hospicenurse

hospicenurse

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About hospicenurse

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  1. Over sedated? Grrrrrrrr

    Go to the nurse manager, explain the situation. Is this LPN new to hospice? Perhaps some teaching is needed for the nurse, and perhaps the whole team. This would be an excellent opportunity for the team to learn more or get a refresher about tream...
  2. Which Hospice companies are Good to work for?

    Look into Delaware Hospice - they are nonprofit and have an excellent reputation. hn
  3. Use of an Oxymetor

    The hospice I work for has it's own DME and they say they must have an 02 sat below 90 before they can provide 02. There is nothing in the regs that says this, so I suspect it is either a leftover mindset from when this company had a homecare dept.,...
  4. Considering Hospice job-- HELP!!

    Lisa, You got 5k more than their original offer - that's great! I've never done 7days on and 7 days off - it sounds like a great gig - at least every other week :-) It may turn out fine - every organization is different. I think that the oncall a...
  5. Considering Hospice job-- HELP!!

    I have worked for two different hospices who had a FT oncall RN - both positions were Fri 4:30p to Monday 8am and that is it. Both positions required the nurse to do admits if needed - and it is always needed. I think you are right to be concerned ...
  6. Home health to hospice?

    I agree that the hospice charting is probably a little less than homecare - I've worked both. Some things I would ask about this position are what is the geographical area you would be responsible for? What is the average daily census? How many ca...
  7. St. Pete College/Micro Lecture Online

    I haven't taken micro, but I am currently taking Pathophysiology online at St. Pete and I am going to drop it after two weeks in. The course work is unbelievable - I'm spending 20 hrs/week and not even getting halfway through the work. With 2 addit...
  8. Guess the mispronounced medical term

    I can't tell you how many times over the years patients have asked me for a depository. Kinda makes sense when you think about it, I do deposit something in there.... and every time they ask for the hospic nurse I envision myself in a jello mold (l...
  9. Does patient need to know the diagnosis?

    You are so right. I learned this lesson from a patient whose daughters kept insisting that we couldn't tell her her dx or px, and that she would not want to know. They wouldn't let me in to her room until we came to an agreement about it. I finall...
  10. Question about Respite at an Inpt Facility

    Respite by Medicare regs can only be up to 5 days - no more. However, they could, if they chose, switch him back to the regular homecare rate for the remaining three days. It's not much difference in reimbursement, but the inpt unit would probably...
  11. Hospice Calls when I'm NOT on Call

    Welcome to the world of homecare/hospice! You will find this behavior in varying degrees just about anywhere you go. As everyone else has told you - set your boundaries. And then stick to them. I would tell them that I don't intend to answer my p...
  12. trying to find a video - need help

    just a followup - I finally found someone in my old office who remembered this video and located it. It is wonderful and I highly recommend the video and/or seeing his live show if you ever have the opportunity. His name is Lester Thomas Shane. Th...
  13. trying to find a video - need help

    I'm trying to locate a video I saw years ago. I believe it was used for training our hospice volunteers, but I'm not sure it was developed for that purpose. It was basically a one man routine. He talked about what noverbal dying people would say i...
  14. How do you handle meals for the familys? (Inpatient hospice)

    Our 16 bed inpatient unit provides meals to families for $4. We seldom get more than a couple of extra meals/wk to make - so it does not overburden our kitchen staff. We also have a dining area with tea, coffee, hot chocolate available at no cost. ...
  15. RN to BSN online

    Tweety - I am thinking about spc online - is there a lot of clinical and can it be done in my area? (I'm actually about 2 hours north of Tampa and could go there if I really had to... $78 credit hour is just too good to pass up since my employer has...