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The Amity Group, Inc
United States
Приєднався 19 січ 2018
Welcome to The Amity Group's UA-cam channel, dedicated to hospice nursing and the hospice industry. Our mission is to "Preserve the Art of Hospice Nursing," upholding the highest standards of care during patients' final journeys. Here, we provide deep insights into hospice nursing, offering educational resources and practical tips to empower both experienced nurses and beginners.
Our commitment extends to "Deepening Hospice Agencies' Capacity to Care," by offering valuable resources, expert insights, and practical advice tailored to hospice administrators, caregivers, and advocates. Navigate the hospice industry's challenges and opportunities with us.
We also proudly serve as "Your Community Hospice Staffing Partner," offering innovative solutions to enhance agency performance. Subscribe now to stay informed, connected, and empowered in your mission to provide exceptional care to your community.
We stand as advocates For Hospice Nurses, Hospice Agencies and Hospice Patients.
Our commitment extends to "Deepening Hospice Agencies' Capacity to Care," by offering valuable resources, expert insights, and practical advice tailored to hospice administrators, caregivers, and advocates. Navigate the hospice industry's challenges and opportunities with us.
We also proudly serve as "Your Community Hospice Staffing Partner," offering innovative solutions to enhance agency performance. Subscribe now to stay informed, connected, and empowered in your mission to provide exceptional care to your community.
We stand as advocates For Hospice Nurses, Hospice Agencies and Hospice Patients.
Tip for Hospice Leaders: considering patient acuity when determining caseloads helps your budget
Tips for Hospice Leaders: considering patient acuity when determining caseloads is crucial to ensuring all the patient’s needs are met.
Acuity is simply determining how much time each patient requires and providing each nurse enough time to meet all the patient and caregiver needs.
In hospice we have 3 areas of Acuity to consider:
1. Physical Acuity: This refers to the patient's physical condition and needs (wounds, drains, ostomies, etc).
2. Geographical Acuity: how long it takes to get to the patient (distance, terrain, traffic, parking, etc).
3. Emotional Acuity: This focuses on the patient and caregiver’s emotional well-being, coping mechanisms, and support system, etc.
By taking into account these different types of acuity when setting caseloads, hospice agencies can actually save money in several ways:
1. Prevents burnout and expensive turnover in staff.
2. Decreases after-hour calls.
3. Increases patient satisfaction and quality scores.
4. Decreases live discharges.
To learn more about the acuity tool I developed, visit my website and leave a request and we can set up a time to talk: www.AmityStaffing.com
Drop a request if there is something you would like me to discuss in my next video.
#tipsforhospiceleaders#tipsforhospicenurses #forhospicenurses #tips #shelleyhenry #amity #theamitygroup
#hospicecare #leader #caseloads #acuity #staffing #patientacuity #QualityCare #StaffRetention #PatientSatisfaction #endoflifecare
Acuity is simply determining how much time each patient requires and providing each nurse enough time to meet all the patient and caregiver needs.
In hospice we have 3 areas of Acuity to consider:
1. Physical Acuity: This refers to the patient's physical condition and needs (wounds, drains, ostomies, etc).
2. Geographical Acuity: how long it takes to get to the patient (distance, terrain, traffic, parking, etc).
3. Emotional Acuity: This focuses on the patient and caregiver’s emotional well-being, coping mechanisms, and support system, etc.
By taking into account these different types of acuity when setting caseloads, hospice agencies can actually save money in several ways:
1. Prevents burnout and expensive turnover in staff.
2. Decreases after-hour calls.
3. Increases patient satisfaction and quality scores.
4. Decreases live discharges.
To learn more about the acuity tool I developed, visit my website and leave a request and we can set up a time to talk: www.AmityStaffing.com
Drop a request if there is something you would like me to discuss in my next video.
#tipsforhospiceleaders#tipsforhospicenurses #forhospicenurses #tips #shelleyhenry #amity #theamitygroup
#hospicecare #leader #caseloads #acuity #staffing #patientacuity #QualityCare #StaffRetention #PatientSatisfaction #endoflifecare
Переглядів: 29
Відео
Tip for Hospice Nurses: Simple tip to help improve communication with your hospice patients & cgs
Переглядів 3614 днів тому
Tip for Hospice Nurses: placing a communication notebook in the Patient’s home can really help when we are making frequent or complex changes to the patient’s care. I have found that helping the caregiver to designate a “tablet spot” reduces the chance the tablet is misplaced or lost. #tips #tipsforhospiceleaders #tipsforhospicenurses #forhospicenurses #tablet #notebook #communicate #hospice #c...
Tips for Hospice Leaders: how lowering caseloads will save you money
Переглядів 2514 днів тому
Tip for Hospice Leaders: it may seem to make financial sense that increasing your staff’s caseloads will save money by reducing your labor expense … right??? This is one of those areas where it looks good on paper, but actually has the opposite results. Reducing your team’s caseload to a manageable 12, with a max overflow of 15 will save you money in many areas: 1. Decreasing on-call visits whi...
