Housecall Providers

First off, some of the greatest nurses, social workers, chaplains, etc. Problem, management always screwing things up. Couldn’t keep up with all the changes in nurses. No continuity of care. :-(Our lady we care for on hospice has Parkinson’s disease but no one caught it. Kind of a mark down for the providers there. After firing them, the doc from Providence came in and diagnosed her with Parkinson’s in less than 3 minutes. The poor thing had a bladder full (475 ml) of sediment goop that looked like a café latte for God knows how long. Lots of throwing up and diarrhea, losing weight rapidly, could not eat or drink. We were using a dental syringe to give small amounts of liquids just to keep her alive.
Just days later she is eating solid foods, drinking, talking (!) She is on drugs for the actual condition (Sinemet).
Housecall Providers got a new nursing supervisor who came in and started pissing everyone off from the get go. Staff just rolled their eyes talking about him. He started cutting back on supplies that hospice gets reimbursed for by Medicare. Then, while on a visit to our home, a nurse we only saw once passed on to him there were weapons in the home and the patient was in possible danger. I was putting a new scope on my rifle. No mention to me, just decided to make some trouble. She tells this Richard guy, the new supervisor, and he makes no effort to contact me either. I’m a registered nurse for over 20 years! So, anyway, he calls the daughter of the patient and tells her she can move her mother out of this dangerous situation right away! She knows us well and said no way. Hehe. So he calls Adult services to get them all whooped up and they basically got a good laugh also. We live on a large spread in Cornelius, OR where everyone has rifles around. Of course, they declined to come out to investigate.
When we couldn’t get supplies on time and they were being cut back anyway I just said let’s dump them and get a real service (Providence). I wonder why Providence is getting so many patients transferring from Housecall Providers hospice? I wonder why Housecall Providers has a low census? Hmmm. They should look at a clean up of management before they go under.