Shows
The Hospice Nursing PodcastEpisode Sixty-One: Moving IndoorsIn 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!
2025-03-1610 minThe Hospice Nursing PodcastEpisode Sixty: Personal Loss with Mike BarrettIn 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...
2025-03-0257 minThe Hospice Nursing PodcastEpisode Fifty-Nine: Ask Questions; Talk LessIn 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...
2025-02-1752 minThe Hospice Nursing PodcastEpisode Fifty-Eight: 10 in 10 Part 2Welcome 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...
2025-02-031h 01The Hospice Nursing PodcastEpisode Fifty-Seven: 10 in 10 Part 1Welcome 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...
2025-01-2059 minThe Hospice Nursing PodcastEpisode Fifty-Six: Ebb and FlowI’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...
2025-01-0657 min
Unexpected TurnsTop 10-Jane : Menopause ChampionSince 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
2024-08-0854 min
Unexpected TurnsTop 10-Jane : Menopause ChampionSince 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
2024-08-0854 minThe Hospice Nursing PodcastEpisode Fifty-Five: Answering Pain Management QuestionsIn 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...
2024-06-1754 minThe Hospice Nursing PodcastEpisode Fifty-Four: 11 Concepts I Learned From Chuck SchroederIn 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...
2024-06-0252 min
Heart PodcastExercise training in heart failureIn 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
2024-05-0719 min
The Hospice Nursing PodcastEpisode Fifty-Three: The Labor of Life and Death With Barbara KarnesIn 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...
2024-04-301h 02The Hospice Nursing PodcastEpisode Fifty-Two: SymbiosisIn 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...
2024-04-0747 min
The Organic Grower PodcastOGPod Episode 1: Andy Dibben and Abbey Home FarmIn 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...
2024-03-261h 42The Hospice Nursing PodcastEpisode Fifty-One: Nurse Keith InterviewFor 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!
2024-03-1753 min
You're BookedElizabeth Day - You're Booked Archive All-StarsWhile 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...
2024-03-0448 minThe Hospice Nursing PodcastEpisode Fifty: Exit StrategiesIn 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...
2024-03-0259 min
The Nurse Keith ShowConfessions of a Hospice NurseOn 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...
2024-02-2350 minThe Hospice Nursing PodcastEpisode Forty-Nine: Don’t Fail Me NowIn 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...
2024-02-1950 minThe Hospice Nursing PodcastEpisode Forty-Eight: Six ways to promote growthIn 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...
2024-02-0448 minThe Hospice Nursing PodcastEpisode Forty-Seven: Don’t Say HospiceIn 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...
2024-01-2147 minThe Hospice Nursing PodcastEpisode Forty-Six: My Wish For YouWelcome 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...
2024-01-081h 02The Hospice Nursing PodcastEpisode Forty-Five: Be the leader you never hadThis 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...
2023-12-0359 minThe Hospice Nursing PodcastEpisode Forty-Four: Hospice StoriesIn 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==============================
2023-11-2057 minThe Hospice Nursing PodcastEpisode Forty-Three: Case Manager FoundationsFor 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...
2023-11-0552 minThe Hospice Nursing PodcastEpisode Forty-Two: In the BeginningIn 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...
2023-10-0756 minThe Hospice Nursing PodcastEpisode Forty-One: The Low and Slow of Hospice SalesIn 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...
2023-09-3050 minThe Hospice Nursing PodcastEpisode Forty: Workin For The WeekendIn 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...
2023-09-1746 minThe Hospice Nursing PodcastEpisode Thirty-Nine: Caseload Management Tips and TricksIn 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...
2023-09-031h 00The Hospice Nursing PodcastEpisode Thirty-Eight: AdministratoringIn 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...
2023-08-201h 17The Hospice Nursing PodcastEpisode Thirty-Seven: More For Hospice NursesIn 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...
2023-08-0647 minThe Hospice Nursing PodcastEpisode Thirty-Six: When Sales Met ClinicalIn 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...
2023-07-1651 minThe Hospice Nursing PodcastEpisode Thirty-Five: Special NeedsIn 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...
2023-07-0255 minThe Hospice Nursing PodcastEpisode Thirty-Four: The Hospice House Part 2This 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
2023-06-1840 minThe Hospice Nursing PodcastEpisode Thirty-Three: The Hospice House Part 1In 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...
2023-06-0447 minThe Hospice Nursing PodcastEpisode Thirty-Two: Imposter SyndromeIn 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...
