RNWithAHeart

RNWithAHeart has 12 years experience and specializes in cardiology, hospice, core measures audit.

Latest Activity

1. Core Measures Auditor

   RNWithAHeart posted a topic in Quality Improvement

   Hello, I am looking for any Core Measures Auditors out there or anyone that is familiar with this type of data collection. I am an RN ASN who has been performing WAH Core Measure Auditing for the past four years. Due to many different variables, th...

2. Sticky situation.....please help!

   RNWithAHeart replied to RNWithAHeart's topic in Hospice

   Hi there, Patient does not qualify based on evaluation, however, I am told that she has advanced ESRD....with labs to back it up that should qualify her. But, I am not seeing that picture just by the visit without any documentation. Non compliant in...

3. Sticky situation.....please help!

   RNWithAHeart posted a topic in Hospice

   I am going to cut to the chase here. Working for a private hospice agency.....1 year old. Very good people/intentions, but very poor upper management skills. Think business plan was not well thought out......have been extremely short staffed.....beca...

4. Question

   RNWithAHeart posted a topic in Hospice

   Hi, I am a RN Case Mgr who has a pt and wife in their early 50's, both with mild MR. His hospice diagnosis is pancreatic ca. He is independent at this time. He wants a "meeting" with his RN, MSW and the Chaplain and his family to "talk about cance...

5. Meds during dialysis

   RNWithAHeart posted a topic in Urology

   Hi, I am a hospice nurse and have a 50 year old end stage renal patient. My question is, she has alot of pain (from other co-morbidities) and has prescribed pain meds for Q4 hrs. She is usually at dialysis for her runs for around 6 hours, and she i...

6. I need some help

   RNWithAHeart replied to mahoganybbw's topic in Hospice

   Hi there, I am sorry that no one responded to your post. You are not "only an LPN" you are a nurse no matter what initials follow your name! I agree that I do not understand why people need to hurt each other, some people are just malicious. I thin...

7. Interview with Hospice tomorrow

   RNWithAHeart replied to RNWithAHeart's topic in Hospice

   Hi, I took the position of RN Case Mgr. Can't talk alot right now, getting ready for work, but I have been there for a month. I think the company has their head on straight. My branch is growing like crazy and had a census of 27 in Dec....we are ...

8. Straight weekend call

   RNWithAHeart replied to RNWithAHeart's topic in Hospice

   This is Hospice (in home) call.

9. Straight weekend call

   RNWithAHeart posted a topic in Hospice

   Hi, Anyone have experience in working straight weekend call only....Fri at 5p until Mon at 8a? I am not sure if it is salary or per diem. They are offering this position at our office and was just wondering if other companies do this and what kind of...

10. Standing orders/protocols

    RNWithAHeart posted a topic in Hospice

    Hi, Here I am again, begging for answers! New to Hospice for only a month. Is it standard for Hospices to have standing orders/protocols? I was told we have none and I think that is strange. If you have standing orders, could you tell me what type...

11. implantable defibrillators/pacers

    RNWithAHeart replied to mc3's topic in Hospice

    I have just entered into Hospice, came from a telemetry background. I have seen many occasions in tele where a pt is being discharged to Hospice and the ICD is turned off before they are discharged from the hospital.

12. LPN with no hospice experience?

    RNWithAHeart replied to LPNMeg06's topic in Hospice

    Hi, I just started with hospice a few weeks ago. I am an RN who had 1 year of telemetry experience prior to this. You can get a job with no hospice experience. Hospice was my dream job.....I had a very specific plan.....I was very sure of my goals...

13. LTC Question

    RNWithAHeart replied to RNWithAHeart's topic in Hospice

    Thanks everyone for the responses. These pts were non verbal as in 1 has end stage MS and has not spoken a word in 10 years. 1 is Alzheimer's, 1 is post CVA, and 2 are dementia patients. As far as training, I have had 5 days of training with 3 diff...

14. LTC Question

    RNWithAHeart replied to RNWithAHeart's topic in Hospice

    I guess my main question is how to get the LTC staff to work WITH me in this situation, it just seemed like they did not want to have any input with me regarding the patient visits. I understand that maybe I need to gain their respect as a new nurse ...

15. LTC Question

    RNWithAHeart posted a topic in Hospice

    Hi, I am new to Hospice and went out on Fri on my own for the first time. I had 5 patient visits in one LTC. All 5 of these pts were non-verbal. I felt like I was really no help to these pts at all. When I spoke to the RN regarding each pt, ...