new2hospiceRN

Latest Activity

1. How did you arrive in hospice?

   new2hospiceRN replied to Joe NightingMale's topic in Hospice

   I started in Home Health and was suckered in to it when there wasn't any other RN willing to help out. Ends up, I love it. I like it better than Home Health. I actually feel like I am making a difference in an end of life experience for the patien...

2. Prostate Ca Questions

   new2hospiceRN replied to new2hospiceRN's topic in Hospice

   He is Diabetic and a Stroke pt. He isn't rapidly declining. Continent of u/b. His appetite is decreasing , but not any significant weight loss. We also have Home Health, I think that is what he needs at this point.

3. Prostate Ca Questions

   new2hospiceRN replied to new2hospiceRN's topic in Hospice

   Thanks!! I think my gut was telling me that. I have found that sometimes Corporate is only thinking about the #'s.

4. RN supervisory visit Frequency?

   new2hospiceRN replied to new2hospiceRN's topic in Hospice

   Thanks again. I just started using an LVN this week. What a lifesaver good help is. I think every 2 weeks is perfect. I will still be able to check in and stay aware of changes in the pts condition. I have been the only one seeing the pts, so I ...

5. Ever Admit without all the needed info?

   new2hospiceRN replied to new2hospiceRN's topic in Hospice

   Thanks for the advise. I would love to have the pts records with the referral. I appreciate the help. Doing the eval and then getting the records seems so much more logical when it is at all questionable. You gals are great!!!!

6. Anyone else Salaried here?

   new2hospiceRN replied to AtlantaRN's topic in Hospice

   I am salaried as a Director of Hospice, I am work 40 hours a week and I am on call 24/7. I spend most of my time in office and seeing pts. I leave early alot to compensate for the at home work of calls and med refills and general pt conserns. I am...

7. Prostate Ca Questions

   new2hospiceRN posted a topic in Hospice

   I have a pt with a PSA of 6.9. He is not able to tolerate surgery or biopsy. The family doesn't want to seek tx. With no pathology should he be on Hospice? His family says he has prostate ca, but how can they know this without a biopsy. I ran it...

8. RN supervisory visit Frequency?

   new2hospiceRN posted a topic in Hospice

   Does anyone know the reg on how often an RN has to supervise an LVN and HHA in Texas according to Medicare Hospice Benifit guidelines?

9. Ever Admit without all the needed info?

   new2hospiceRN posted a topic in Hospice

   I took on a Hospice Director position recently, and hope someone out there can help. Have you ever admitted someone and not had enough information to know if they qualify or it is a stretch? Without labs or history and physical or other documentation...

10. How many pts do you care for?

    new2hospiceRN replied to FrankieJane's topic in Hospice

    I just took a Director of Hospice position 3 weeks ago. I am the only one. I am overwhelmed with the 9 patients I have. I was at 4. My boss has an add to hire an nurse and an aid. My MSW just resigned and the aids are unreliable. My team is me ...