The Hospice Nursing Podcast (James Dibben)
Explorez tous les épisodes de The Hospice Nursing Podcast
| Date | Titre | Durée | |
|---|---|---|---|
| 06 Feb 2022 | Episode Seven: Find Your Sacred Activity | 00:46:54 | |
In 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 helped her cope and adjust from the experience. To view the photos related to this episode, please visit the show notes page at https://www.confessionsofahospicenurse.net/?p=537 As we discussed, here are some Facebook groups that should be helpful for laypersons and medical professionals who do not currently work in hospice. End of Life Care and Bereavement: “Barbara Karnes, award-winning end of life educator and award-winningnurse, wrote "The Hospice Blue Book," GONE FROM MY SIGHT, among others. Barbara has now created a personal forum where she answers your questions and offers education from her extraordinary knowledge on all areas of end of life care and bereavement.” Hospice & End of Life Care Group: “This group has been created with the intent to educate, support, ask questions and share our challenges in relevance with death, dying, hospice, end of life care, grief, loss and or bereavement.” ============================== | |||
| 20 Feb 2022 | Episode Eight: My Sacred Activity | 00:38:06 | |
During 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 spiritual practices help me provide the kind of medical care and emotional support my patients and their caregivers deserve. I also promise to upload a sermon series that really helped me balance my faith with my work habits. That series can be accessed HERE. I have also added it as a menu item on my website. I explain in detail the following 6 concepts I try to employ every day to the the best I can be.
I also share the two following quotes by C.S. Lewis that can be viewed from the website version of my show notes. https://www.confessionsofahospicenurse.net/?p=588 ============================== | |||
| 21 Mar 2022 | Episode Nine: Put Down The Glass | 00:39:23 | |
In 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.
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 to Cheat Audio Message I also highly recommend ”Boundaries” by Henry Cloud and John Townsend. As always I highly encourage you to check out my ”Avoiding Hospice Burnout Series” page for all my articles related to hospice nursing burnout. As promised here is the youtube video I played during the show. ============================== | |||
| 16 Apr 2022 | Episode Ten: On-Call Strategies With Tania | 00:50:35 | |
In 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:
My two favorite quotes from the interview. ”Sometimes, you end up where you need to be,” and ”No visit is ever wasted.” My favorite part of this interview was the very end. Tania shares with us how she uses Barbara Karnes’ Blue Book for her families when she visits. This is the most powerful and intentional use of this book I have ever seen. I plan to implement this strategy starting this very week! ============================== | |||
| 11 Jun 2022 | Episode Eleven: Orientation Strategies Part 1 | 00:38:44 | |
In 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.
Don’t forget to call, text or email to leave feedback! I would love to hear from you! 816-834-9191 ============================== | |||
| 18 Jun 2022 | Episode Twelve: Orientation Strategies Part 2 | 00:48:18 | |
y 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 and make it available in my ”tool download” section of the website. Here are my main points from today’s show.
As promised, you can find an updated menu at http://confessionsofahospicenurse.net that will take you to available downloads from my sight. Be sure to watch this menu over the next week as I will be adding a Hospice Test to the menu for download to use when helping new hospice staff learn the regulations. ============================== | |||
| 09 Jul 2022 | Episode Thirteen: Orientation Strategies Part 3 | 00:37:46 | |
Welcome 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 hospice nurses experience due to our ability to tell the future in certain situations. ============================== | |||
| 24 Jul 2022 | Episode Fourteen: Not Too Long | 00:53:08 | |
For 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.
I also share the following visit schedule I performed right after I Patient 1 – 8:00am – 8:45am (no new orders) Drive 5 miles to where my daughter works to pick her up since her car is in the shop. She gets off at 5:30pm. Worked from 4:00pm-5:30pm to do Recert notes on patients 5 and 6 above. Also completed IDT notes on 3 patients for a nurse who is out In Episode Fifteen I will discuss the above schedule and what I feel like I learned from it. ============================== | |||
| 07 Aug 2022 | Episode Fifteen: Success in the ALF | 01:38:06 | |
In 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. Throughout this episode there is plenty of practical advice. There is also some insight into what it can be like to run and work at an ALF. If I were to sum up the whole episode in one word in two words it would be, ”Accountability.” That accountability is on our part. The only people we have control of is ourselves. That is an obvious theme in this episode as it is in just about everything else that comes out of this website. I hope you will embrace this episode and find it to be the kind of motivation you need to help you be that much better when you are working with our friends in ALF. ============================== | |||
| 21 Aug 2022 | Episode Sixteen: The Last 7 Days | 01:13:01 | |
managing 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 how to help our caregivers feel more at peace with the schedule. Towards the end I discuss the opioid conversion chart I created. I have added a download to the ”download tools” area of the website. I also created a video explaining how to use the conversion chart. ============================== | |||
| 01 Sep 2022 | Episode Seventeen: The LTC Facility | 01:14:24 | |
In 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 final thoughts, we discuss the importance of considering the bigger picture when working with all facilities. We discuss the fact that working with any facility is about long term goals, and how it takes time to build a mutually beneficial relationship that will ultimately help hospice patients and their difficult journey towards end of life. ============================== | |||
| 18 Sep 2022 | Episode Eighteen: Welcome To Your Community | 00:21:52 | |
In this episode I announce the creation of a special website I have launched for my listeners. 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.
