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I answered honestly, that there was no on-call responsibility. One time the on-call RN called after hours and asked me to help her with a death as she felt uncomfortable doing it alone and I went out and backed her up because I felt no team member should be out there alone feeling uncomfortable. She had never asked before or after this situation but if she had, I probably would have gone again. If it began to become a regular event, then I would need to talk with the Director about strategizing the team as a whole to meet her need. Less

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I would talk with the person and try to come up with a way of communicating that would ease the situation Less

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I would imagine that the Resident about to receive palliative cares would be fully compliant with hospice, as we cannot provide them a service they are refusing. But family members tend to be more verbally aggressive because they are scared and still know what to expect. I can't claim to know why any one acts as they do, only sympathize. As a social worker, I have learned to take my job seriously. But I do not take anything personally. Making this distinction allows me to have a greater emotional buffer, so anything said to me can be responded to with open minded clinically appropriate ways to help the angered ones de-escalate. Less