Tip for Hospice Nurses: using the PPS to determine hospice eligibility and support decline.
Переглядів 4814 днів тому
Tip for Hospice Nurses: using Palliative Performance Scale (PPS) to support hospice eligibility and decline. PPS scores are determined by reading horizontally at each level to find a ‘best fit’ for the patient which is then assigned as the PPS% score. Begin at the left column and read downwards until the appropriate ambulation level is reached, then read across to the next column and downwards ...
Tip for Hospice Leaders: Defining manageable caseloads
Переглядів 2821 день тому
Tips for Hospice Leaders: 51% of hospice nurses said that maintaining manageable caseloads, or having defined nurse to pt ratios was the most important thing to them when considering where to work. But what is a manageable caseload for a hospice case manager? (remember that case managing is much more involved than just the number of visits a nurse completes each week) We asked hospice nurses wh...
Tip for Hospice Nurses: documentation tip to easily flip from positive to negative documentation
Переглядів 6228 днів тому
Tip for Hospice Nurses: Quick documentation tip to support eligibility. Lead with what the patient cannot do vs what they can do: Flip “consuming 70% of meals” to “unable to consume up to 30% of meals”. That simple change goes a long way to support eligibility. If you have time, you can go a step further and highlight that the inability to consume up to 30% of meals is due to decline by stating...
Tip for Hospice Nurses: using lavender oil as a non-toxic bug repellent
Переглядів 568Місяць тому
Tip for Hospice Nurses: One of my all-time favorite bug repellents that's totally non-toxic is Lavender oil! I get big bottles of it from Walmart and whenever I have a patient where bugs are a concern, I'll wipe the bed frame with it, sprinkle it around the bed, and give the window frames and baseboards a lovely lavender touch ✨ Here are a few things to keep in mind: 1. Confirm with the patient...
Tip for Hospice Nurses: Documenting all systems to support eligibility in CHF patient
Переглядів 87Місяць тому
Tip for Hospice Nurses: When #documenting ✍️on your #hospice patient with a diagnosis of heart failure in addition to the cardiac 🫀 assessment, you can highlight eligibility when documenting all system assessments. For example: 1. Mobility: minimal tolerance for activity r/t worsening weakness from progression of end-stage heart failure. 2. Skin: poor arterial flow resulting in skin that is pal...
Tip for Hospice Nurses: 3 principles to make documenting to the decline easier
Переглядів 59Місяць тому
Tip for Hospice Nurses: when documenting if you follow these 3 main principles you will always support eligibility. 1. FIRST WORD NEGATIVE: Disoriented x1 instead of Oriented x3 2. FOCUS ON WHAT THEY CANNOT DO: Cannot consume up to 30% of meals vs Consuming 70% of meals. 3. COMPARE TO HEALTHY PERSON: periodically assess a healthy person to remind you what healthy lungs sound like, what a strong...
Tips for Hospice Leaders
Переглядів 34Місяць тому
Tips for Hospice Leaders. I’ve had so many requests to do videos for hospice DONs, PCMs and Admins, so I will post 1-2 videos a week just for you guys. The first several will center around the results of the 3rd Annual Hospice Nurse Your Opinion Matters survey, and what we learned from it. Then, I will talk about lessons I learned while in leadership roles, and also useful tips I see now as an ...
Tip for Hospice Nurses: What to do during a death visit while you wait for the funeral home
Переглядів 79Місяць тому
Tip for Hospice Nurses: what do we do when we are on a death visit and have finished all the clinical activities and are waiting on the funeral home? Sometimes this can be a little awkward, especially if it’s an on-call visit and this is the first time meeting the cg/family. Usually, I will take a minute to calm my energy so that I can feel the energy around me. This helps me to “read the room”...
Tips for Hospice Nurses: Comparative charting is a good way to illustrate subtle decline
Переглядів 98Місяць тому
Tips for Hospice Nurses: Comparative charting is a good way to illustrate subtle decline - it is simply, “patient was (this), now they are (this). I don’t generally use comparative charting in my routine notes, but I will always use it throughout my Recert notes. With measures, it is very straight forward: 1. LMAC was 27.6, now LMAC is 25.2 2. PPS was 40%, now PPS is 30% 3. B/p avg was 130/80, ...
Tip for Hospice Nurses: educate the caregiver carefully when using Dankins
Переглядів 1092 місяці тому
Tip for Hospice Nurses: it’s important to teach caregivers about the risks of getting Dakins on healthy tissue. Dakins solution is a dilute sodium hypochlorite (NaClO) solution commonly known as bleach. The mixture of sodium peroxide (NaO) and hydrochloric acid (HCl) produces sodium hypochlorite, and we use it as an antibacterial or a chemical debriding agent, and it can be damaging to healthy ...