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| 02 Oct 2022 | Episode Nineteen: Visit Frequencies | 00:47:00 | |
In 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 the last 7 days should look like. I discuss situations when we should put patients on daily visits even though they are not in steep decline or actively dying. At the end of the episode I provide an update on my new website Hospice Nurse Training, and I discuss the upcoming training schedule. In 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 the last 7 days should look like. I discuss situations when we should put patients on daily visits even though they are not in steep decline or actively dying. ============================== | |||
| 16 Oct 2022 | Episode Twenty: Oops? | 00:39:52 | |
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 Patient 1 – 8:00am – 8:45am (no new orders) Drive 5 miles to where my daughter works to pick her up since her car is in the shop. She gets off at 5:30pm. Worked from 4:00pm-5:30pm to do Recert notes on patients 5 and 6 above. Also completed IDT notes on 3 patients for a nurse who is out sick. Start nice and early. Chart at the bedside. Be intentional! ============================== ============================== | |||
| 06 Nov 2022 | Episode Twenty-One: The Admissions Process | 00:51:33 | |
In this episode I go into depth on best practices for the admission process. I cover the following points in depth. First impressions Click 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. ============================== | |||
| 20 Nov 2022 | Episdode Twenty-Two: Case Management and LTC Success | 00:51:18 | |
Ten weeks ago I left my role in leadership and went back to case management.
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| 03 Dec 2022 | Episode Twenty-Three: For Hospice Nurses | 00:50:25 | |
In 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. 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. Facebook Be sure to take a few minutes right now and complete the SURVEY! We spend a few minutes at the end allowing Shelley to share some of her hospice insights with us. At the end of the episode I provide a few updates for The Hospice Nursing Community. This includes my personal journaling of many of the hospice cases I am managing right now. My focus is to give my members an inside look on how I manage my patients in the last 7 days of life, and how I communicate effectively. ============================== | |||
| 17 Dec 2022 | Episode Twenty-Four: Six Keys to Successful Communication | 00:49:39 | |
In this episode I discuss my communication strategy when communicating with patients, families and facility staff.
Please don’t forget to complete the “Your Opinion Matters” survey being conducted by Shelley Henry. ============================== | |||
| 01 Jan 2023 | Episode Twenty-Five: Review and Renew | 00:50:25 | |
In 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.” ============================== | |||
| 14 Jan 2023 | Episode Twenty-Six: The Oasis | 00:55:50 | |
In this episode I reimagine Part 8 of Avoiding Hospice Burnout for nurses. ============================== | |||
| 05 Feb 2023 | Episode Twenty-Seven: Instructor King | 00:56:51 | |
In 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. Chanel also shares with us a concept called a Safety Plan. We can use this plan to help us recognize when we are struggling emotionally and need to re-center ourselves. Chanel and I are working on a plan for me right now. It has been an amazing experience! I can’t wait for it to be completed! While you are there, please consider singing up for your free membership. Instructor King provides a lot of free content including live streaming sessions covering many topics. You’ll be glad you did! ============================== | |||
| 19 Feb 2023 | Episode Twenty-Eight: The Return of Instructor King | 00:58:34 | |
In 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 that we are actually more different, Chanel’s perspective is a breath of fresh air. Towards the end, Chanel shares with us the concept of a Recovery Strategy Care Plan which can be referenced as the anacronym, RSCP or “Recipe.” You can download the RSCP by clicking HERE. Scroll down till you find the orange flower and click it. Right below the flower you can actually schedule a free 30 minute session with Instructor king to help you create your care plan. I recommend you take advantage of this right away. I don’t think Instructor King will have this kind of availability in the future. She’s a big deal! I also mention a new blog series I’m writing called, “What to expect from your hospice nurse.” You can access the series landing page HERE. ============================== | |||
| 01 Apr 2023 | Episode Twenty-Nine: The Weight of the Work | 00:51:56 | |
I’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. Developing the Leader Within You Developing the Leaders Around You The 21 Irrefutable Laws of Leadership The Eight Paradoxes of Great Leadership (highly recommend) I discuss some of the behaviors by hospice leadership that I think can be very toxic. I also share my thoughts on how leadership should handle staff members who are struggling. ============================== | |||
| 16 Apr 2023 | Episode Thirty: Just Quit | 00:56:09 | |
In 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.
