new hospice job

  1. I was so excited when I started my new hospice job Wed. Now I find out I am the only nurse, I am the clinical director, intake person, hr person and the only on call person for several months till I hire new people and train them all of which will be hard for me to do since I am new there and only done hospice as a volunteer for 10 years. Of course I am salaried. I feel like a slave this normal for a hospice to do? Do they run that tight a ship...........

  2. Visit renerian profile page

    About renerian

    Joined: Aug '02; Posts: 7,474; Likes: 46
    RN, MS home health


  3. by   aimeee
    What!?!? This does not sound like it would be a good plan for you or for the people you will be trying to serve. And it is outrageous that you were hired without being told the whole story. Who are "they"?
  4. by   prn nurse
    Sounds to me like ""the owners"" started themselves up a business.

    And you are goin' to do all the work and they are goin' to sit at home and send in those fat bills to medicare.

    I think I would e-mail them a "sorry, something personal has come up and I am resigning effective immediately." i.e. ("take this job and shove it")

    And this is one you don't even have to put on your job history.

    Too much licensing risk for me....too much responsibility, too much everything !!!
  5. by   prn nurse

    When they told you your "job description",

    you DID look them in the eye and laugh

    and say, "You've GOT to be kiddin !!?", didn't you?

    Or were you in shock?
  6. by   renerian
    ACtually ladies I just said oh really???????I told them you know that seems like alot for one person to do???I am actually looking at traveling nursing and personnal messes to get drug into most of the time..........thanks both of you for responding.......

    I appreciate your thoughts and at least I know I am not alone in my overwhelmed little brain LOLOL

  7. by   Nurse Ratched
    Susan, I'm picturing Dick VanDyke in Mary Poppins with his big multiple musical instrument contraption lol. Loading that many responsibilities on one person absolutely guarantees that NONE of them will get done with any degree of quality. I'm very sure that I would have laughed and asked what crack pipe they were smoking from before I walked out. (OK - maybe not, but no way would I accept those terms for any amount of money. You are only one person.)
  8. by   nursegoodguy
    Better be careful to guard against burnout, like on the first day! Too bad when you really want to do something to help out the people who really need it, and it seems like the suits are just making a buck on your hard work and compassion! I would love to work hospice but in a inhouse setting like what my mom went to... someday...
  9. by   Brownms46
  10. by   prn nurse
    What really is maddening is when you are looking for a job, and it all sounds allright up front. Then, you go in and they "dump" all this on you.

    It would make me very pi*sed! I'd feel like I had been manipulated and deceived.

    I guess their next move will be oh, you'll have "plenty of time to grow into it", we only have two or three clients to start with.

    It is a license risking scenario.

    Sounds like you handled them pretty well.

    Let us know how it turns out.
    Last edit by prn nurse on Sep 20, '02
  11. by   renerian
    Thanks everyone for your thoughts. It gets better. First they said when the agency gets to 10 patients you can hire an RN now they say we need to get to 40 patients! OMG I am not wonder woman! 5 people are sharing one money to buy any more even though we were told they would....just a mess....

    thanks for letting me vent,

  12. by   renerian
    Here is an update as my list of duties grew today. I also have to be on call for the agency in another city in a rotating fashion. I figured out if I worked as a case manager I would get on call pay, overtime and pay for all the hours I worked at night or on the weekend and none of the office stuff would be my responsibility. I am considering telling my boss I would love to do case management.................needless to say I can make more money working being paid......every hour I work.........I think I am going to go for option two being a case manager.........I like that job....

  13. by   NRSKarenRN
    Bail out NOW.

    Take it from someone who worked 12-14 hrs to keep agency afloat. There expectations RIDICULOUS!

    Have you ever worked Hospice before? With a twenty patient census, we needed three RN's to manage clients: 1 was Director 1 FT nurse and perdiem. 1 SW, 1 Chaplin FT and volunteers.
    Average visits was 4-5/day. If several in crisis at same tme who is going to be able to triage at office AND do visits at same time. **** happens really quick just like in ICU and these families needs LOTS of attention and intense discussion at times. MUCHO coordination which I know is your strong suite from previous posts.

    Put your foot down NOW or you will be like me a doormat 4 years ago. After Ifinally said NO---3 different persons were as replacement supervisors with company closing 7 months later.

    NO WAY would I be resonsible for another city's patients.
    Last edit by NRSKarenRN on Sep 20, '02
  14. by   BadBird
    Do you feel USED, I sure would if I were in your shoes. I would run not walk out of that job. It is ridiclious for the management to think of hiring a one nurse show, no one can wear that many hats and help the poor patients too. good luck.