Pros: you can connect with, and make a difference in people's lives. travel throughout the local community. movement, not a stationary job.
Cons: lunch is eaten while driving, you are on the cell phone -a lot, documentation occurs in the home setting & extends to your own home setting, unpredictable on call hours.
8 AM: I receive a text to make a home visit ASAP to one of my Hospice Patients who lives alone & fell down (their medic alert system was set up to call Hospice). I assisted my elderly Pt to make a decision as to whether she wished to go back into the ER again for a full evaluation, or call her physician for follow-up. She had recently been in the hospital. – more... I phoned local "lift assist", provided assessment to Pt and an update to her part time caregiver. I will follow her care, as well as the care of 12-14 other Patients on my caseload..... Then, on to scheduled visits for the day (4 others) that include interaction the Pt, their family, & other Hospice team members such as Pharmacist or Tech, SW/Counselor, Aide, Equipment Tech, Volunteers, Hospice Office Staff. Also, make requests to Dr's Office Staff for medications needed to control the Pt's symptoms of vomiting, pain, shortness of breath or alert them to other concerns. I enter Nursing assessment data, plan of care, & Pt and Family concerns into the computer, so that it is accessible to other members of Hospice providing care to the Patient/Family throughout the evening and night. I have learned to provide well thought out, collaborative care to Patients and Families, as well as teach families to provide care in the home setting. My co-workers work very hard providing the same type of care I do. I can count on them for advice in situations that need another perspective to handle. The hardest part of the job is for administration to see what is most important in the home care setting. It is incredibly hard work. The documentation often takes place on into the evening hours. I cannot say I love my job; but I do appreciate caring for people at the end of their lives. It is seeing their entire life - the WHOLE person -their spirit -their values -whatever makes them who they are as a being. That is amazing, and no words can describe it. It is an honor to be a part of their life, and the lives of their family members. – less