During this episode I don’t pull any punches. The issues above are what I have seen be the leading cause of burnout for hospice nurses. If we are unable to master the list above, this work may not be what we should be doing. I don’t want anyone listening to this episode to quit being a hospice nurse. Still, this work is not for everyone. It’s okay to realize that hospice is not for you. At the end of this episode I spend some time discussing The Hospice Nursing Community. This community has a private group dedicated to hospice leadership. In the last week I have taken a hospice administrator position here in the Kansas City area. I will be sharing some of my experiences in the private group for hospice leadership. I also share that I have made a change to the pricing structure. The monthly subscription is now $19.99 and there is also an option to pay $199.00 for a lifetime membership that does not expire. ============================== | |||
| 06 May 2023 | Episode Thirty-One: Rock Bottom with Michelle Ery | 00:47:29 | |
In 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 everything that happened. At the end of the episode, Michelle encourages any listeners who feel like they are struggling with addiction to contact her via her personal facebook page. Facebook: https://www.facebook.com/MrsEryRN During the show I also noted that I would provide a link to AA for anyone considering getting help. Alcoholics Anonymous ============================== | |||
| 20 May 2023 | Episode Thirty-Two: Imposter Syndrome | 00:50:49 | |
In this episode I explore the realization that, if we are honest, we all have feelings of insecurity and inadequacy. ============================== | |||
| 04 Jun 2023 | Episode Thirty-Three: The Hospice House Part 1 | 00:47:10 | |
In 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.
Part 2 of the conversation will occur in episode Thirty-Four of the show! ============================== | |||
| 18 Jun 2023 | Episode Thirty-Four: The Hospice House Part 2 | 00:40:27 | |
This 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.
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| 02 Jul 2023 | Episode Thirty-Five: Special Needs | 00:55:52 | |
In 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. ============================== | |||
| 15 Jul 2023 | Episode Thirty-Six: When Sales Met Clinical | 00:51:07 | |
In 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 can happen when our patients or referral sources misrepresent what the clinical team has said or done. In the end we are all a team, and we are all on the same side. ============================== | |||
| 06 Aug 2023 | Episode Thirty-Seven: More For Hospice Nurses | 00:47:40 | |
In 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.
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. Please be sure to follow Shelley on all her social media platforms. She uses the handle, “For Hospice Nurses,” for all her social media work. Facebook The Hospice Nurse Your Opinion Matters Survey will return this fall starting in October. Be sure to check it out and share it with your hospice nurse friends! Click here to take the hospice nurse “Your Opinion Matters” survey starting October 1st 2023! ============================== | |||
| 20 Aug 2023 | Episode Thirty-Eight: Administratoring | 01:17:52 | |
In this episode I review the 3 large projects I completed in my first 4 months as administrator. 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 what to expect from your hospice nurse. ============================== | |||
| 03 Sep 2023 | Episode Thirty-Nine: Caseload Management Tips and Tricks | 01:00:10 | |
In this episode I answer a question from Gina. I review how case management changes when the majority of our patients are in LTC facilities. At the beginning of the episode I put out a challenge to those of us who are in leadership to make very attempt to stay connected to our field staff. ============================== | |||
| 17 Sep 2023 | Episode Forty: Workin For The Weekend | 00:46:05 | |
In this episode I answer the following question sent to me by Pamela. I talk about the end of day (EOD) email that goes out Monday - Friday where I work as well as the Stand Down call we do every Friday before the weekend staff takes the stage. You can download a template of the EOD email from my website downloads HERE. ============================== | |||
| 30 Sep 2023 | Episode Forty-One: The Low and Slow of Hospice Sales | 00:50:30 | |
In 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 of creating a consistent and repeatable process that will help referral sources build a certain level of expectation. I talk about developing a balance between selling hospice philosophy and hospice services. Towards the end I explain that all of hospice is really about trust and relationship. These two things are the foundation for which every hospice should be built upon. ============================== | |||
| 07 Oct 2023 | Episode Forty-Two: In the Beginning | 00:56:36 | |
In this episode I answer the following question from May. May has been charged with a hospice startup.
