CHARTING TIPS FOR HOSPICE NURSES | TIPS FOR CHARTING AS A HOSPICE NURSE | HOSPICE NURSE
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- เผยแพร่เมื่อ 9 มิ.ย. 2024
- So we are back to our regularly scheduled program with nurse vids 😁
Here are some tips on how to appropriately document as s hospice nurse 👩⚕️
This is just some way to document as a hospice nurse
We ALWAYS do a head to toe assessment (as you would in any healthcare setting) and chart our findings based off of the had to toe as well as patient/caregiver report.
Remember, as a hospice nurse you will be seeing your patients once a week minimum (Medicare only requires an RN once every two weeks but most hospices will do nursing visits at LEAST once a week whether that be an LPN or RN)
So you will need to acquire a picture of what your patient’s week or few days have been since you’ve seen them last and “paint” a picture of your patients “story” through your note.
Now there may be different terms you will utilize in your practice and you may not use these terms at EVERY visit (or you might) depending on your assessment of the patient.
Please always follow your agency’s rules when it comes to charting.
And chart like it may be read out loud in a deposition one day
IG @gravel_walknurse 😁
Disclaimer: Please note that none of the above statements in the video are reflective of my employer or place of employment. All info given in this video is based off of personal clinical experience and you should always follow your scope of practice within your state and licensure. This video is not intended to replace curriculum you have learned through your nursing program. You should follow guidelines/education put in place by your employer and/or nursing program.
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As an aspiring palliative/hospice nurse, I love your channel and content.
Thank you so much for watching!! And it makes me so happy that you want to join hospice/palliative care- it’s truly a calling ❤️
Love your explanations. Wish there's more of you out there. Awesome job.
I am loving your channel! I just started working as a hospice case manager and find your videos very helpful.
I’m so glad to hear that!! I’ll be putting up more soon! Congrats on the job! 🤗
Love this info thanks !! I’m a hospice admission nurse ! This was very helpful !
You’re very welcome! God bless you for doing admissions and doing all that charting ❤️ I totally appreciate and admire our admissions nurses
thank you . This was helpful.
Good info, easy on the eyes, thanks
Looks interesting, I did a little assistant nursing when my uncle and grandparents past on.
I tried home hospice nursing. I guess it all depends on the company. The company I worked for would say, "hey, can you stop here since you're in the area? Can you go by there on your way home? Can you fill in for this CNA or nurse that called out for the 20th time this month?" I was salaried and expected to work 20 hours a day....I had a really bad experience. And since facilities suck even 10 times worse....I left nursing for real estate and do a prn nursing home shift a weekend a month to keep my license..... Never been happier. Maybe when companies learn that they need RNs WAY MORE than RNs need them, I'll return to the field.
Some definitely take advantage of their nurses/staff especially since they know how much we care for our patients. I am thankful for the nurses who trained me to set boundaries. It’s hard for nurses because we are naturally so empathetic.
Thanks for this video.Could you post an example of charting(text)
You should be an educator!! Very great at teaching
That is my goal actually! I’d also love to teach at the college level regarding hospice nursing. 🥰 thank you so much for your comment, absolutely made my day
Like because good topic and pleasant understandable demeanour, subscribed because “...Jessie Depresee “ ☺️ Tooo perfect 👌🏽
Thank you for subscribing! 🥰
Im thinking of expanding from Home health into Hospice, this was very helpful
You’d be a great fit with your experience!
💜
❤️❤️❤️
You mentioned albumin, do you typically draw labs as a hospice RN?
Not typically no. That is something that may have been done prior to admission.
When charting is it checking boxes that applies to the pt or do you type out the whole head to toe assessment? Or does it all depend on the system your company uses?
I would say all of them have a combo of both. We also always have to do a narrative on top of the rest of the charting as well. I would say the head to toe is checking boxes and then any clarification of issues etc would be part of the narrative
Why did you mention a deposition? Are you saying like for malpractice lawsuit or is this something Medicare/Medicaid does when investigating providers falsifying charts and such?
I wouldnt think hospice would be affected by that, unless under extreme situations, because the patients are dying. Even if they die sooner b/c of malpractice I assume there isn’t a lot of money for lawyers since there won’t be much legal damages since the patient didn’t have much life left.
Because at anytime during any medical professionals career you can get called into court. Also, lot of our charting is geared towards Medicare/Medicaid and if we don’t do that correctly we can be charged with fraud. Even in hospice, you just never know what will happen. I feel thinking this way also helps you chart safely and thoroughly.
😮
Do many patients experience so called "deathbed visions" and what kind of ones? Would be nice to hear from you about this topic. Stay awesome :)
They definitely do! I’ve had patients see relatives, even a baby that was miscarried, and pets! I think it’s comforting to family to know people are waiting on the other side 🫶
@@HospiceNurseAllie But they like never see a living people like that? Because if that was just imagination or hallucination, you would expect them to see people who are not dead. You know, like someone old wants to see their child one more time could easily hallucinate them.
Hi, Allie
Do you know if the same companies that hire for a nurse to visit hospice patients also hires for Cardiac Sonographers to come out also to treat/sonogram patients? I ask because I'm considering going to college for Cardiac Sonography and I would like to find a mobile position where I go out to visit the patients. I've been told there is positions like this.
There may be! Hospice nurses work for hospice companies and usually we don’t utilize cardiac sonographers for our patients. I know currently on staff we don’t have any. But maybe homehealth companies and traveling radiology companies might! We have portable xrays that go to ALFs and patient homes.
@@HospiceNurseAllie thxs :)
Do hospice nurses have patients with central lines?
We do! Ports, central, you name it. We don’t typically utilize the central lines though. Although it of course it depends on the agency and the acuity of the patients they admit.
@@HospiceNurseAllie thank you so much for all of your content Nurse Allie Guru...much respect 💯🤗
Thank you 😊
cute outfit
Thank you! ❤️
That yawn, though....😂 #truth
Dont let them in your home they report anything including smelling weed.
Hey mike! This is primarily a channel on how to guide future hospice and current nurses as well! Jsut know that every agency has different regulations and personally we don’t report it, it’s legal here, but we do take into consideration the smell and often ask for patients and families not smoke while we are in the home as we have other patients who may have sensitivity to those smells. But if a patient smokes we do like to know just to keep in mind for medication interactions. Have a nice day!
Also oxygen in the home also can interact with any kind of open flame! Have a nice day!
As an RN on the visiting home care side we end up seeing EVERYTHING. Im not sure I've ever "reported" anything at this point but if I feel my team members could be approaching a dangerous situation I 💯 will share the information. Like don't take your jacket or bag in d/t roaches or heavy smoke or be aware of the dog, etc. Most who have been in pts homes for so long typically arent surprised by much and are only focused on providing care for our pt or advocating for pts who need care but only get it when we're there