Tip for Hospice Nurses: supporting eligibility on patients with a dementia diagnosis
Переглядів 812 місяці тому
Tip for Hospice Nurses: We have to be so diligent to support hospice eligibility for patients with Alzheimer's or dementia, because the records are highly scrutinized. One area that we want to pay attention to is orientation. Commonly I will see “pt oriented x1”. First of all, remember to flip that to the negative by stating “pt disoriented x3”. Also, most of the dementia pts on hospice are not...
Tips for Hospice Nurses: a few tips to keep your pts with catheters comfortable
Переглядів 602 місяці тому
Tips for Hospice Nurses: below are a few tips to keep your pts with catheters comfortable. The 4th one is a bonus tip not discussed in the video. 1. Use the smallest diameter possible. 12-14 French are the most common. 2. Use the smallest balloon (5cc) possible to reduce the risk of bladder spasms. 3. Use a Foley stay - place it so that there is plenty of slack so the catheter is not putting pr...
Tip for Hospice Nurses: promoting personal independence in your patients
Переглядів 422 місяці тому
Tip for Hospice Nurses: promoting personal independence in your patients
Tip for Hospice Nurses: documenting daily visits for exacerbation of a symptom
Переглядів 982 місяці тому
Tip for Hospice Nurses: documenting daily visits for exacerbation of a symptom
Tip for Hospice Nurses: Documenting system assessment for CHF patients
Переглядів 1152 місяці тому
Tip for Hospice Nurses: Documenting system assessment for CHF patients
Tip for Hospice Nurses: tips to help make the job part of hospice nursing a little more manageable.
Переглядів 632 місяці тому
Tip for Hospice Nurses: tips to help make the job part of hospice nursing a little more manageable.
Tip for Hospice Nurses: make a plan each day to stay cool and hydrated during the hot summer months
Переглядів 612 місяці тому
Tip for Hospice Nurses: make a plan each day to stay cool and hydrated during the hot summer months
Tip for Hospice Nurses: Documentation Tip - focus on what your patient cannot do vs what they can do
Переглядів 1053 місяці тому
Tip for Hospice Nurses: Documentation Tip - focus on what your patient cannot do vs what they can do
Tip for Hospice Nurses: keep On-Call Documentation short to conserve your time and energy.
Переглядів 573 місяці тому
Tip for Hospice Nurses: keep On-Call Documentation short to conserve your time and energy.
Tip for Hospice Nurses: what to include in an E-kit
Переглядів 613 місяці тому
Tip for Hospice Nurses: what to include in an E-kit
Tip for Hospice Nurses: caring for the caregiver
Переглядів 493 місяці тому
Tip for Hospice Nurses: caring for the caregiver
Tip for Hospice Nurses: managing incontinence
Переглядів 1083 місяці тому
Tip for Hospice Nurses: managing incontinence
Tip for Hospice Nurses: When to make an on-call visit
Переглядів 523 місяці тому
Tip for Hospice Nurses: When to make an on-call visit
Tip for Hospice Nurses: Documenting on a Patient with Parkinson’s Disease
Переглядів 693 місяці тому
Tip for Hospice Nurses: Documenting on a Patient with Parkinson’s Disease
Tip for Hospice Nurses: Continuous Care Documentation
Переглядів 554 місяці тому
Tip for Hospice Nurses: Continuous Care Documentation
Tip for Hospice Nurses: Silent Embrace
Переглядів 354 місяці тому
Tip for Hospice Nurses: Silent Embrace
Tip for Hospice Nurses: Self-soothing Vocalization
Переглядів 444 місяці тому
Tip for Hospice Nurses: Self-soothing Vocalization
What about a part time nurse. Should they still have this number if they work 3 days a week? Your thoughts are appreciated. ❤
Orange peeling natural insect repellent safe for humans and pets you can look it up if you want it has limonene in peelings
Can’t wait for the app!!!!
Thank you so much! I really appreciate you! I love being a hospice nurse and being able to support other hospice nurses ❤
I am an ADON for a hospice and would love some tips.
I will start posting the videos next week! Let me know if there is a specific area you would like me to discuss.
Thank you so much for this information. I love the part about calming yourself to be able to read the room. You are such an amazing person, no doubt. This is my first year working Hospice and I am absolutely loving it. I know some people might think that’s odd, but I love supporting families and patients Please know you are greatly appreciated.
THANK YOU SO MUCH FOR YOUR VIDEOS AND EXPERTISE!!! I’m so thankful that I found your videos!!!!!!!
Can you do a segment on good tips for when the patient is actively dying, dies during the visit, or has just died ago. I was hoping to learn from experience what works best but I do understand each family is different. Just wanted for the death day. I am not referring to medical interventions but referring to what emotionally can help the family the most? I am hoping to learn good tips to emotionally help the family on that day. Thank you so much.