During the episode I share that I am currently building what I call “Tip Sheets” for Kantime; the EMR my company uses. I explain that I will be offering my Kantime Tip Sheets as a product from The Hospice Nursing Community. Please reach out to me via email at james@confessionsofahospicenurse.net or phone at 816-834-9191 to be put on the waiting list. During the show I offer May a free membership at The Hospice Nursing Community with access to my Tip Sheets template as well as all my orientation materials to help her get started with this new endeavor. ============================== | |||
| 05 Nov 2023 | Episode Forty-Three: Case Manager Foundations | 00:52:29 | |
For 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.
Every one of these character traits are essential for case management succsss. ============================== | |||
| 20 Nov 2023 | Episode Forty-Four: Hospice Stories | 00:57:31 | |
In 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. It’s Okay To Die On Thanksgiving ============================== | |||
| 03 Dec 2023 | Episode Forty-Five: Be the leader you never had | 00:59:44 | |
This episode is all about leadership. Leaders Eat Last - Simon Sinek The Speed of Trust - Stephen Covey It’s your Ship - Michael Abroshoff Developing the leader within you - John Maxwell Developing the leaders around you - John Maxwell Becoming a person of influence - John Maxwell The 21 Irrefutable laws of leadership - John Maxwell The 8 paradoxes of great leadership - Tim Elmore In a pit with a lion on a snowy day - Mark Batterson ============================== | |||
| 08 Jan 2024 | Episode Forty-Six: My Wish For You | 01:02:04 | |
Welcome 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. My second point focuses on the importance of establishing a work-life balance. I discuss some boundaries with our patients that are important. I spend a few minutes explaining the importance of involving the entire team which includes the chaplain and social worker. At the end I encourage all of you to stay the course and remain hospice nurses with the goal of establishing healthy habits. ============================== | |||
| 21 Jan 2024 | Episode Forty-Seven: Don’t Say Hospice | 00:47:26 | |
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 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. ============================== | |||
| 04 Feb 2024 | Episode Forty-Eight: Six ways to promote growth | 00:48:36 | |
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.
These 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. ============================== | |||
| 18 Feb 2024 | Episode Forty-Nine: Don’t Fail Me Now | 00:50:17 | |
In this episode I answer the following question from a listener. Thanks, Jade The Medicare COPs I review are the following.
For agency philosophy we review the following areas that could result in service failures.
I also promise to provide the NHPCO overview of the Medicare Conditions of Participation. You can download the COPs HERE. ============================== | |||
| 02 Mar 2024 | Episode Fifty: Exit Strategies | 00:59:16 | |
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.
Then 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. ============================== | |||
| 17 Mar 2024 | Episode Fifty-One: Nurse Keith Interview | 00:53:44 | |
For this episode I decided to share a recent interview I did for the Nurse Keith podcast. Take a minute to visit Keith’s web site, and throw some support his way! ============================== | |||
| 07 Apr 2024 | Episode Fifty-Two: Symbiosis | 00:47:25 | |
In this episode I discuss the three-legged stool that makes up a hospice agency. 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 also explain how poor leadership can really affect the moral of the organization. ============================== | |||
| 30 Apr 2024 | Episode Fifty-Three: The Labor of Life and Death With Barbara Karnes | 01:02:43 | |
In 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 “Gone From My Sight.” Barbara also introduces us to her new booklet, “Always Offer, Never Force: Food at the End of Life.” She explained how this booklet is the result of her own experience with the loss of her husband recently. We discuss why death is actually not a medical event, and we talk about pain at the end of life. Please be sure to check out her website at BKBooks.com to pick up your own copies of all her booklets. Be sure to follow Barbara Karnes on your favorite social media platform. ============================== | |||
| 02 Jun 2024 | Episode Fifty-Four: 11 Concepts I Learned From Chuck Schroeder | 00:52:46 | |
In this episode I explore 11 things I learned from my 30 year friendship with Chuck Schroeder. In this episode I explore the following lessons I learned from Chuck.
