spoiled28

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1. Home health computerized charting.

   spoiled28 posted a topic in Home Health

   Looking for information on computerized charting. We currently use Allscripts and have for years, but management feels there are better programs out for to help increase productivity. Our nurses have currently been paper charting in home and then co...

2. NEEDING Some HELP??

   spoiled28 replied to spoiled28's topic in Hospice

   She is taking Roxanol 2-3 times, it seems to happen more when she trying to do any ADLS. HHA visit daily, and her family assist her but there are still somethings she tries to do herself, simply putting on her shoes. Its the basic things she says sh...

3. NEEDING Some HELP??

   spoiled28 replied to spoiled28's topic in Hospice

   Duragesic 50mcg, lortab 10mg at HS (which she will not give up), Ibu 600mg BID, roxanol prn, cymbalta, and her daily b/p meds. We did think about the lidoderm patch, but her oncologist warned us about the potential compliacations because of skin be...

4. NEEDING Some HELP??

   spoiled28 posted a topic in Hospice

   Patient that had breast cancer, that had already spread to bone prior to her seeing the Dr., so surgeon did a simple mastectomy 4/09. Now she is on Hospice and having tremendous pain in her arm related to massive swelling. We have tried a light tub...

5. needing some advise

   spoiled28 posted a topic in Hospice

   New hospice pateint that was dx with imflamatory breast cancer and now has skin metastsis. Skin mets along her mastectomy incision line and now they are growing at a very rapid rate on her arm, and chest. She has no open areas currently but in the p...

6. Pain med for ALS hospice pt

   spoiled28 posted a topic in Hospice

   Please help! I've been a hospice nurse for 6 yrs and this is my first ALS pt with uncontrolled pain. We have tried morphine (Roxanol 15-20mg Q 1 hour) at times and finally was able to get ahead of his pain. Refuses to go in for inpatient IV therapy...

7. ICD 9 coding class

   spoiled28 posted a topic in Home Health

   Does anyone know of a ICD 9 coding class for home health coming up? Our biller/coder quit and now my boss is wanting one of us Rn to take the class and become the company coder. PLEASE HELP:idea:

8. Anyone heard of Aureus Medical group

   spoiled28 posted a topic in Travel

   A friend of a friend told me about this small travel company named AUREUS MEDICAL GROUP has anyone else had any good or bad experiences with them??? Getting ready to start traveling in Aug. :wink2:

9. Any ideas for unrelieved N/V

   spoiled28 replied to spoiled28's topic in Hospice

   Thanks guys its always good to get some new ideas. We use a topical compound of haldol, decadron, ativan and reglan, it most genreally works great for our patients, just not this time. The family is dtermined to keep her at home, she has not been ...

10. Any ideas for unrelieved N/V

    spoiled28 posted a topic in Hospice

    I have been doing Hospice care for about 5 years now. I recently had a patient with CA of the gallbladder and had uncontrolled n/v. We tried topical compounds, PO meds (Phenegran, reglan and finally switched to Zofran) with still very little relief...

11. Any GOOD companies?

    spoiled28 replied to shortydoowop's topic in Travel

    I am also looking to start travel nursing in Aug 06. All the information is helpful but so confusing. I have sent in two appliation with two companys, one says they pay is top but then I wonder from some of the reading about their benifits. thanks...

12. How did you hear about allnurses.com?

    spoiled28 replied to Brian's topic in General Nursing

    A friend that I was visiting with about travel nursing recommended it!!!