Home Care/Hospice Services

Home care

The Home Care Department is ideal for nurses who enjoy independent, team-centered nursing in a variety of nursing areas, including skilled and palliative home care, perinatal follow-up visits, private duty care, community wellness clinics, IV and eternal therapy, and telehealth services. A modified version of primary nursing is used as a method to deliver care. Patients are assigned to a primary RN, who is responsible to oversee and coordinate all aspects of the patent’s care, including coordinating care with other community agencies. It is always a challenge to meet patient needs and expectations while still maintaining the high quality of care the community has come to expect from Indiana University Health Goshen.

Patient Population Newborn to elderly. Primary patient populations include terminal illness, maternal child health, cardiac, diabetes, wounds, IVs, respiratory and orthopedic patients.
Unit Size Average daily census varies from 150-200 active patients.
Nurse-to-Patient Ratio  Full-time RN case load-25 patients; part-time RN case load-10-15 patients
Rotations/Shifts 0730-1600 shift with call rotation to provide 24-hour RN coverage
Skill Mix RNs; home care aides; physical, occupational and speech therapists; and medical social workers
Orientation Varies depending on individual’s previous experience, but usually a one-on-one orientation with an experienced home care nurse preceptor for 6-12 weeks

Hospice

Hospice is for nurses who enjoy the challenges of providing palliative interdisciplinary care for terminally ill patients and their caregivers. Knowledge and comfort in working in a diverse cultural environment is a must when working with families of differing socio-economic levels. Hospice nurses teach caregivers the skills and provide information needed to support caregivers in end-of-life care.

Hospice nurses work as primary case managers along with social workers, chaplains, home health aides, homemakers, volunteers and therapists. Care is provided in a variety of residential settings, including single dwelling homes, apartments, extended care facilities and assisted living facilities. The nurses also collaborate and coordinate care with nurses from IU Health Goshen Hospital nursing units for those patients who need the acute inpatient and respite level of care.

Hospice nurses receive individualized orientation, training and ongoing education for skills in assessment and interventions for the palliation of symptoms in diverse cultural settings. Nurses are encouraged to obtain certification for Hospice and Palliative Care Nursing.

Patient Population Terminally ill adolescents to geriatric patients
Unit Size Average daily census 30-45 patients
Nurse-to-Patient Ratio 1 full-time RN manages 10-12 patients. All hospice staff nurses are part time. 
Rotations/Shifts 8-hour shift with call rotation to provide 24-hour RN coverage
Skill Mix RNs
Orientation Individualized orientation dependent on previous experience. Nurses receive a one-on-one orientation with an experienced nurse for 6-12 weeks