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| 17 Jun 2024 | Episode Fifty-Five: Answering Pain Management Questions | 00:54:05 | |
In this episode I answer 3 questions from the hospice nurse support group on facebook. The second question involves using Tramadol for pain management. The third question has to do with elevated vital signs for actively dying patients. ============================== | |||
| 06 Jan 2025 | Episode Fifty-Six: Ebb and Flow | 00:57:24 | |
I’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 help during times of crisis. Finally, at the end of the show, I explain that everyone has physical and mental limitations and how I am no exception. ============================== | |||
| 19 Jan 2025 | Episode Fifty-Seven: 10 in 10 Part 1 | 00:59:21 | |
Welcome 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.
While covering these ideas, I make sure to point out that nobody is doomed to failure just because they don’t’ have case management experience. I share my thoughts on leadership, and I explain that leaders can’t expect their staff to behave in a way that isn’t modeled for them. At the end of this episode I explain that all hospice providers have their flaws, and we shouldn’t expect our next employer to be perfect. ============================== | |||
| 03 Feb 2025 | Episode Fifty-Eight: 10 in 10 Part 2 | 01:01:41 | |
Welcome 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 accident 7. Hospice is about repeatable and predictable behavior in every department 8. Haloperidol is the best first option to treat terminal restlessness 9. Staff centric agencies build the best foundation for success 10. Hospice is 80% psychosocial….for everyone In this episode I encourage everyone to check out 3 different episodes of the show. Episode 15 at https://www.confessionsofahospicenurse.net/episode-fifteen-success-in-the-alf/ Episode 16 at https://www.confessionsofahospicenurse.net/episode-sixteen-the-last-7-days/ Episode 17 at https://www.confessionsofahospicenurse.net/episode-seventeen-the-ltc-facility/ I also reference an interview with Mark Randolph. One of the men who started Netflix. https://youtu.be/HSVbD7RhOHU?si=THv7ehzCNj-4iApa ============================== | |||
| 17 Feb 2025 | Episode Fifty-Nine: Ask Questions; Talk Less | 00:52:30 | |
In 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…
At the end of the episode I do a little experiment with awkward silence. Ultimately, I explain that we tend to talk too much and listen too little. ============================== | |||
| 02 Mar 2025 | Episode Sixty: Personal Loss with Mike Barrett | 00:57:26 | |
In 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. I hope you will take the time to listen and be encouraged by Mike’s story! ============================== | |||
| 16 Mar 2025 | Episode Sixty-One: Moving Indoors | 00:10:07 | |
In this episode I make some announcements on future plans for the show. ============================== | |||
| 30 Oct 2021 | Episode One: Greetings From Kansas City | 00:36:18 | |
Welcome 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 the show, this is your podcast. Please submit show ideas via email or phone message. I want to customize this show to your needs as a hospice professional. ============================== | |||
| 15 Nov 2021 | Episode Two: The Power of Self Deception | 00:43:16 | |
In 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 is essential for success. As promised here is the youtube video I created early in 2020 encouraging my friends and family to stay the course and not give up. (This video is heavy in spiritual content and includes scriptures.) ============================== | |||
| 06 Dec 2021 | Episode Three: For The Record | 00:52:01 | |
For 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 Burnout” blog series called “Charting At The Bedside.” As promised, here is the list of reasons we SHOULD NOT chart at the bedside. ***Debunking the lies***
I mention the book “Choosing To Cheat” by Andy Stanley. Please click HERE to purchase this book. Here are some suggestions to help you begin the bedside charting journey. ***Five Steps to successful charting at the bedside.***
For those of your who don’t chart at the bedside, what are the concerns you have that are keeping you from starting? Please share your comments by visiting the About James page and find ways to connect with the show. ============================== | |||
| 19 Dec 2021 | Episode Four: Leadership Lessons From ETHOS COE | 00:46:08 | |
In 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 Purpose of Excellence Session 2: The Power of Your Words Session 3: Creating a Championship Mentality Session 4: The Power of Your Thoughts Session 5: The Discipline of Consistency Session 6: The Power of Your Actions To learn more about this conference you can visit http://ethoscoe.com. You can visit their registration page by clicking HERE! ============================== | |||
| 02 Jan 2022 | Episode Five: Don’t Be A Hero | 00:39:44 | |
For 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. Here are the 3 main tips I provide in this episode to help set up our caregivers as the hero.
As promised here is a link to a YouTube video helping you learn how to use google voice. Click HERE to watch on YouTube. ============================== | |||
| 16 Jan 2022 | Episode Six: Plan your work. Work your plan. | 00:44:49 | |
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.
For the readers out there, be sure to check out the Hospice Burnout series for my original articles. ============================== | |||
