I can't decrease them because of company policy saying that we must provide 2 visits/week to facility patients to help communication and coordination of care. I think it's a bunch of bull if you ask me. We're supposed to provided the same level of ...
angieRN replied to Stargirl1980's topic in Hospice
I was a pediatric nurse for 18 months before starting in hospice (almost 6 yrs. now) Because of my background, I am usually selected to care for any pediatric patients. It is VERY taxing on the staff involved. I would do some hospice work first to...
My question is with a caseload of 12-18 does your agency require a minimum of 2 visits per patient per week? I have this requirement, so with a caseload of only 14, my weekly visits are at 34! There are some that could certainly get by with one wee...
It could just be fluid collecting there from her CHF. Depending on the level of dementia...we've told patients with edema in areas that question why, that the fluid is being kept there like "money at a bank" so that the heart doesn't have to "look a...
I think what you did was the right thing and totally acceptable. If that particular employee questions your actions, you can explain to them that in order to be your best for all of your patients, you have to set boundaries. If that isn't a good en...
Thank you so much! I was thinking on the low end of that and salary.com was a great help even though it didn't have a peds specialty listed specifically.
angieRN replied to justcurious99's topic in Pediatric
The first time I had to put a scalp IV in myself, I was horrified. I quickly came to favor that site if it looked to be the most favorable option. I also had good luck with them holding out longer. However, I always tried to explain to parents pri...
Hello! I have unexpectedly (but very thankfully) been asked to interview for a nurse manager position. It is a 27 bed pediatric unit in a magnet hospital. Because I did not seek this out on my own, I have not truly ever considered what a reasonabl...
angieRN replied to americanTrain's topic in Hospice
Hmmm..we're having caseload/visit issues as well. I don't think it's unreasonable to see your stable patients once weekly, and for a while, we did that as well. Now we're back to the same as your company. Twice weekly, no matter what. They want o...
In the home setting we do the same as above, usually 2-3x/wk and prn for the nurses. We're usually pretty specific on the # of days for CNAs. In the facility, we have to be very specific down to which days of the week and AM or PM for Nsg, CNA. SW...
I ususally add in besides the normal "I can't discuss this information with you....blah, blah, blah" "I don't discuss my other patients just as I don't discuss [Name] and all of the private details of what goes on when I'm in your home." Most peopl...
angieRN replied to Student_Nurse_WV's topic in West Virginia
I graduated in 2001 from the ADN program. I really enjoyed and was very glad that I ended up attending at Fairmont rather than WVU. I felt like the instructors gave a lot of personal attention. I know quite a few of the instructors have changed si...