What Are the Roles and Duties of a Hospice Nurse? –

Hospice Nurse is a health care professional that care for patients at the end of their lives. The term “hospice nurse” is used by many as an umbrella term for a number of different professions. When individuals refer to themselves as hospice nurses, they’re most likely employed as one of the following kinds of nurses: Certified Hospice and Palliative Nursing Assistants (CHPNA) or Certified Hospice and Palliative Licensed Nurse (CHPLN). Hospice nurses typically work with terminally ill patients and help ensure their and quality of life during their remaining days, as opposed to working to cure or fix a patient. Their primary responsibility is to help people live as comfortably and independently as possible and with the least amount of pain during their last days.

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One of the main parts of being a Hospice Nurse involves helping patients, and their families feel more comfortable about death and providing them with the emotional support they need. Additionally, hospice nurses will do their best in assisting family members to manage any practical details that may be involved when caring for a dying loved one.

What Are the Educational Requirements for Hospice Nurses?

For Certified Hospice and Palliative Nursing Assistants (CHPNAs):

CHPNAs will have a high school diploma or GEDMust have to have at minimum 500 hours of hospice and palliative nursing assistant experience in the most recent 12 months, or 1,000 hours in the past 24 months, all under the supervision of a registered nurse in the United States.

For Certified Hospice and Palliative Licensed Nurses (CHPLNs):

Individual must have attended college or university and have obtained a BSN, ADN, or have graduated from a state-approved program in vocational nursingMust currently be a licensed RN or LVN in state of residenceShould have at least two years of related experience

For Certified Hospice and Palliative Nurses (CHPNs):

Individual must have attended college or university, earning either a BSN or ADNMust currently be a licensed RN in state of residenceShould have at least two years of related care settings

For Advanced Certified Hospice and Palliative Nurses (ACHPNs):

Will hold a master’s or doctoral degree in advanced practice nursing program from an accredited university that includes both clinical and didactic segmentsMust currently be in possession of an unrestricted active registered nurse license in the US.Must be a functioning Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS) with 500 hours of hospice and palliative nursing practice in the most recent 12 months, or 1,000 hours in the past 24 months before applying to take the ACHPN Examination

Are Any Certifications or Credentials Needed?

Certified Hospice and Palliative Nursing Assistants (CHPNAs)

Must pass standardized HPCC CHPNA® Examination to obtain credentialCertification is valid for four years; to renew one’s certification, one must retake and pass the recertification examination and keep current in the field through continuing education courses

Certified Hospice and Palliative Licensed Nurses (CHPLNs)

Must pass standardized HPCC CHPLN ExaminationCertification is valid for four years; recertification is given to those that take and pass the recertification examination and stay up to date on happenings in the field through continuing education courses

Certified Hospice and Palliative Nurses (CHPNs):

Must pass standardized HPCC CHPN ExaminationCertification is valid for four years; recertification is granted either by taking and passing recertification exam or by submitting approval for continuing education and other approved activities

Advanced Certified Hospice and Palliative Nurses (ACHPNs)

Must pass standardized ACHPN ExaminationCandidates who sit for and pass the ACHPN examination are granted the credential of ACHPN

Typically, hospice patients are expected to live six months or less. It is for this reason that most hospice care takes place at the patient’s place of residence. Hospice nurses will work:

At the patient’s home or family’s homeAt a hospice centerAt a skilled nursing facilityAt a geriatric nursing homeAt a hospital

Hospice care helps patients who are terminally ill to die in a dignified way in their own home instead of in a hospital setting. One of the main jobs of a hospice nurse is to provide emotional support to assist their patients to live as independent and as comfortable as possible near the end of their lives. Often, hospice nurses are expected to stay in communication with family members, physicians, priests, or other spiritual advisers. Hospice nurses should comfortable navigating in crisis situations. In most cases, hospice nurses are part of a larger interdisciplinary health care team, which administers nursing care to individuals and their families. A hospice nurse’s role will depend on the certification they hold (i.e. CHPNA, CHPLN, or CHPN).

Because they’re RNs, Certified Hospice and Palliative Nurses (CHPNs) are considered the senior nursing professional on the hospice team. CHPNs are responsible for providing education, supervision, and direction to the other nursing staff. Certified Hospice and Palliative Nursing Assistants (CHPNAs) and Certified Hospice and Palliative Licensed Nurses (CHPLNs), on the other hand, are responsible for providing hands-on nursing care around the clock. CHPNA’s and CHPLN’s are in charge of day to day nursing activities like managing the patient’s pain symptoms, and comfort level. They are also responsible for maintaining the patient’s hygiene and making sure they take their prescribed medication at the correct times.

Both CHPNA’s and CHPLN’s must keep an open line of communication with the CHPNs and Advanced Certified Hospice and Palliative Nurse on the case. Advanced Certified Hospice and Palliative Nurse’s (ACHPNs) are on the periphery of the hospice team, but maintain a vital role in evaluating the overall condition of the patient and appropriately prescribing the most effective medication.

Hospice Nurse Salary & Employment

Hospice nurses who are registered nurses with advanced degrees will almost invariably have larger salaries than their nursing counterparts that do not have advanced degrees.

According to payscale.com, Certified Hospice and Palliative Nursing Assistants (CHPNAs) and Certified Hospice and Palliative Licensed Nurses (CHPLNs) will on average make an hourly wage between $11.35 to $17.53 per hour or $58,000 annually. The salary of Certified Hospice and Palliative Nurses (CHPNs) ranges between $49,831 at the low end all the way up to $82,023 annually. Lastly, Advanced Certified Hospice and Palliative Nurses(ACHPN) make an average of $96,126 annually.