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There is no other phrase that I hear while working that makes me cringe quite as much. There are times it’s fine, but most of the “heads up!” calls amount to the caller waking someone up at three o’clock in the morning for no good reason. This is especially true if the deceased is at a facility with access to a morgue.
Most of the time when I get “heads up!” calls, it’s because the nurses will call before they even arrive at the home of the deceased. They want to save themselves some time because they don’t want to wait around for the removal people to show up. They’re trying to time it so that the removal people show up about fifteen minutes after the nurse does. To the best of my knowledge this is rarely, if ever, successful and is only really appropriate in the following situation:
That’s it, really. In that case, by all means, get the director up and moving. If, however, the director is local, or they’re using a local funeral home or removal service, then chances are you’re waking them up to say: “Hey I’m going to be calling you later about this one body that hasn’t even been pronounced yet.”
They can’t do anything in that case and, chances are, they’re just going to go back to bed, grumbling under their breath and calling you names. Many places I answer for have instructions in place that say if the body isn’t ready (and if it hasn’t been pronounced, it isn’t ready) that we don’t even bother calling it out until it is. The only exception to that rule is if the family wants to talk to a director, but if you’re not at the home, how do you know if they do or not?
A lot of the time I’ll hedge when I get these calls and say something like, “Well, I can take the information now and get it to the director, or we can hold off until you get to the home and everyone is ready…”
Every time. Without fail. The nurse will (obviously not thinking this through) have me wake up the director who will then growl, “Okay,” and go back to bed. I’m getting the impression that the nurse thinks the director doesn’t go back to bed, but I can assure you, when we get the second, “Okay ready now!” call, I’m waking them up again. I know this because just waking up people have a distinct, groggy tone in their voice and a tendency to go “Mrfff,” “Grphf,” and “Fffstphk.”
Any hospice nurse worth their weight in student loans should know that a body cannot be moved from the place of death until it has been pronounced. In fact, five seconds with Google will tell you the same thing. Guess what can’t be done if you’re not there to do it? Right.
I also notice that a lot of nurses who do this (call before even getting to the home) will just sort of assume that the body will be ready shortly after being pronounced. Never mind any family members that are coming from a ways away that want to view the body before the funeral home arrives. Never mind any religious or cultural concerns. Never mind a husband or wife who just wants to spend a few more hours with their dearly departed for whatever reason. Never mind actually bothering to ask the family any of that. Just come and get the stiff!
This often ends in several calls back and forth saying the body is ready, then it’s not, then it is, then it’s not. Trying to jump ahead in the queue often leads to things getting messed up and wires getting crossed. It’s unprofessional. It makes the director look unprofessional and it puts a couple extra bucks in our bank account because we charge for every call we take and every one we have to make.
…On second thought, go ahead and make all those calls. Momma needs a new Playstation.
I mentioned on Monday that I work for ten hours a night answering other people’s telephones. This is true. I’ve been doing this for almost three years now, and working almost exclusively at night for over two. What this means is that when dealing with the funeral home accounts that make up the majority of our business, I’ve talked to my fair share of nurses.
Let’s be blunt. Nursing – especially hospice nursing – is a very difficult, and mostly thankless career and you definitely don’t get paid enough for it. About 95% of the nurses I talk to are nice, professional, and know exactly what needs to be done and when. They may not like being called out at 4am to pronounce a patient, but they are wise enough not to shoot the messenger. To these nurses I say: I love you. You are, in every sense of the word, a hero.
To the other 5% I say: How the hell did you graduate from nursing school?
I have spoken to hospice nurses who didn’t know what the phrase “next of kin” means. Who didn’t understand why I would ask for something as silly as a contact number for the next of kin. Who didn’t understand what I was asking for when I asked for the time of death. Yes. Those nurses.
So for the 5% who need a crash course, stick around and I’ll try to make it informative. If this all seems like common sense, I agree with you. Go ahead and enjoy the complementary wine and massage by our very own cabana boy, Antonio.
That’s it. See? It’s not hard. You and I are both professionals. I enjoy my job so help me help you and we can help make a very difficult time for a family just a little easier.
Congratulations on passing the course! Antonio will now see to your needs:
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