BeExcellent

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1. Question for the Nurse Geeks

   BeExcellent posted a topic in Informatics

   I have a question about documentation in the HomeWorks program that "disappeared". I worked for a Home Health agency that is telling a past nurse employee that he must reconstruct on paper visits where visit documentation can not be found in HomeWor...

2. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Informatics

   The hardware is more than adequate. Hardware and software were purchased specifically to replace paper and to implement Misys organization wide. We have just upgraded server to so more problems with multiple users synching. Tablet laptops were pur...

3. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Informatics

   Yes, it is helpful. I am glad to hear that my initial intuition was correct re:super-users. I landed in the middle of this when I took a mid-level nurse manager position a few months ago. Chart audits showed inconsistent use of the EMR with overtim...

4. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Informatics

   Well, Sue..., your reply made me feel like Einstein that is EXACTLY what I am attempting to do. Okay, I am of reasonable intelligence, why can't I find much info about the Misys software on my own. Is there a "Misys for Dummies" equivalent? Really, ...

5. Let's Just Imagine

   BeExcellent posted a topic in Informatics

   Let's just imagine like Alice falling down the rabbit hole, you found yourself in the center of a hospice using the Misys EMR system. Let's also imagine you are not a techie yourself and you find after one year of use the system is inefficiently and ...

6. end of life care falling short in LTC

   BeExcellent replied to ktwlpn's topic in Hospice

   Well, thanks for being there for your patients. You don't always know when but you WILL get blessings. LTC's are a business and ALWAYS interested in money. Two calm approaches may work. First, hospices started going into LTC facilities not because...

7. How did you know hospice is for you?

   BeExcellent replied to NurseFeelGood2005's topic in Hospice

   As far as my frame of reference is concerned, all of us reach a point in life..and die. My years in nursing gave me understanding that the death was inevitable but HOW the person died and the impact on loved ones could be influenced for the better....

8. Inpt Bathing

   BeExcellent replied to BeExcellent's topic in Hospice

   Yes, Leslie and all, appalling. I have decided to follow ...'change what I can, when I can" and try to at least, motivate my immediate staff to the wonders of good hospice nursing.

9. Recommended Reading for Hospice Nurses

   BeExcellent replied to introspectiveRN's topic in Hospice

   Recently finished "Final Gifts". As said before, this is a great read. The book uses the term" Nearing Death Awareness" for the mental process often experienced as a person declines toward death. I also just finished the first of three books by Mi...

10. Inpt Bathing

    BeExcellent posted a topic in Hospice

    I am now working in our inpatient hospice unit. I may be fretting over nothing but we don't move much less bathe patients very much. Room are assigned by shift for a bath and certainly not every pt needs a complete bed bath every day but if a pt look...

11. Recommended Reading for Hospice Nurses

    BeExcellent replied to introspectiveRN's topic in Hospice

    Okay Dokey.... Actually the term "palliative care" always makes me mad. I think IT is disgusting. "Palliative care" (to me) is care that the insurance company will reimburse and the acute care hospital will pass off to the pt and family as "quality...

12. Question about dyspnea

    BeExcellent replied to sukichaz's topic in Hospice

    If your Mom does seem to need serial taps, you may consider a Denver catheter placement. This allows easy home (sterile) para or thorcentesis. I have had a few pts d/c'd from acute care with one and was amazed at the ease of use and the improved qua...

13. Homeopathic Hospice?

    BeExcellent replied to BeExcellent's topic in Hospice

    I am not sure that homeopathic hospice exists. But, it isn't uncommon to have a few pts on the hospice caseload that prefers less conventional care and treatment. I think I would contact the homeopathic MD's in area and ask if they see a need. I do...

14. would appreciate advice

    BeExcellent replied to MQ Edna's topic in Hospice

    Most 'good" hospice nurses I know are on the mature side of life. I don't think you have to have been a nurse a long time but having life experience helps. Admittedly, hospice is about symptom control to allow calmness and comfort but it is also a...

15. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice

    Yes, to all. I think we need a separate thread on the spiritual aspect of a good death. Maybe this thread has just become too long and muddy for people to want to jump right in. I agree that every "midmorte" I have ever known has developed over time...