Alvindudley

Latest Activity

1. resources for hospice medications?

   Alvindudley replied to texasRN_14's topic in Hospice

   Joining hpna can be a huge help.

2. Guidance for a new case manager?

   Alvindudley replied to MarcyRN's topic in Hospice

   We use allscripts and as it was not designed for hospice use, we are getting a huge revamping of it. I haven't seen my boss for weeks because she is locked in with the software developers redoing it. I would say that it is the reason why I spend so m...

3. Guidance for a new case manager?

   Alvindudley replied to MarcyRN's topic in Hospice

   I am an rn case manager, home care only, no admissions. Last week was an aberration; I had 18 pts but lots of help from my colleagues. I wear business casual always, and I drive anywhere from 30-60 miles a day for my job with my caseload spread throu...

4. How many patients do you see each day?

   Alvindudley replied to Vtachy1's topic in Hospice

   I see 4 sometimes 5 pts a day, I work m-f and rarely take or have to do on call. I work about 12 hours or more a day when you add in documentation time and I drive 40-60 miles a day. And I love my job. I rarely do admissions, I do all home care, 2 fa...

5. Good or Bad Luck with Hospice Pharmacia?

   Alvindudley replied to Vtachy1's topic in Hospice

   I loved hp when we used them! We switched to one point and they just stink. I know hp was more expensive but honestly!

6. Hospice Care Plans

   Alvindudley replied to Pride/hardwork17's topic in Hospice

   Actually hpna has an awesome flip book that helps with care plans and recerts. Message me privately if this is Greek to you. I struggle with care plans every day. We mainly use alt. in resp status, pain, alt in elimination, alt in skin, ineffective ...

7. MGH is offering new grad ICU internship for $11.44 an hour?

   Alvindudley replied to DisneybearRN's topic in Massachusetts

   I saw a picture of all the new folks who participated in this program on facebook. Interestingly they were all young, pretty and white. Interesting, huh?

8. Hospice and Assisted Suicide

   Alvindudley replied to Spidey's mom's topic in Hospice

   This is really well put. As a hospice nurse, if I do my job well and teach effectively, not only am I able to mitigate the pain and suffering at EOL but also empower my patients to make the best decisions for themselves. I have not yet encountered a ...

9. Lasix use in CHF?

   Alvindudley replied to gorgenurse's topic in Hospice

   Here's what you need to remember about CHF and hospice. This comes from a colleague of mine who heard it a conference but it is wonderful. The goal is to have a metabolic death, not a congestive death. Death by dysrrythmia is far preferable to drowni...

10. Few questions on starting to apply

    Alvindudley replied to colleenwake's topic in Massachusetts

    Don't bother with lpn. You won't get a job. Get an associates RN at a minimum

11. Should a New Grad RN consider a staffing agency?

    Alvindudley replied to MissRN7's topic in Massachusetts

    Stay away from family lives agency. They will hire new grads and the next thing you know, you will be working with a little sick kid on a vent. Not the. Way you want to start

12. Best watch for clinicals?

    Alvindudley replied to moonischasingme1's topic in Uniform/Gear

    oh--can so totally put my 2 cents in on this one!! a timex expedition diving watch--has ordinal (regular) numbers, a lumiglo backlight, a sweep hand, a dial around the outside you can twist and time things with--has big notches for 5 second incremen...

13. Questions about hospice

    Alvindudley replied to Genista's topic in Hospice

    wow--that consideration of patient acuity is HUGE. I am a CM and I am on my way to having a full caseload of 10--now I have 7 and one patient in transition or a pain crisis can destroy your whole day! I feel like I shortchange my more stable patien...

14. new RN and new hospice nurse-need help!

    Alvindudley replied to ajitamamasita's topic in Hospice

    the throughlifeand death link seems to be broken

15. What is your Hospice paying for mileage

    Alvindudley replied to jeannepaul's topic in Hospice

    just went to 0.51/mile plus tolls parking etc