entered hospice as a volunteer even though she was an RN.She shares with us the origen story of “The Blue Book” also known as “Go...
2024-04-30
1h 02
The Hospice Nursing Podcast
Episode Fifty-Two: Symbiosis
In this episode I discuss the three-legged stool that makes up a hospice agency.The three legs are Sales, Operations and Clinical. If either of these legs is having problems, the stool is at risk to fall down.I recently had a listener ask me to discuss the differences between office staff and field staff. She asked the following question.I am wondering if you have already completed a podcast on the differences between what management does in the office compared to what field nurses do, and how each impacts the other. I...
2024-04-07
47 min
The Organic Grower Podcast
OGPod Episode 1: Andy Dibben and Abbey Home Farm
In this episode James will be talking to Andy Dibben, head grower at Abbey Home Farm in Gloucestershire. Andy oversees an incredibly complex and well-honed system and manages to speak about it with clarity, passion, and honesty.This episode covers year-round crop production, growing in 1000sqm of glasshouse, cover crops, issues of scale, and Andy's top tips for growing parsnips and cauliflowers.More about Abbey Home Farm: https://www.theorganicfarmshop.co.uk/farm/This podcast is brought to you by the Organic Growers Alliance, the UK's only grower-led organisation providing...
2024-03-26
1h 42
The Hospice Nursing Podcast
Episode Fifty-One: Nurse Keith Interview
For this episode I decided to share a recent interview I did for the Nurse Keith podcast.It was a great time to share with Keith’s audience some of my observations from the world of hospice. I believe this was a great opportunity to share hospice with a whole new audience.Take a minute to visit Keith’s web site, and throw some support his way!https://nursekeith.com/==============================As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!
2024-03-17
53 min
You're Booked
Elizabeth Day - You're Booked Archive All-Stars
While we're taking a little break, we're revisiting just a few of our favourite ever You're Booked interviews. We're travelling all the way back to our first ever series for this chat with author, journalist and podcast supremo Elizabeth Day. Elizabeth is the author of five novels including Magpie and The Party plus her memoir, based on her massively successful podcast How To Fail and her most book Friendaholic: Confessions of a Friendship Addict. While snooping around her (small but perfectly formed) flat, we discussed being nosey, literary heroines, EM Forster related tattoos and learning the facts of life...
2024-03-04
48 min
The Hospice Nursing Podcast
Episode Fifty: Exit Strategies
In this episode I answer a listener email question regarding death visits.No two death visits are alike, so in this episode I try to cover some of the basics. I cover some of the following topics.Call the funeral home as quickly as possibleIt’s not about youDon’t always be in a hurry to interject yourselfBe sensitive to other culturesTo stay or not to stayPost mortem careClothigThen I finish the episode telling several stories from my own experiences and some of the things I did well, and some of the thing...
2024-03-02
59 min
The Nurse Keith Show
Confessions of a Hospice Nurse
On episode 462 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews James Dibben, RN, a dedicated hospice nurse, educator, and advocate who is passionate about supporting other nurses equally dedicated to hospice and end-of-life care. As the founder of The Hospice Nursing Podcast and The Hospice Nursing Community, James is on a mission to make sure that hospice nurses have the support and education to be successful and satisfied in their careers.James began his hospice career in 2015 when he accepted a position as an RN Case Manager. He has also served as a...
2024-02-23
50 min
The Hospice Nursing Podcast
Episode Forty-Nine: Don’t Fail Me Now
In this episode I answer the following question from a listener.Hi, any chance of getting a podcast on Service Failures? I've been in hospice for around two years. I hear the term thrown around, but can't quite grasp all the details. I don't see any podcasts or blog posts around this subject, but I suspect the knowledge would be quite valuable.Thanks,JadeI answer Jade’s question in two parts. I start by addressing Medicare’s Conditions of Participation for all hospice providers. For the second half I address service...
2024-02-19
50 min
The Hospice Nursing Podcast
Episode Forty-Eight: Six ways to promote growth
In this episode I focus on the top 6 concepts I believe are essential to promoting the growth of a hospice office.Ultimately, the administrator is responsible for creating an environment for success. Any administrator who wants to blame others for lack of success, is an administrator nobody wants to follow.Here is the list of items I focus on during this episode.Foster healthy relationships between sales and clinicalTake ownership of the branchCreate a consistent and repeatable experienceLove your teamDevelop your clinical directorBe visibleThese items are what I find to be the...