2023-05-2050 minThe Hospice Nursing PodcastEpisode Thirty-One: Rock Bottom with Michelle EryIn 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...
2023-05-0647 minThe Hospice Nursing PodcastEpisode Thirty: Just QuitIn 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?...
2023-04-1656 minThe Hospice Nursing PodcastEpisode Twenty-Nine: The Weight of the WorkI’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...
2023-04-0151 minUnexpected TurnsJane James: Menopause ChampionToday 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
2023-03-2354 minThe Hospice Nursing PodcastEpisode Twenty-Eight: The Return of Instructor KingIn 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...
2023-02-1958 minThe Hospice Nursing PodcastEpisode Twenty-Seven: Instructor KingIn 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...
2023-02-0556 minThe Hospice Nursing PodcastEpisode Twenty-Six: The OasisIn 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...
2023-01-1455 minThe Hospice Nursing PodcastEpisode Twenty-Five: Review and RenewIn 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...
2023-01-0150 minThe Hospice Nursing PodcastEpisode Twenty-Four: Six Keys to Successful CommunicationIn 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...
2022-12-1749 minThe Hospice Nursing PodcastEpisode Twenty-Three: For Hospice NursesIn 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...
2022-12-0350 minThe Hospice Nursing PodcastEpisdode Twenty-Two: Case Management and LTC SuccessTen 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...
2022-11-2051 minThe Hospice Nursing PodcastEpisode Twenty-One: The Admissions ProcessIn 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...
2022-11-0651 minThe Hospice Nursing PodcastEpisode 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...
2022-10-1639 minThe Hospice Nursing PodcastEpisode Nineteen: Visit FrequenciesIn 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...
2022-10-0247 minThe Hospice Nursing PodcastEpisode Eighteen: Welcome To Your CommunityIn 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...
2022-09-1921 minThe Hospice Nursing PodcastEpisode Seventeen: The LTC FacilityIn 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...
2022-09-011h 14The Hospice Nursing PodcastEpisode Sixteen: The Last 7 Daysmanaging 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...
2022-08-211h 13The Hospice Nursing PodcastEpisode Fifteen: Success in the ALFIn this episode Brian and I finally coordinate our schedules to record the first of two episodes to address the challenges working interdisciplinary with staff inside of facilities.This episode was very eye opening for me, and I think it will be for you too.Hold on to your hats, because this episode comes in at a little over 90 minutes. Hopefully, you find it to be as inspiring as I do.Brian shares with us his journey from hospital ICU, through a 16 year hospice journey and why he decided to move to ALF...
2022-08-071h 38Unexpected TurnsJane James: Menopause ChampionToday 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
2022-08-0453 minThe Hospice Nursing PodcastEpisode Fourteen: Not Too LongFor Episode Fourteen I pick back up on my burnout series. In this episode I address some of the biggest reasons nurses get stuck for long periods of time with their patients.Here is a quick list of topics I discuss.Some visits are just longSee everyone twice a weekUnderstanding the two types of nursing visitsBe the calm in every situationAvoid power strugglesNo trianglesDon’t invent problemsKnow your patientsChart at the bedside to end the visitI also share the following visit schedule I performed right after I ================================================6 patients who will be...
2022-07-2453 minThe Hospice Nursing PodcastEpisode Thirteen: Orientation Strategies Part 3Welcome to part 3 of my orientation strategies!In this episode I review that last two weeks of orienting my new nurse. I discuss how impressed I was with her ability to read a room when we made an emergent unscheduled visit.I review how we performed 3 recertification visits and I introduce a new tool that can be downloaded using the “Download Tools” section of the web site. There is also a youtube video on how to use the tool available on the download page.To close out the episode I discuss the challenges all...
2022-07-0937 minThe Hospice Nursing PodcastEpisode Twelve: Orientation Strategies Part 2y 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 an...
2022-06-1848 minThe Hospice Nursing PodcastEpisode Eleven: Orientation Strategies Part 1In this episode I start a series explaining my strategies for orientating new nurses.I read an email from listener Holly and how I got my inspiration for this series from her. I also read an email from Kelly that I received the day before recording this episode and how it ties in quite nicely.Here are a few of my main points.While in orientation the new nurse should aways ride with everyone. No following in his/her own car.Set the standard from day one that hospice is an 8-5 job.Be...
