River Region Hospice - River Ridge, LA

Become a Volunteer

Personal Information

1. Last Name(required)
2. First Name(required)
3. Email(valid email required)
4. Home Phone
5. Cellular Phone
6. Applicant Address
7. Date of Birth(required)
8. Special Health Conditions
9. Educational/Special Training
10. Work Experience 1
11. Work Experience 2
12. List Parishes (counties) you have lived in the past 7 years

Areas of Volunteer Interest

1. Please tell us what areas of volunteering you are interested. You may select more than one option.
2. Interested in:
3. Visit in Home or Visit in Nursing Home (Companionship, reading aloud, playing games, going on walks, etc.) Meal Delivery Meal Preparation Shopping/Errands Light Household Chores Yard Work Laundry Sitting with patient while family/caregivers have free time Bereavement Support (making phone calls and/or home visits) Office/Clerical Volunteer Recruitment Fundraising

Volunteer Availability

1. Pleas tell us what days and times are you available to volunteer?
2. Availability:
3. Sunday Monday Teusday Wednesday Thursday Friday Saturday
4. What Times are you available
5. When is the most convenient time to reach you?
6. How far are you willing to travel (in miles)?
7. Do you mind being around people who:
8. Smoke:
9. yes no
10. Have Pets:
11. yes no

References

1. Please list three references that are not relatives:
2. Reference Name 1
3. Reference Phone 1
4. Reference Name 2
5. Reference Phone 2
6. Reference Name 3
7. Reference Phone 3

Language Skills

1. Do you know a language other than English?
3. yes no
4. If yes:
5. Language
6. I can speak:
7. yes no
8. I can read:
9. yes no
10. I can write
11. yes no
12. Language
13. I can speak
14. yes no
15. I can read
16. yes no
17. I can write
18. yes no

Short Answer

1. How did you hear about our hospice volunteer prgram?
2. Why do you want to be a hospice volunteer?

Code of Ethics for Volunteers

1. As a volunteer, I realize that I am subject to a code of ethics similar to that which binds a professional in the field in which I work. I, like them, assume certain responsibilities and expected to account for what I do in terms of what is expected of me. I understand that any patient/family information to which I have access, both through review of the patient/family record, through care of the patient, or through attendance at interdisciplinary team conferences, is privileged and shall be held in strict confidence. Patient/family information will only be shared as appropriate to any hospice duties I perform. I interpret “volunteer” to mean that I have agreed to work without compensation in money. Having been accepted as a volunteer worker, I expect to do my work according to the standards set forth in the Volunteer Policies and Procedures.
2. Code of ethics:
3. I agree I disagree

Declaration

1. I hereby certify that the statements made on this application are true and correct to the best of my knowledge. I understand that, by submitting this application, I authorize inquiries to me made concerning my character and public records for the purpose of determining my suitability as a volunteer. I affirm that I have read the volunteer Code of Ethics and agree to abide by its regulations. I agree to respect the confidentiality of any client information I acquire in the course of my volunteer activities with River Region Hospice.
2. Declaration:
3. I agree I disagree

 

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Make a Referral

Do you know someone who would benefit from River Region Hospice? Click here to make a referral.

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River Region Hospice House

Choose treatment at your house or our free-standing home-like Hospice House.

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Contact Us

507 Upstream Street
River Ridge, LA 70123
Referral Line: 504-739-1205
Fax: 504-739-3993
Email Us

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Links & Resources

See a complete list of helpful hospice resources

Website content written by
Michael C. Clark, MSW, LCSW

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Treatment in the Hospice House

Treatment in the hospice house or inpatient care is for patients requiring short-term symptom management, in the last few days of life, or electing respite care.  Inpatient stays are usually only a few days.  Upon admission, a thorough assessment is completed by the physician, nurse, social worker, and chaplain assigned to the case.  The goal of an inpatient stay is to stabilize symptoms and return the patient to their home.>

Most patients whom are admitted …

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About Us

Founded in 2000, River Region Hospice is a family-owned and operated hospice agency serving Orleans, Jefferson, St. Bernard, St. John, St. Charles, and St. James Parishes.  In addition to providing care in the home, River Region Hospice offers inpatient hospice services at our state-of-the-art hospice house located in River Ridge.

The River Region Hospice House opened in March 2005 and is the first free-standing hospice house in the state of Louisiana.  Other hospice agencies desiring …

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Benefits of Hospice

The hospice model of care shifts the focus of treatment from curative to palliative.  The focus of treatment shifts after the patient has exhausted aggressive treatment options.  Palliative care, or comfort care, focuses on alleviating symptoms to improve quality-of-life and the right to dignity.  The hospice model of care uses a holistic approach to address the physical, social, emotional, and spiritual symptoms of the disease process.  At River Region Hospice, we believe aggressive symptom control …

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