The Hospice Nursing Podcast James Dibben

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. 

It sounds like you have held each position and can can safely compare and contrast. 
For instance I know I have heard and seen a lot of field nurses say “ it’s easy for management to sit up there in the office and dictate what should be happening out here – while they are in the office drinking coffee and having a real lunch break” I know that’s not true but it’s easy to think that when we run in and out for supplies for a short time. 


In this episode I explain how Operations really drives the culture of the agency. It is Operations that provides a positive or negative environment for everyone to function within.
I also explain how poor leadership can really affect the moral of the organization.
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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net
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Be sure to check out thehospicenursingcommunity.com for extra content as well as hope, help and encouragement from other hospice nurses just like you!

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/
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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@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!

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 things I didn’t do so well.
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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@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!

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,
Jade

I 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 failures in general and how they relate to each hospice provider’s philosophy of care.
The Medicare COPs I review are the following.
Election of hospice benefitThe IDG/IDTAdmissionsDischarge TypesFace-to-face requirementsIndividualized care plans24 Hour Nursing ServicesThe 4 Levels of CareFor agency philosophy we review the following areas that could result in service failures.
Visit frequenciesMedication RefillsSuppliesCalling 911Patient dies in discomfortOn-CallAnything that the patient perceives as a failureI also promise to provide the NHPCO overview of the Medicare Conditions of Participation. You can download the COPs HERE.
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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@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!

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 most powerful for creating a successful environment. Still, there are other ways to grow a branch.
This episode is about the administrator taking responsibility for the success of their branch. It starts and ends with the administrator.
==============================
As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@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!

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 easy reference. You can download the PDF version by clicking HERE.
I also spend some time explaining how to adjust your conversation to find out what kind of experience (if any) your patient or caregivers have with hospice.
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As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@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!