Mazzi

Latest Activity

1. Disposing of medications at time of death

   Mazzi replied to RubyRN,CHPN's topic in Hospice

   Federal guidelines state to place narcotics in cat litter or coffee grounds to dispose narcotics.

2. Faxed signatures of physician orders

   Mazzi replied to Mazzi's topic in Legal

   Unsigned is the hand written copy of the order that the RN writes per telephone order and then sends this to the Dr. for signature per fax. Then he signs the faxed copy, faxes it back to our office and then the secretary will throw the hand written ...

3. Faxed signatures of physician orders

   Mazzi posted a topic in Legal

   If you (LNC) were reviewing a chart and found only faxed signed orders and no originals, would this be questionable? The organization I work for has started this practice. I really have a hard time throwing away the unsigned original written order....

4. Hospice Nurse Transporting Patient Medications

   Mazzi posted a topic in Hospice

   We have a disscusion at work regarding the Hospice nurse picking up the patients medications (some narcotics). Some feel this goes against Federal Regulation, some State regulations, some that its OK. Does any one know were we can find the informa...

5. COP's

   Mazzi replied to Sabby_NC's topic in Hospice

   The hospice I work for have been working on updating the way we do things for the past few months. Things are really going to change. Some are good and some will be very difficult to comply with. One of our local facilities is not at all happy wit...

6. IDG meetings

   Mazzi replied to Jost930's topic in Hospice

   When you find a way to shorten IDG let me know. We average 40-50 pts and takes 2-3 hours and that is keeping to just the basics. Medicare is really starting to look to see that EVERYYHING is passed through IDG. So as things go along it is only goi...

7. number of visits per day

   Mazzi replied to Passion for the Job's topic in Hospice

   My day sounds like yours. I work three days a week and have had up to eight pt. I felt like I was drowning. Right now I have six and only two at the time are actively dying, so I am OK yet still have to do some work (ex. IDT notes) at home. It i...

8. Medicare Nuts and Bolts

   Mazzi posted a topic in Hospice

   Here in Indiana we are being preped for the Medicare changes coming up for Hospices. Have any of you been through the Nuts and Bolts? One of the things it talks about is going back to the SOAP charting. The Government is wanting clear charting as ...

9. Copies of original Orders

   Mazzi replied to AtlantaRN's topic in Hospice

   All my orders are written in triplicate. Original to DR, Yellow to chart/MAR, pink for me to remind me to place on IDG note. Works great!!!!!!!!!

10. Some questions about Hospice Case Mananagement

    Mazzi replied to shewalke's topic in Hospice

    I would recommend being a field nurse first in order to grasp the whole realm of issues dealt with by patient and family. There is also the area of payment that you would need to understand. Example if pt was Medicare, Medicaid, Private Insurance. ...

11. Tags??What are they?

    Mazzi posted a topic in Geriatric

    I am a Hospice nurse and have pt in LTC. I hear about TAGS, but do not know what these are or where to find how to get information of them. Are they from state or federal. Please help?? This is what I do know- the DON fears them.

12. Help How to keep pts IN Bed

    Mazzi posted a topic in Geriatric

    When State Board of Health sets such strict guidlines on safty issues, how do LTC facilities keep the resident safe? I work for a hospice and have pts in a LTC facility, I have three pts for various reasons get out of bed. OK, fall out of bed. The...

13. National average for pt caseload

    Mazzi replied to Em1995's topic in Hospice

    The LTC I work in as a hospice nurse expects our IDG to do most of the work. Of course, we are in the building maybe a total of 6hr a week. That leaves a lot of hours that the LTC staff must care for the pt. If any thing goes down, we may or may no...

14. Use of an Oxymetor

    Mazzi posted a topic in Hospice

    What are the guidelines for taking an 02 saturation? Is it no longer considered a nursing measure? The hospice I work for is now saying it must be a doctor's order in order to take it. They do not consider it a nursing measure. What is the concensus ...

15. Sexual dysfuntion in ALS

    Mazzi posted a topic in Rehabilitation

    This may not fit this forum but here goes. A pt with ALS, still able to use slide board to get into w/c, is having (how do I put this delicately) finishing what his wife can start. Is there some medication that would help with ejectulation? It is ver...