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I worked at Southerncare full-time (More than a year)
Enjoyed working with our clinical staff and Medical director was awesome. All were truly caring and put the patients needs first.
Always pressure to admit even if not "hospice" appropriate. You really have to defend your decision/assessment. Marketing seems to have more control than the clinical staff. they do not consider your work load or even ask before setting up appointments with pt/family for admission assessments. pt ratio is officially 12:1 but upper management won't allow office to hire full time nurse in preparation for growth, they insist census to reach and maintain the additional 10-12 pts before hiring. so really pt/nurse ratio stays around 14-16:1. as pt declines acuity levels increase and need for additional weekly (if not daily) visits arise. that is in addition to admissions, deaths, and prn visits. Management wants to utilize PRN nurses but that is just not the same as having another full time nurse to help with caseload. Charting gets pushed to the side and has to be completed after hours which cuts into personal/family time because full time=salary. I just didn't feel like i was giving the patients and families the care they needed or deserved at this point in their lives.
Advice to Management
Staff for anticipated growth. Don't wait until census is already wearing your staff out to the point of "burn out". Even after census reaches the company target to allow hiring additional staff, you have to announce job position, take applications, interview, offer job, let them give notice to previous employer (2-4weeks) then train them for another 2 weeks before they are ready for their own pt load. so really you are looking at a minimum of 1 month possibly 3 before there is relief for the field staff. and you wonder why there is such a high staff turnover rate. smh.