2024-02-04
48 min
The Hospice Nursing Podcast
Episode Forty-Seven: Don’t Say Hospice
In this episode I review my strategies when I have family members who are afraid to tell their loved one that hospice is being consulted for care.I spend some time helping you understand the real difference between patients who can understand what they are being signed up for versus patients who are confused and can’t understand the decisions being made for them.I talk about using my Clinical Data Sheet during conversation and assessment to gather information and ask questions.I offer access to my show outline for ea...
2024-01-21
47 min
The Hospice Nursing Podcast
Episode Forty-Six: My Wish For You
Welcome to 2024!For today’s episode I decided to present you with 3 things I feel like every hospice nurse needs to find success and peace of mind!In this episode I review the importance of making sure we pull into our driveways at the end of the day with all of our work completed.I point out the importance of making sure all of our charting is done at the bedside. I review some of the differences between a visit nurse and case manager.My second point focuses on the importance of...
2024-01-08
1h 02
The Hospice Nursing Podcast
Episode Forty-Five: Be the leader you never had
This episode is all about leadership.Everyone in hospice is a leader, and being a leader is completely different than being a boss. In this episode I provide some practical advice to help make sure we never lose our perspective on what our nurses go through every day. I encourage administrators and clinical directors to do ride alongs with a field nurse at least twice a year. I spend quite a bit of time talking about avoiding spending a lot of time trying to place blame for agency failures. In a very strange tu...
2023-12-03
59 min
The Hospice Nursing Podcast
Episode Forty-Four: Hospice Stories
In this episode I perform (if you want to call it that) dramatic readings of 11 posts from my blog.You can view and read the blog posts from the following links.The Last BathThe Last PrayerHospice Is Like Haircuts?Be Like Aunt JoyceMy Friends Keep DyingA Night at the ParkThe Last KissThe GuardianI Remember AngieWhatever You Say, JamesIt’s Okay To Die On Thanksgiving==============================
2023-11-20
57 min
The Hospice Nursing Podcast
Episode Forty-Three: Case Manager Foundations
For this episode I take one of my coaching sessions from inside The Hospice Nursing Community and bring it to the show.This is something I have ever done before. In general, I like to make sure content inside of The Hospice Nursing Community is unique and cannot be found anywhere else.In this episode, I review 8 different characteristics that I believe are essential for a successful case manager to possess.ReliabilityThe agency and its patients will suffer if they have a case manager who calls in all the...
2023-11-05
52 min
The Hospice Nursing Podcast
Episode Forty-Two: In the Beginning
In this episode I answer the following question from May. May has been charged with a hospice startup.“I always strive to maintain the values of empathy and fairness, and I am committed to being an unwavering advocate for our team and our patients. Currently, we've encountered challenges with documentation using Matrix Care. The process has proven to be time-consuming, and I am reaching out to see if you have insight on how to optimize the documentation procedures. I would greatly appreciate any pointers or guidance you can provide.”I take the long road to answ...
2023-10-07
56 min
The Hospice Nursing Podcast
Episode Forty-One: The Low and Slow of Hospice Sales
In this episode I step aside from clinical talk, and revisit a phone call I had with listener Chauncey.Last week I had a great conversation with Chauncey. We discussed the challenges a new marketer can face when working a territory for the first time.In this episode I discuss the difference between referral sources that provide a lot of referrals versus the ones that only provide a few or have never provided a referral. I call these crock pot referral sources and microwave referral sources.During the episode I discuss the importance...
2023-09-30
50 min
The Hospice Nursing Podcast
Episode Forty: Workin For The Weekend
In this episode I answer the following question sent to me by Pamela.“Any interest in a show that highlights weekend/evening staff. The challenge I face is communication. If staff do not add thorough notes, email/call me, or otherwise give report, It really makes my job a struggle! Also, remembering we are part of team. I am blessed with a great team, but can see where this position could be undervalued. I personally love being weekend on call! It is like semi retirement. Feel free to reach out if this is of interest”I al...
2023-09-17
46 min
The Hospice Nursing Podcast
Episode Thirty-Nine: Caseload Management Tips and Tricks
In this episode I answer a question from Gina.In a recent email from Gina, she asks the following question.“One topic I would love for you to cover is that of high case loads - and what you consider that number to be, what number is considered ideal for excellent, superior care and how to manage/re-work your visit frequencies when those loads are high.” During this episode I do cover what I consider to be a normal caseload. I explain that our caseload should really be measured by how many visits we ma...
2023-09-03
1h 00
The Hospice Nursing Podcast
Episode Thirty-Eight: Administratoring
In this episode I review the 3 large projects I completed in my first 4 months as administrator.I share the challenges most agencies face when it comes to tracking room and board charges for LTC patients.I review the extensive orientation program I implemented to make sure all new staff get a solid and predictable onboarding experience.The third project I completed was a revamp of our referral and admission process that ended in a 90 minute training session with the entire organization.During the show I mention the series I wrote on...