Sure! I’ll do a video in the next couple of weeks.
I am so thrilled about the app! That is amazing and so exciting. It is so impressive to see your passion for hospice nursing, for the patience, and for assistance with the documentation. I love your videos. For some reason sometimes does not notify me so I must manually go and search for your videos even though I do have the bell set to all notifications. Please do keep us updated on the app News. Thank you for being such a trailblazer in Hospice documentation. This video was very helpful because I sort of was documenting precisely what you recommend here but you, of course, say things so clearly and effectively so this was good validation and help for me! Thank you. 🥰
Thank you so much for the kind words! I appreciate it more than you know! You can find all of my videos on either TT or IG under the handle @forhospicenurses. Be safe out there! 🥰
Super helpful!!! I’m a new hospice nurse case manager and that’s one of the areas I wasn’t clear on.
I will sprinkle in a few more regulatory tips over the next weeks. You can find all my tips on TT or IG under the handle @forhospicenurses. Be safe out there! 🥰
Can you share with me, What book do you use?
Hey! I’m using The Hospice Nurse’s Guide to Documentation and the Supplemental Guide. You can find them on my website www.AmityStaffing.com/products
Hi i am from Ethiopia i have bachelor degree in nurse pls tell me university that gived MSC for nurse full funded
Hey! I’m sorry, I’m not the best person to help you with that. I’m an expert in hospice, but I don’t know anything about the rules or regs if you’re coming from another country. I wish you the best of everything on your journey ❤️
Hey Shelly, thank you again for such excellent recommendations always. I bought your supplemental book and showed it to my boss. She just about fell out of her chair because it is so phenomenal and our Hospice is possibly purchasing it for the nurses. We are a small hospice. Thank you for such a great service. ♥️♥️♥️
Hey! Thank you! I’m so glad the guides are helpful! Please give me a call if you have any questions, or anything I can help you with 🥰
❤
Retired ICU nurse here new to Hospice. I appreciate your channel and bought your book to help document. This has made a world of difference to me! Thank you so much for significant substantial health to new hospice nurses. I cannot thank you enough.
When my friend was dying of cancer, they sent a truly terrible nurse who never should have been allowed to practice without direct supervision. He would vamp all the time because he was in over his head and would not admit when he didn't know something. There was a meeting once about Annie's respiratory care and the guy told her something completely off the wall. The other nurse with him was shocked, immediately intervened, gave the correct information, and MUST have spoken to him after leaving and/or reported him. Annie called hospice to request another nurse. However, the director got angry and told her they didn't switch nurses. We just didn't call him anymore for appointments if she didn't need anything specific. I felt very badly because, being a nurse myself, I had encouraged her to try hospice. What a terrible experience it was.
I’m so sorry for your loss, and that you had a bad experience with the hospice nurse, and the hospice agency. Most hospice nurses are amazing, but like any profession some are not. I know it’s too late to help your friend now, and for that I’m truly sad, but so you know - you can switch to a different hospice anytime. There is a website called Hospice Compare that will list the hospices in your area and help you to find one that meets your needs. ❤️
Hey there! Just stumbled upon your video, and I must say, it's incredibly informative and helpful. The advice you provide aligns perfectly with the values I promote on my channel, where I aim to empower individuals with knowledge about homeownership and financial literacy. Your insights are invaluable, and I've not only liked the video but also subscribed to your channel.
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Hi Shelly, I just found your channel and I am so excited. I am a retired ICU nurse and started hospice a few months ago. No one has been really helpful with documentation and the kind of practical needed tips that you give. Please know how much I appreciate you!
Thank you for the kind words, I appreciate it more than you know! I was an ICU nurse before becoming a hospice nurse. You will love it, I’m sure, but it can be very challenging. Please reach out to me any time with questions or if you just need to talk. You can find my info on my website: www.AmityStaffing.com
Does an iPad fit in the pouch?
Yes! Even the larger iPad will fit.
Thank you for these tips, I struggle with negative charting
You’re welcome! It is definitely a mind shift to switch from positive to negative documentation!
Thank you for that tip!😊
I Love your pretty 😍😍 hands 😮😘😘😘
I am a hospice nurse as well and have really enjoyed your videos. 😊
Thank you so much! I really appreciate you taking the time to tell me, because I really never know if my videos are helping or not. ☺🥰
Take the survey at HospiceNurseSurvey.com
What book do you have?
Please forgive the late reply - I am just learning how to navigate UA-cam. I have two books that you can find on my website, AmityStaffing.com, go to the "Products" page. If you get both books together (the Bundle) you save $$. Please let me know if you have any questions - I promise not to take so long to respond next time! 🤗🥰
I just ordered the book bundle . Im really new to Hospice. I know that they will help me get through this documentation.