Latest Likes For Kittypower123

Latest Likes For Kittypower123

Kittypower123, ADN, BSN, RN 2,934 Views

Joined Feb 13, '09. Posts: 134 (66% Liked) Likes: 266

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  • May 25

    I work in hospice too and am going to pursue wound certification. If you go the WOCNCB website and look at the eligibility for the exam, it explains that there are two different pathways. Taking a course and successfully completing it make you eligible to sit for the exam (you must apply to take the exam within 5 years of completing the program). The other option is to qualify through experience. This pathway requires 50 CEs for each specialty (wound care, ostomy, and continence) you wish to test for and 1500 direct patient clinical hours within the last five years (at least 375 within the last year). I am opting to take the course. I am only pursing certification in wound care at this time, not ostomy or continence. You can look at the requirements at Eligibility | Wound, Ostomy and Continence Nursing Certification Board. Hope this helps.

  • May 7

    They're all alive and I'm off at 5!

  • May 6

    1. Things will never go according to plan.
    2. Lunch is a luxury.
    3. The last hour of the day is the most nerve wracking.
    4. You will rarely get everything done.
    5. There is a fate worse than death.

  • May 3

    They're all alive and I'm off at 5!

  • May 1

    I was watching The Walking Dead and the town they were in was attacked. Not by zombies, by other people. Anyway, a woman is carried into the clinic with a large slash wound to her abdomen. The lady who was the "doctor" (she was actually a psychiatrist, but at least she'd been to med school, right?) says "She's severed her femoral artery."

  • May 1

    As soon as I finish this assessment I need to change the dressings in rooms 5 and 7, change the foley in room 6, help Susan in with the wounds in room 8, do my next med pass, and finish my charting.

  • May 1

    1. Things will never go according to plan.
    2. Lunch is a luxury.
    3. The last hour of the day is the most nerve wracking.
    4. You will rarely get everything done.
    5. There is a fate worse than death.

  • Apr 22

    I work in LTC and our administrator told us that our facility should be comparable to a nice hotel. Really? I've never been to a nice hotel that had staff to toilet me, get me up and dressed in the morning and undressed and in bed in the evening, managed my medications and treatments, showered me, fed me and monitored my condition.

  • Apr 19

    I work in LTC and our administrator told us that our facility should be comparable to a nice hotel. Really? I've never been to a nice hotel that had staff to toilet me, get me up and dressed in the morning and undressed and in bed in the evening, managed my medications and treatments, showered me, fed me and monitored my condition.

  • Apr 19

    I work in LTC and our administrator told us that our facility should be comparable to a nice hotel. Really? I've never been to a nice hotel that had staff to toilet me, get me up and dressed in the morning and undressed and in bed in the evening, managed my medications and treatments, showered me, fed me and monitored my condition.

  • Apr 7

    Quote from Kijana
    If they can feed themselves they are not appropriate, Also, pts on hospice should have some sort of change every 2 weeks when we do IDG meeting. If they are not changing, they should be discharged. You also have to be careful because if someone reports this to medicare and they infact investigate and find pt not appropriate to hospice, you as a RN can be in trouble with my license.
    That is not actually the case. AZ patients who qualify for hospice meet a FAST of 7A and a PPS of 50 or less. They may still be ambulatory (loss of that ability is further down on the scale) and still feed themselves. In addition, decline is documented over time not just in 2 week increments. A patient with AZ may have times of relative stability with little change punctuated by issues such as recurring UTIs, PNA, and falls. Weight loss over the last 6 months is considered, changes in medications and functional ability, increased in falls, etc all contribute to determining if a patient is still appropriate for hospice care. Good documentation and chart reviews to assess for decline are important in determining continued appropriateness. Ultimately, it is up to the doctor to certify/re-certify the patient. If a potential patient is questionable, it is important to discuss the patient with the doctor, including comorbidities and recent decline.

  • Apr 4

    You can get training modules by the End-of-Life Nursing Education Consortium (ELNEC) at Online ELNEC Courses | Relias Learning

  • Mar 31

    Funniest thing I ever saw (so far) - this LOL took out her top dentures, put them on top of her head and wrapped her hair around them. With one hand holding her new "hairdo" in place, she wandered arounding looking for a barrette or bobby pin to keep her creation from falling down.

    Another LOL had placed a small bowl with some food in it on the floor by the bed. When I asked about it she said it was for the cat, "He's under the bed and won't come out." I told her the cat was fine under the bed and he'd come out when he was ready. When she forgot about the cat, I removed the bowl.

  • Mar 1

    I was watching The Walking Dead and the town they were in was attacked. Not by zombies, by other people. Anyway, a woman is carried into the clinic with a large slash wound to her abdomen. The lady who was the "doctor" (she was actually a psychiatrist, but at least she'd been to med school, right?) says "She's severed her femoral artery."

  • Feb 23

    I was watching The Walking Dead and the town they were in was attacked. Not by zombies, by other people. Anyway, a woman is carried into the clinic with a large slash wound to her abdomen. The lady who was the "doctor" (she was actually a psychiatrist, but at least she'd been to med school, right?) says "She's severed her femoral artery."


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