JSCOOBY

Latest Activity

1. Music with the dying patient?

   JSCOOBY replied to zacsmimi's topic in Hospice

   There is a huge amount of music for the dying out there: 1. "Music for the Dying" by Donalyn 2. "Gifts Of The Angels" by Steven Halpern 3. "Grace Instrumental" - various artists 4. "Ladder of the Soul" by Paul Baker 5. "Music for Healing" by Ste...

2. How to communicate with patient who has a language barrier?

   JSCOOBY replied to beauty1216's topic in Geriatric

   I am a hospice nurse and have dealt with this same, frustrating issue. You might check with a nearby college or university's foreign language department for assistance, as well as local churches; my patient was Vietnamese and found a local church th...

3. No ativan for hospice patients

   JSCOOBY replied to Blackcat99's topic in Hospice

   We use either Phenergan or Haldol.

4. Hospice On Call Compensation Structure

   JSCOOBY replied to Katillac's topic in Hospice

   Our RN Case Managers are salaried - no pay when on call, but paid set amounts for deaths, tasks, visits and admissions.

5. Death stories?

   JSCOOBY replied to Teachchildren123's topic in Hospice

   One of my first deaths was beautiful and moving. She was a 75 y/o hispanic woman who had ESRD, 11 kids (6 boys, 5 girls), all married with kids of their own. This lady lived in run-down 1.0K sqft home. All of her kids were there, including their spou...

6. My experience with hospice

   JSCOOBY replied to CityKat's topic in Hospice

   I took a huge pay cut to go into hospice nursing. I find it sometimes draining, but immensely rewarding. My family remarks that I am no longer in a bad mood after work. This week, I have had three patients die - two at home where they wanted to b...

7. IV therapy

   JSCOOBY replied to jacjon's topic in Hospice

   Just finished with a patient with CA of rectum, liver, kidney, bladder, etc - three ostomies - had a PICC line that we were giving Morphine and Ativan IVP. We have had patients with morphine/dilaudid PCA and intrathecal morphine. Have never had pro...

8. A Serious Problem

   JSCOOBY replied to windsong's topic in Hospice

   You have LVNs. If she is end stage, symptoms are out of control and she is iminent, LVNs could do crisis care. This is a good case for crisis care!

9. 12.5 Hr Days/4 Consecutive Day Work Weeks??

   JSCOOBY posted a topic in Hospice

   Our continuous care department is having to turn down referrals because there aren't enough LVN's. Management wants to schedule the LVN's for 12.5 hour days, 4 consecutive days per week. What are other scheduling scenarios that other CC department...

10. Hospice On Call Compensation Structure

    JSCOOBY replied to Katillac's topic in Hospice

    We get $1.00/hr. for "beeper call." The RN case managers are salaried and get $75.00 for a new admission (takes about 4 to 4-1/2 hours), $60.00 for an unscheduled visit or task, and $45.00 for a death. Our crisis care LVN's get $1.00/hr for beeper ...

11. I saw my first patient that died today...

    JSCOOBY replied to heartlover07's topic in General Nursing

    I'm sorry for your loss. I have been a hospice nurse for the last six months and have lost many patients. I have had to acknowledge that my patients will die, and I try to make each and every moment I spend with them the best ever. You don't forge...

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

    JSCOOBY replied to RN4hospice's topic in Hospice

    I am a hospice LVN with a primary assignment of crisis/continuous care in the home or other facilities. When our census is low, I perform weekly visits with other patients. My RN case managers trust my judgement to call the physician as needed, the...