sclpn

sclpn

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About sclpn

sclpn has 4 years experience.


RN FOR 1 1/2 YRS NOW

Latest Activity

  1. LPN's in hospice?

    Since my original post we have hired an lpn and she has been a godsend. She helps with on call with an rn backup for deaths, she can work as the cna in the field and fill in as the aide or assist the nurse in the inpatient unit
  2. KPS & PPS

    PPS ECOG FAST
  3. PO morphine tablets for SOA?

    I agree with everything nutella said except be careful using fentanyl patches as they don't absorb well if there isn't enough subcutaneous fat...our MD will not use them on any patient that weighs 100 lbs or less and shows signs of muscle wasting.
  4. This isn't the hospice I used to know

    Same here....Hospices are under great pressure to turn a profit, whether they are for profit or not. In my area the hospice competition is very fierce and I see "patient seeking" so much. I also see doctors sending referrals when patient/family keeps...
  5. Thinking of leaving hospice

    I feel your pain. I too, am leaving my hospice job of 6+ years. I've done case managing/on call, hospice house and clinical director/with 24/7 call during this time. Being a hospice nurse is my identity. I don't know how to change that and wonder if ...
  6. Hello out there......anybody there?

    The company I work for has a 12 bed IPU. We have had a difficult time keeping beds filled, particularly with GIP patients, at times de-staffing due to no patients. Our choice was to close or contract with other hospices that does not have an IPU. We ...
  7. anxiety vs. agitation; Ativan vs. Haldol

    Most of the time if the haldol didn't work it's because the patient needed a bigger dose
  8. HOSPICE NURSES

    I would imagine the op is asking regarding finding hospice nurses to work for that agency....and if that's the case, I don't know either. We have utilized ads in the local paper, online, job fairs etc and still find it difficult to secure application...
  9. Charting in hospice IPU

    Hello I'm a inpatient manager and I've done homecare and inpatient nursing. I did not rewrite anything that was already some place else...I didn't rewrite the prn meds given in my narrative because they were already on the MAR etc. I didn't rewrite m...
  10. Order sets?

    Our medical director will not sign for pts comfort kit (crisis meds) anymore. Said she must have a "pt relationship"to write for c2 meds. She will do it in the occasional emergency but then she must make a face to face visit to establish that relati...
  11. new grad in hospice

    Hi Would your hospice hire a new grad RN? We are a small nonprofit hospice with a hospice house facility. I'm considering hiring a new grad RN for the hospice house...thoughts??
  12. Top 3 admitting terminal dx

    My company hasn't allowed us to use debility in over a year. We were also told AFTT would have to stop being used over the next few months.
  13. fundraising

    Hi Everyone I work for a not-for-profit hospice,and as most do, we struggle with funds/money. I was wondering what type of fundraisers your hospice does? We currently have an annual butterfly release and a bike ride that is very popular. Both, usual...
  14. Hi Im wanting to start some type of employee appreciation/reward program at my Hospice. Hospice can be very rewarding when dealing with our pts and families but I would like to find creative and inexpensive ways to show the employees that management ...
  15. Pay Increase ATO PTO how does your company treat you? .

    Located in SC. no pay raises in 3 years not even a cost of living raise. Medical insurance has tripled over 3 years. I expect that it will increase again in March. (open enrollment). accrue PTO at 12 hours a month depending if you work 12 hr shifts o...