The Amity Group

The Amity Group The Amity Group is working to make a difference in hospice care in the U.S.

The Amity Group is a professional staffing firm that provides hospice agencies with flexible staffing solutions and versatility for hospice nurses.

06/05/2026

Tip for Hospice Nurses: if you’re like me, and you document in your car after each visit, here are a few things to keep in mind for your safety.

Always …
1. Keep the doors locked.
2. Keep the windows rolled up.
3. Keep the engine running.
4. Position your car for easy get away.

No matter how “safe” the area is, never sit in your car with the windows open, and always check the environment before you unlock and open your car door.

I love you guys! Stay safe out there … ❤️
Xoxo ~ Shelley

06/04/2026

Tips for Hospice Nurses: There 3 ways a patient can discharge live from hospice, and it is important that we code the live discharge correctly.

1. Revocation: this is when the patient revokes their consent for hospice to bill Medicare. Only the patient can initiate a revocation. The hospice cannot “revocate” a patient. The most common reason a pt revokes is to seek active treatment.
2. Discharge: the 3 main reasons a hospice may discharge a pt from service is when they no longer meet criteria (eligibility), if clinician safety is of concern (cause), or if the pt moves out of their service area without notifying the hospice.
3. Transfer: if the pt wishes to change to another local hospice, or if the pt moves out of your service area, but wants to continue hospice.

All of these discharge dispositions have different regulations and considerations, so follow your agency’s policy(s) on live discharge.

Be safe out there … I love you guys! Xoxo~Shelley 💕

www.AmityStaffing.com

06/04/2026

TIPS FOR HOSPICE NURSES: Wound documentation is about more than describing the wound. It’s about telling the clinical story.

If your EMR has a dedicated wound assessment section, there’s usually no need to repeat every measurement and detail in your narrative. Instead, acknowledge the wound, relate it to the patient’s overall decline, and tie it back to the terminal disease process. For example, a pressure injury may be associated with progression of end-stage dementia, poor mobility, nutritional decline, and prolonged pressure.

Also remember that wounds do not reverse stage as they heal. A Stage 3 pressure injury that is improving remains a healing Stage 3 pressure injury. It does not become a Stage 2 and then a Stage 1.

Finally, when wounds improve, make sure your documentation reflects the skilled interventions that contributed to that improvement. Give credit to the hospice plan of care, the caregiver education, pressure-relieving strategies, wound treatments, and ongoing clinical oversight that helped achieve the positive outcome.

For more hospice documentation tips and support, visit my website to learn about my hospice documentation books and explore DAHN, the Documentation App for Hospice Nurses, for documentation guidance and phrase support.

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

06/02/2026

Transform your hospice documentation. The Documentation App for Hospice Nurses: DAHN.
www.getdahn.com

06/01/2026

Tip for Hospice Nurses: nebulized morph3ne can be very effective to relieve dyspnea in pts with end-stage pulmonary diseases.
Points to consider:

1. It’s absorbed by receptors in the lungs, so systemic effects are usually minimal.
2. The dose the MD orders is usually the same as the SL dose, and will range 5-20mg.
3. The pharmacy can deliver in sterile, single dose syringes that you mix with the contents of a saline bullet.
4. It works in the lungs and is not an effective form of pain management, so pain must be managed separately.

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

To learn more about how Amity is revolutionizing hospice nursing check out my website, www.AmityStaffing.com


05/31/2026

Tip for Hospice Nurses: Difficult Ostomies

It is not uncommon in hosoice to have a patient with an ostomy in an area that is difficult to get a good seal around. The pt may have had recent abdominal surgeries, with fresh surgical wounds close to the ostomy, further complicating things.

I recently had this issue with a pt and I ended up calling the manufacturer of the ostomy supplies to see if they had any suggestions. They had a nurse whose whole job was to help in these situations!

I described the area and he sent a box full of ostomy supplies made just for these challenges. I was able to get a good seal around the stoma so contents drained into the bag with no leakage.

Be safe out there
I Love You Guys
Xoxo ~ Shelley 💕

05/30/2026

Do you ever sit in your car after work and wonder how much longer you can keep doing this?

The endless documentation.
The unpaid overtime.
The constant calls.
Carrying the weight of every family, every patient, every crisis… day after day.

You still love hospice.
You’re just tired of what hospice nursing has become.

That’s why I built Amity almost 10 years ago. The Amity Group is a hospice-only staffing company.

At Amity, hospice nurses get to breathe again. You choose your schedule. No travel. No office politics. No mandatory meetings. And you’re paid for every minute you work, including drive time and documentation time.

As an Amity Nurse, you get the best of both worlds … you’re an independent hospice nurse with the powerful backing and support of The Amity Group.

You take care of the patients.
Amity takes care of you. ❤️

www.amitystaffing.com

05/29/2026

Tip for Hospice Nurses: Resist the urge to restate normal findings from your flow assessment in your note.

If you feel you must address normal findings the assessment in your note, make sure the statement supports eligibility.

To do this:
1. Start the sentence with a negative word - this will flip the statement to negative, which will be more likely to support eligibility.
2. Focus on what the patient cannot do vs what they can do.
3. Compare your patient to a healthy person.

Give yourself grace while adjusting to negative documentation because it takes time and practice.

For more information on hospice documentation and phrases you can use, check out my guides at:
www.AmityStaffing.com/products.

For help with all the phrases you need to easily support eligibility, get my Documentation App for Hospice Nurses
DAHN
www.GetDAHN.com

Be safe out there! I love you guys! 💕💕
Xoxo ~ Shelley

05/28/2026

Tips for Hospice Nurses: We have to stop beating ourselves up over this.

Hospice patients do not decline every single visit. If they did, they would only be on service for days or a couple of weeks. Once symptoms are well managed and comfort is stabilized, you may not see obvious decline for weeks at a time. That is normal.

What we can do every visit is document to support eligibility.

Instead of chasing visible decline every single note, focus on showing why Patient remains appropriate for hospice care. Support the terminal diagnosis. Support functional status. Support ongoing need for skilled hospice oversight. That is sustainable. That is accurate. And that protects you.

Some good resources to help your clinician document to support eligibility include:

1. The Documentation App for Hospice Nurses (DAHN). Find it on the App stores, or at www.getDAHN.com
2. Documentation Training Class. Schedule today: www.amitystaffing.com/contact
3. The Hospice Documentation Master Bundle (includes both my documentation guides): www.amitystaffing.com/products

For more information on these resources, visit www.AmityStaffing.com.

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕





05/27/2026

The Business of Hospice: At its core, business comes down to one simple equation:
Revenue – Expenses = Profit. Hospice is no different.

As clinicians, we influence both sides of that equation more than we realize. In this series, I’ll break down how our daily decisions impact revenue, expenses, and ultimately the profit margin. And why does that matter? Because when margins shrink, nursing positions are usually the first to go.

Learning the basics of financial language helps us protect our roles, strengthen our teams, and most importantly, preserve the quality of patient care we’re here to provide.

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

Address

210 Magnate Drive, Suite 201
Lafayette, LA
70508

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Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

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+13378069013

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