2023-08-20
1h 17
The Hospice Nursing Podcast
Episode Thirty-Seven: More For Hospice Nurses
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.Redundant DocumentationNurse-to-patient RatiosCompensationShelly 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.Pl...
2023-08-06
47 min
The Hospice Nursing Podcast
Episode Thirty-Six: When Sales Met Clinical
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...
2023-07-16
51 min
The Hospice Nursing Podcast
Episode Thirty-Five: Special Needs
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...
2023-07-02
55 min
The Hospice Nursing Podcast
Episode Thirty-Four: The Hospice House Part 2
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.How does IDT work at the hospice house?Do all hospice house patients die?How do you describe the hospice house to your admissions?What are the pros and cons of being an inpatient hospice nurse?==============================As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!816-834-9191James@confessionsofahospicenurse.net
2023-06-18
40 min
The Hospice Nursing Podcast
Episode Thirty-Three: The Hospice House Part 1
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.All the different names that are used for Inpatient Hospice Care.Where can Inpatient Hospice Care occur?How did Kris became a...
2023-06-04
47 min
The Hospice Nursing Podcast
Episode Thirty-Two: Imposter Syndrome
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...
2023-05-20
50 min
The Hospice Nursing Podcast
Episode Thirty-One: Rock Bottom with Michelle Ery
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...
2023-05-06
47 min
The Hospice Nursing Podcast
Episode Thirty: Just Quit
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.Are you waiting for hospice to get easier?Are you unwilling to work an 8 hour day?Do you struggle with autonomy?Are you unwilling to turn off your work phone after hours?Are you unwilling to learn to chart at the bedside?Do you have to always be right?Do you have to fix every problem?Is it you or your agency causing you to consider leaving hospice?...
2023-04-16
56 min
The Hospice Nursing Podcast
Episode Twenty-Nine: The Weight of the Work
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 LastIt’s Your ShipDevel...
2023-04-01
51 min
Unexpected Turns
Jane James: Menopause Champion
Today we talk to the very glamorous outgoing Jane James, always up for a laugh and fiercely protective of her friends and family Jane was a joy to be around. Then suddenly she ‘hit a brick wall’ , becoming anxious and a tyrant to live with. Find out why and what Jane has done about it. #menopause #menopausemandate #hrt #womenshealth #mentalhealth #unexpectedturns #unexpectedturnspod #realtalk #menopausematters
2023-03-23
54 min
The Hospice Nursing Podcast
Episode Twenty-Eight: The Return of Instructor King
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 tha...
2023-02-19
58 min
The Hospice Nursing Podcast
Episode Twenty-Seven: Instructor King
In this episode I introduce Chanel King to The Hospice Nursing Podcast!Chanel King (Instructor King) is a Peer Support Specialist for medical professionals.In her introduction, Chanel shares with us some of her own traumatic experiences and how the last couple years have transformed her life and led her on a journey to providing emotional support to thousands of medical professionals.In this episode Instructor King answers a voice mail left by Erin who asked how we can handle grief for our dying patients. Chanel also reviews what compassion fatigue might look...
2023-02-05
56 min
The Hospice Nursing Podcast
Episode Twenty-Six: The Oasis
In this episode I reimagine Part 8 of Avoiding Hospice Burnout for nurses.I discuss the following concepts that will help create a healthy environment for staff and co-workers.1. Listen-Validate-Communicate2. Assume positive intent3. The Speed of Trust (Get the book)4. Getting burned5. Gossip6. Being authenticAt the end of the episode I take a few minutes to address leadership. It is my belief that leadership holds the greatest power over the culture of the office.A good leader will take personal accountability...
2023-01-14
55 min
The Hospice Nursing Podcast
Episode Twenty-Five: Review and Renew
In this episode I review the last year and which episodes were the most popular. I discuss what those episode tell us about this community and what it means for the coming months..The top 6 episodes from this last year are as follows.Episode 16 “The Last 7 Days.”Episode 10 “On call strategies with Tania.”Episode 3 “For the record.”Episode 6 “Plan your work. Work your plan.”Episode 11 “Orientation strategies part 1.”Episode 15 “Success in the ALF.”In this episode I discuss one of my most recent blog posts where I journal the last seven days for...
2023-01-01
50 min
The Hospice Nursing Podcast
Episode Twenty-Four: Six Keys to Successful Communication
In this episode I discuss my communication strategy when communicating with patients, families and facility staff.Instead of trying to discuss specific scenarios, I review my overall 6 strategies I use to communicate effectively.I don’t describe these strategies as the umbrella I function under. They are more like a roof. A roof is complicated. There isn’t just one item that provides the cover we need for our home. There are 2x4 and 2x4 wooden supports. There is also plywood sheeting that needs to be applied before the shingles can be attached.The...
