Meliss214

Meliss214

Oncall Hospice RN

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About Meliss214

Meliss214 has 13 years experience and specializes in Oncall Hospice RN.


Latest Activity

  1. Criteria for GIP

    Does a pt automatically qualify for GIP when lopressors are discontinued?
  2. HIPAA and wrongful termination

    duplicate
  3. HIPAA and wrongful termination

    Yes, the doctor that I consulted with is employed with the hospice company. The other reason that they are using to justify my termination is that I called in an order for lorazepam which is part of comfort kit. However, when the doctor refused to ap...
  4. HIPAA and wrongful termination

    Thank you! This was the first time in 4 yrs as a hospice nurse where the hospice doctor refused to let me send out a comfort kit. I know the company was desperate for referrals, but I didn't think they would stoop so low as to compromise the care of ...
  5. HIPAA and wrongful termination

    I was terminated yesterday for calling another hospice doctor at our company for advice on how to handle a pt's unmanaged symptoms. I disclosed the pt's age and her dx of ES Parkinson's and the symptoms that were not being managed by the pt's physici...
  6. very confused about my hospice job- need advice

    I commend you for surviving so long in those conditions. I love hospice, but have not been impressed by the business side of it. I tried case management after starting out as the weekend oncall nurse and have found that the CMs are exploited beyond b...
  7. Couple of questions....

    I currently work that shift. Definitely prefer these hrs compared to the m-f schedule. I'm responsible for doing admissions also so I usually work Mon and Tues doing paperwork. The worst part of this shift is having your sleep interrupted to go out o...
  8. oxygen orders vs nursing perceptions

    Thanks for responding. The pt and his wife prefer increasing the oxygen instead of increasing the morphine dose.
  9. oxygen orders vs nursing perceptions

    I received orders from the Dr to give a pt with COPD and lung ca 15 L of oxygen because the pt is experiencing respiratory distress and the ativan and morphine were insufficient. The pt was previously on 5 Lof 02 until the family bumped up the oxygen...
  10. How fussy are you about O2?

    What if the pt has lung cancer along with COPD, and prefers hi flow oxygen instead of high doses of morphine?
  11. New Grad RN wanting to be a Hospice Nurse-Advice?

    I had 6 mos of nursing experience when I was hired to work as a hospice RN. I spent 1 mo shadowing the case managers and assisting when possible. Fortunately I had a supervisor who was just a phone call away so I never felt like I was all alone. I've...
  12. Aggressive treatment?

    Yes, the patient is on hospice and since I am new to hospice and this company, I didn't no that I could order cipro without the DON's permission, although she would like me to think that I need her permission. I was informed yesterday by the on call ...
  13. Aggressive treatment?

    I'm beside myself right now because my DON won't let me call in an order for cipro to treat a UTI in a pt with bladder cancer because she considers it to be an aggressive treatment. Am I overreacting?
  14. What's up with veteran nurses hating on new grads?

    I left the hospital scene after enduring "bullying" behavior from the veteran nurses. I now have to drive all over Houston to care for hospice patients, but it's worth not having to watch your back from disingenuous co-workers.
  15. thinking about quitting.. please help..

    Congratulations on making it this far! I only lasted 4 mos at my first job as a psych nurse and 2 mos as a day surgery nurse. I couldn't stand the nastiness of the other nurses. I'm 44 so I'm ready to leave the high school mentality. I'm excited abou...