RN4hospice

RN4hospice has 24 years experience and specializes in hospice, Med-Surgical, Cardio-Pulmonary.

Latest Activity

1. use of Cadd pumps in pain management

   RN4hospice replied to jwelhwel's topic in Hospice

   Has the team considered discontinuing the duragesic and increasing the morphine to cover the patch dosage? Maybe he's not absorbing the duragesic.

2. Attending memorial services, funerals, condolence calls etc

   RN4hospice replied to nurselearner's topic in Hospice

   I personally feel that it is too difficult to attend all of our patient's calling hours/funerals. I tried to do this when I first started hospice 12 years ago and finally discovered that it kept me emotionally drained. You have to perserve yourself i...

3. Recommended Reading for Hospice Nurses

   RN4hospice replied to introspectiveRN's topic in Hospice

   One of the best books I read when I first started hospice was called "Final Gifts" by Maggie Callanan and Patricia Kelley. Both ladies are hospice nurses. The book is about understanding the special needs, awareness and communications of the dying. A...

4. Help! What meds are not covered under hospice?

   RN4hospice posted a topic in Hospice

   Our hospice has been advised that we may be paying for "unnecessary" meds that shouldn't be covered under the hospice benefit. We have always paid for medications related to the terminal illness and meds for symptom management. Our pharmacy bills are...

5. Help with Sarcoma Wound - Warning, graphic description!

   RN4hospice replied to Wildbriar's topic in Hospice

   Our hospice has had several similar wounds. As the disease progresses, it is a possibility that the patient could "bleed out". Placing dark towels in the home is less frightening to families when there is bleeding. We have used Monsel's solution (Fer...

6. on call nightmare

   RN4hospice replied to pixienurse's topic in Hospice

   I hear what you are saying! I have worked hospice for over 12 years. I have taken as much as 10 call per month including 1 or 2 weekends. It can be very exhausting . Our management would be understanding if we needed the next day off to sleep. NOW, a...

7. SubQ route for PCA?

   RN4hospice replied to jonear2's topic in Hospice

   Hospice promotes comfort by managing pain and uncomfortable symptoms with the most effective, non-invasive techniques. RARELY is an IV route used, due to poor venous access as the illness progresses. SubQ routes are very effective to manage pain when...

8. What are hospice LPN's NOT allowed to do in the state of ohio?

   RN4hospice posted a topic in Ohio

   our hospice is considering hiring an lpn perdiem . can anyone tell me what lpn's are not allowed to do in the hospice setting in the state of ohio or where i can obtain this information? can an lpn initiate, monitor, titrate, discontinue a pca pump t...

9. What are hospice LPN's NOT allowed to do?

   RN4hospice posted a topic in Hospice

   Our hospice is looking into hiring an LPN -mostly to assist with taking call. Does anyone else do this? What are the limitations for an LPN in the hospice setting? If a patient has a PCA pump infusing subcutaneously, can the LPN initiate, or disconti...

10. LPN job despriptions

    RN4hospice replied to bornfree's topic in Hospice

    I have the upmost respect for LPN's because I was one for over 8 years before becoming an RN. Our hospice is considering hiring an LPN on a per diem basis to help take call. Does anyone know of where I can obtain rules stating what hospice LPN's can...