2022-06-1138 minThe Hospice Nursing PodcastEpisode Ten: On-Call Strategies With TaniaIn this episode I have the distinct pleasure of interviewing Tania. She has over a decade of weekend on-call experience. This interview is filled to the brim with practical advice for success with your on-call visits.Tania shares with us how she ended up becoming a hospice on-call nurse and how it works for her family.We address the 7 following subjects:Establish why you are making the visit with the familyIdentify the type of visit (Only 3 real categories)Car Stock IdeasDocumentationHow to separate family from work on the weekendsHow to handle challenging environmentsTania’s fa...
2022-04-1750 minThe Hospice Nursing PodcastEpisode Nine: Put Down The GlassIn this episode I share why it has been exactly one month since I published my last episode. I also explain why it might be a few more weeks before my next episode.Most of this episode was shared without extensive notes and just an outline. The outline was 3 simple points.Turn off your phoneDon’t have favoritesit’s not about you (or me)I recommend 2 books with one of the books also available as an audio message by Andy Stanley.Choosing To Cheat - Renamed ”When work and family collide”Choosing...
2022-03-2139 minThe Hospice Nursing PodcastEpisode Eight: My Sacred ActivityDuring this episode I read a portion of an email I received from a listener when I asked her if she had any questions I could build a show around. In that email she asks me what my sacred activity is.After much thought, I have decided to share my sacred activity during this episode.The truth is that I am completely incapable of doing this complex and emotional work under my own power. This work can be overwhelming to the mind and soul at times. In this episode I explain how my faith and...
2022-02-2038 minThe Hospice Nursing PodcastEpisode Seven: Find Your Sacred ActivityIn this episode we interview Kris, who is the creator and administrator of the Hospice Nursing Support Group on Facebook.Kris shares some very interesting statistics regarding this group. We also review a few of the group rules to help provide some context for present and future members. Kris shares her experience with another Facebook group and how she helped that group be more successful.Towards the end of the show Kris shares some very personal experiences over the last 2 years while working on a COVID unit. She shares one of her strategies that has...
2022-02-0746 minThe Hospice Nursing PodcastEpisode Six: Plan your work. Work your plan.For todays episode we discuss several ideas that will help us be more likely to happen to our days and weeks instead of our days and weeks happening to us.We discuss the importance of having a new schedule every week. I am offering a free copy of the spreadsheet I have created to manage my caseload. You can visit the download page HERE. Please email me at james@confessionsofahospicenurse.net if you have any problems getting the file to work.Here is a quick overview of the concepts I discussed during this episode....
2022-01-1644 minThe Hospice Nursing PodcastEpisode Five: Don’t Be A HeroFor today’s show I discuss my own challenges with my hero complex, and how we can all get away from trying to be the hero in someone else’s story.Click HERE to read the Avoiding Hospice Burnout series.It is completely natural to become a central figure in the life of our dying patients and their family members. We have a lot of knowledge to share, and we have a lot of solutions to common problems.It is our job to empower our caregivers and help them become the hero of the...
2022-01-0339 minThe Hospice Nursing PodcastEpisode Four: Leadership Lessons From ETHOS COEIn episode four of The Hospice Nursing Podcast we deviate from the burnout series and highlight some insights I learned at a recent leadership conference I attended.A couple Saturday’s ago I attended a leadership conference hosted by the ETHOS Center of Excellence. Our speakers were Dr. Frank Armato and Dr. Barry Young. The conference was from 9am-3pm with 6 powerful sessions.This workshop was called, “Becoming a Better Leader,” and in this episode I give a quick overview of each session and highlight some of the lessons I learned.Session 1: Establishing a Purp...
2021-12-2046 minThe Hospice Nursing PodcastEpisode Three: For The RecordFor episode 3 of The Hospice Nursing Podcast my first hospice mentor, Mike Barrett, returns to discuss what I believe is the biggest contributor to hospice nursing burnout. Of all the complaints I hear from nurses regarding burnout and being overworked, charting is the main complaint. In this episode, Mike and I try our best to debunk the reasons charting cannot be completed at the bedside. We also take some time to explain how to be successful with charting at the bedside. For some context, please visit my second article in the “Avoiding Hospice Burno...
2021-12-0652 minThe Hospice Nursing PodcastEpisode Two: The Power of Self DeceptionIn this episode I introduce my very first hospice mentor, Mike Barrett. Mike explains what he saw in me and how I responded to his training when I first entered hospice in 2015.I then share my own personal story of total financial collapse in 2007 & 2008 that resulted in my own deep depression, and how I managed to recover.During the episode I explain the personal changes I made from 2008-2010 before returning to college in 2011 and pursing my nursing degree.Mike and I discuss the power of intentionality in our lives, and how it...
