FLArn

FLArn

Hospice, LTC, Rehab, Home Health

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About FLArn

FLArn has 20 years experience and specializes in Hospice, LTC, Rehab, Home Health.


Latest Activity

  1. Charting when you are no longer able to obtain vitals.

    I missed hourly too. We do vitals only once per shift or visit except for temperature or respiratory rate to chart effectiveness of an intervention.
  2. Charting when you are no longer able to obtain vitals.

    First, if you are unable to obtain a value for the particular VS state just that "unable to obtain BP" and then proceed with the rest of the values you are able to obtain. For example, VS BP UTO, P 98, R 20, T 99.4 F Ax. Second, in my experience, O2...
  3. What's With the "Poop"?

    Perhaps in the past when they lived together in the same home, either hers or the family home, dear old Dad used the bathroom just before dinner (or maybe she just has a bowel fixation). Either way, I would have the CNA take him to the BR on the way ...
  4. Moral of the story: Never give IM injections?

    @nightowl If I am reading the original post correctly the OP took 2 other staff with her to restrain the agitated patient so that she (the patient) would not move unexpectedly causing the OP to accidentally stab someone else. No one got an accidental...
  5. rescue meds...or not.

    I am so sorry you had that experience and kudos to you for attempting to advocate for your patient. The thing to always remember is that "we" hospice are guests in the SNF and must play by their rules. Sometimes trying to educate staff that what they...
  6. morphine pumps

    When possible it is good to have a PICC or Port if the patient has a longer prognosis (weeks to months as opposed to hours to days) so as to minimize the number of venipunctures needed. But it is entirely possible to infuse Morphine via PCA in a peri...
  7. Medication Adm in FL

    I never found that it took that much extra time. Also the one time I tried to "save" time by mixing the meds, they congealed into a horrible thick glob in the plastic cup so I had to discard the whole mess and repour the meds; then I had to order rep...
  8. Medication Adm in FL

    And when the state surveyor is following your med pass. (Actually I always gave each Gtube med separately and never gave meds - e.g. Tums, cough syrup - without an order because your patients' or families will rat you out in a heartbeat and never kno...
  9. PRN and e-kits

    Based solely on the information contained in the question; I would say no as you state that there are no refills. So technically you have no order for the prn medication. I would say you need to call the MD get a new order including the order to use ...
  10. Can nurses have artifical nails?

    It is possible to have your nails professionally manicured and buffed to have a kind of a sheen without having artificial nails. I am terrible at shaping my nails so they are more or less uniform so I see the manicurist just for trimming and filling....
  11. Revoking and Hospitalization

    However, if the patient has not revoked hospice, the hospital may not be able to bill Medicare for their treatment of the patient's exacerbation of the terminal diagnosis as Medicare will not pay for both aggressive and hospice care for the same diag...
  12. Should we teach unlicensed caregiver . . . . .

    I have taught many skills to FAMILY caregivers who are willing to learn, however, I would never attempt to teach nursing skills to unlicensed paid caregivers. That is an entirely different matter legally. Family members may learn whatever skills are ...
  13. Hospice Resources

    Check with your supervisor or the education department to see if your company offers ELNEC training. Also find out if they offer any sort of computer based education. Also if you are in a position to join HPNA (Hospice Palliative Nurses Association) ...
  14. Hospice nurses required to take marketing territory?

    I have been a hospice nurse for 10 years and have never heard of anything so outrageous. This was never a part of ANY clinical position I have held in ANY setting. (LTC, Home Health or Hospice)
  15. Facebook: Should I Just Give in and Join?

    I love my facebook for the free games! It is a great free stress buster! Posting anything private or work related...not so much!