NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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About NC29mom

NC29mom has 10 years experience as a ASN, LPN, RN and specializes in Hospice, Geriatrics, Wounds.


Wounds, Geriatrics.....but my heart belongs to HOSPICE.....

Latest Activity

  1. Morphine and comfort care.

    Can you explain why this patient's PRN dose is TWICE the strength of the scheduled? Just wondering....Usually "Short-acting opioid doses are approximately 10-20% of total 24-hour scheduled opioid dose (eg, 24-hour scheduled morphine totals 150 mg, th...
  2. The Future of Hospice: Concurrent Curative Care?

    just my two cents.....I have noticed patients who refuse chemo and radiation live longer. much longer....I've had some last 1-2 years, while another pt with comparable metastasis who chose to undergo chemo/radiation only lasted a days to weeks. I kn...
  3. Recommended Reading for Hospice Nurses

    How was the conference? You are referring to the train the trainer classes, right? I'm going in Oct to the one in Orlando and cannot wait!! Was it worth the travel & class costs? I'm paying out of pocket, unfortunately. Please tell me a littl...
  4. Vac File vs Dremmel

    Check out medicool drills. It was recommended to me, and I love it. Have two because they are very inexpensive. Portable, lightweight, battery powered (or can plug in) and lots of drill bits and education offered by medicool. they are just for nail...
  5. CFCN Foot Care Eligibility Changes

    Hotflashion: Its a little ridiculous that medical assistants will be your competition. ....however; a doctor can teach ANYBODY a skill, and as long as the Dr says that particular ANYBODY is proficient in performing that skill....the ANYBODY can lega...
  6. Revoking and Hospitalization

    Its NEVER EVER EVER your" "Administrators responsibility to make the decision regarding whether to revoke the patient or not".......PLEASE PLEASE know...revocation is PATIENT GENERATED. A hospice CANNOT decide for a patient to revocate. Now, a hospic...
  7. rescue meds...or not.

    i just use a local pharmacy to get the meds. This allows the pt to have immediate medication and saves the snf the step. We are paying for the meds anyway, so it's never been a problem just to run the scripts down the road.
  8. CWCN test

    Is that the same for the foot portion of the test? I'm trying to prepare to take the exam for cfcn
  9. SNF who provides supplies?

    I know exactly what article you are referring to when speaking about SNF's using HHA services more than home patients. I wish there was something more definitive in writing about incontinence supplies. Our company sends our aides to our facility pts...
  10. The Death Knell Of Hospices Everywhere

    It's a collaboration between the hospice and pharmacy. And yes, our hospice doesn't cover that particular medication, and neither will pts part D. When a pt elects hospice they sign consents, and agree to be responsible for anything not on the plan ...
  11. The Death Knell Of Hospices Everywhere

    I can assure you there are numerous other medications, for pain or depression, which can be used in the place of cymbalta. Medicare doesn't require hospices to cover non-formulary medications. If that were the case, all hospices would be broke. A lo...
  12. The Death Knell Of Hospices Everywhere

    You misunderstood if you interpreted my post to mean the pt has to pay out of pocket for a HOSPICE FORMULARY EQUIVALENT. hospice covers ALL formulary meds 100%. If the Pt refuses to try a formulary alternative, then the pt has the right to pay out o...
  13. The Death Knell Of Hospices Everywhere

    As I have stated in several responses......... Part D expects PART A to cover symptom related medications. Part D will no longer cover ANY meds for hospice pts without prior authorization. As Medicare states, for part D to cover any meds it mus...
  14. The Death Knell Of Hospices Everywhere

    Yes, that's right. Now Part D won't be covering unrelated meds without prior authorization. So why do you feel cymbalta (or generic) would be covered under part D then? I don't see Medicare D giving PA for an antidepressant. Insulin, probably.
  15. The Death Knell Of Hospices Everywhere

    Because part D is not covering symptom mgmt medications bc they feel part A (hospice) should cover. Doesn't matter if it's formulary for Part D. In my case the brand/generic is NOT hospice formulary. The ONLY option is for pt to pay out of pocket or...