2022-12-17
49 min
The Hospice Nursing Podcast
Episode Twenty-Three: For Hospice Nurses
In this episode I interview Shelley Henry with Amity Staffing.Shelley shares her 20 year experience in hospice and how it lead her to starting Amity Staffing.She shares with us some of her strategies on bringing awareness to the challenges hospice nurses are facing in the field.We discuss some of the details of her “Your Opinion Matters” survey for hospice nurses.Shelley shares with us her social media journey, and how she is trying to help hospice nurses in her own unique way.I highly recommend you follow her...
2022-12-03
50 min
The Hospice Nursing Podcast
Episdode Twenty-Two: Case Management and LTC Success
Ten weeks ago I left my role in leadership and went back to case management.In this episode I review some things that I have had to learn as well as some things that have been reinforced.I also discuss my assignment to a hospice friendly facility, and the strategy I used to gain favor with the staff.I discuss the importance of communication, and I also discuss some of my own struggles to adjust from leadership to full-time case management.I review how to be a...
2022-11-20
51 min
The Hospice Nursing Podcast
Episode Twenty-One: The Admissions Process
In this episode I go into depth on best practices for the admission process.I cover the following points in depth.First impressionsTime ManagementAdmission in-home scheduleImportance of calming presence Review of servicesRecords reviewConsentsClick HERE to download the clinical data sheet and watch an instructional video.I provide some additional updates on Hospice Nurse Training community and all the extra content available for members.==============================As always, don’t forget to call, text or email to leave feedback! I w...
2022-11-06
51 min
The Hospice Nursing Podcast
Episode Twenty: Oops?
In this episode I pick back up on my ”Avoiding Hospice Burnout” blog series with part 7.Check out the whole series by clicking HERE!For this episode I review the fallout I received after posting the following visit schedule.==============================6 patients who will be known as 1-6 All Charting completed at the bedside.Patient 1 – 8:00am – 8:45am (no new orders) Travel 43 miles to Patient 2 Patient 2 – 9:30am – 10:30am (Actively dying) Travel 30 miles to Patient 3 Patient 3 – 11:15am – 12:00pm (pillbox) Travel 0 (same building) Patient 4 – 12:00pm – 1:00pm (pillbox) Travel 25 miles to Pat...
2022-10-16
39 min
The Hospice Nursing Podcast
Episode Nineteen: Visit Frequencies
In episode nineteen I go into detail my strategies for managing visit frequencies. To start out the episode I discuss the importance of following agency protocol regardless of any advice I provide. I also challenge leadership to reconsider any expectations that do not make sure patients get visits from their primary nurse for all crisis. I discuss how increased visits help build the two most important tools we have in our nursing bags.I compare the hospice experience with a good book and explain what the first 7 days should look like and what th...
2022-10-02
47 min
The Hospice Nursing Podcast
Episode Eighteen: Welcome To Your Community
In this episode I announce the creation of a special website I have launched for my listeners.Hospice Nurse Training!At the end of the episode I give away 5 free memberships to this new community. Listen to the episode to get the instructions!In this community you will be able to count on the following deliverables.Live Q&A following each episode (2nd and 4th Monday Night)Monthly recertification round table (zoom call to help you)Monthly work shops - First one opioid titration with deliverables Camaraderie with like-minded hospice nursesPrivate groups f...
2022-09-19
21 min
The Hospice Nursing Podcast
Episode Seventeen: The LTC Facility
In Episode Seventeen Brian returns to discuss strategies for success in long term care facilities.We answer several great questions from The Hospice Nurse Support Group on Facebook.Throughout this episode we discuss many of the challenges hospice faces when providing care in LTC facilities.Towards the end of the episode we address a very difficult situation a nurse named ”Peggy” has recently had to deal with. At the end of the episode we conclude with some practical advice to help build deeper relationships with staff and leadership.In my fi...
2022-09-01
1h 14
The Hospice Nursing Podcast
Episode Sixteen: The Last 7 Days
managing patients and their symptoms in the last 7 days of life.I discuss when to start patients on daily visits, what what science and mathematics I use to calculate scheduled and as needed medications to maintain control of symptoms.I discuss the difference between transitioning and actively dying patients. I also discuss some changes in terminology that will help cut down on confusion or misunderstanding between hospice staff and our caregivers.I discuss what kind of schedule to keep when making those visits in the last 7 days of life including visit times and...
2022-08-21
1h 13