2021-11-1543 minThe Hospice Nursing PodcastEpisode One: Greetings From Kansas CityWelcome to episode one of The Hospice Nursing Podcast!In episode one I provide my audio resume. It is a dramatically condensed version since I turned 50 this year! Nobody has time for too much of my history. Anyway below is some of the content I promised during the episode.Please click HERE to review the Hospice News article I read during the episode.You can also visit the hospice nurse support group on facebook I mentioned by clicking HERE. Only hospice professionals are allowed admittance. As I stated in th...
2021-10-3036 min
The British ContinentalRory Townsend | Canyon dhb p/b Soreen | From nearly quitting to top domestic riderSend us a textAn in-depth interview with Rory Townsend, arguably the best rider in the domestic peloton in 2019. The Irishman races for Tim Elverson’s Canyon dhb p/b Soreen team. In fact, he’s ridden under Tim since 2013. His feats last season included two UCI road race wins, a further four UCI road race podiums, three National Road Series race wins, winning the Tour of Britain sprints jersey, a Tour Series win, 4th in the Irish national road race and selection for the World Road Race Championships. Not bad considering he’d come close t...
2020-07-211h 05
Restored Gospel Podcast66. Stories of the Saints -E13- James DibbenSend us a textJames is a friend, a follower of Christ, a fellow nurse, a podcaster, blogger, small group leader, mens leader, and entrepreneur. He currently works for hospice. That is where our paths crossed years ago. Since that time we have maintained contact and had many discussions on life, God, the things of eternity, and also dying and hospice. He recently posted a video of his testimony of when he lost everything when the housing market crashed back in 2008. He thought maybe it would be of help to those who are going through troubl...
2020-04-251h 06You're Booked7. Elizabeth DayWe're heading, once more, to leafy, lovely North London to meet the author, journalist and podcast supremo Elizabeth Day. Elizabeth is the author of four novels and will soon release her first memoir, based on her massively successful podcast How To Fail. 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 from The Thorn Birds.BOOKS (Click on the links for more)Elizabeth Day - The PartyElizabeth Day - How To Fail...
2018-12-1748 minPursuing Your Calling » Podcast004 – Blue Collar Calling
004 – Blue Collar Calling
Finding our callings isn’t always easy. It can be a long process of seeing what does and doesn’t ‘fit’ over time.
Our guest this week is James Dibben, the Blue Collar Coach. He’s explored and discovered his calling through different jobs and roles through the years. He now knows that he’s called to serve the blue collar community.
Tune in to hear details of how this Blue Collar Calling has come about. You’ll be inspired as you hear his story.
Click here to download...
2011-06-1400 min
The Community Voice024 – James DibbenIn this episode we introduce you to James Dibben. James and his wife have been married for 20 years. They have four daughters. James shares a unique story about how he and his wife grew their family.
I hope that everyone comes away encouraged by our conversation with James, as you hear his story of the ups and downs that his family has faced, you can still hear the confidence and joy in his voice and in his words.
2011-01-2824 minPursuing Meaningful Work » Podcast Episodes127 Pursuing Meaningful Work – Brent on the Blue Collar Radio Network PodcastRight-click to download Leave a review on iTunes Pursuing Meaningful Work Episode 127 – Brent on the Blue Collar Radio Network Podcast From time to time, I’m a guest on other podcasts. My good buddy James Dibben, the Blue Collar Coach, recently interviewed me on his Blue Collar Radio Network Podcast. The title of the [...]
2011-01-1525 minPursuing Meaningful Work » Podcast Episodes114 Pursuing Meaningful Work – Interview with James Dibben: Moving Forward to Traditional EmploymentRight-click to download Leave a review on iTunes Pursuing Meaningful Work Episode 114 – Interview with James Dibben: Moving Forward to Traditional Employment James is a returning guest on our Meaningful Work Interview Series. After his first interview, he came to a decision that he needs to close down his construction-related company and take a [...]
2010-11-1325 minPursuing Meaningful Work » Podcast Episodes113 Pursuing Meaningful Work – Do you know your Personality Type??Right-click to download Leave a review on iTunes Pursuing Meaningful Work Episode 113 – Do you know your Personality Type? My friend James Dibben and I just had a conversation regarding Personality. I use the Myers-Briggs Type Personality Assessment. I’m an ENFP and my wife is an ISTJ. ‘E’ stands for Extroversion, you get your [...]
2010-11-1225 min