doodlemom

Latest Activity

1. Transportation of narcotics and other drugs

   doodlemom replied to susanerl's topic in Hospice

   Why would the Chaplain or a SW be any different than a nurse as far as liability? Any member of our staff is allowed to pick up medications and deliver to the patient - even office staff. We even have volunteers deliver medications. As long as they h...

2. mileage reimbursement question

   doodlemom replied to Squeaky44's topic in Hospice

   ditto

3. Roxanol being pulled from the market by FDA

   doodlemom replied to doodlemom's topic in Hospice

   I take that back...it doesn't list oxyfast in the approved or unapproved column List of Approved Narcotics Drug Products: Morphine Sulfate Tablets and Solutions Drug ...

4. Roxanol being pulled from the market by FDA

   doodlemom replied to doodlemom's topic in Hospice

   MSIR and oxyfast are being pulled, as well.

5. Roxanol being pulled from the market by FDA

   doodlemom posted a topic in Hospice

   Also MSIR, Oxyfast.... Please notify your administrators. Get in touch with your legislators and start a campaign. If this happens, this will have a huge impact on our patients care. The only way to obtain the strength needed for our pt's will be to ...

6. Question on code status and hospice

   doodlemom replied to moeluvrn's topic in Hospice

   Actually anything that is related to comfort is covered under the hospice benefit so if the patient ends up being treated for their symptoms the hospice is require to cover it. It is discouraged because of this. We have a few patients that go to the ...

7. How are hospice Medicare cuts affecting you?

   doodlemom replied to mc3's topic in Hospice

   The medicare rates have not been cut yet.

8. Standing orders/protocols

   doodlemom replied to RNWithAHeart's topic in Hospice

   We have a ton of so's that include meds for just about every symptom imaginable. I can't imagine being able to manage care very well without them and it sure does make the doctors happy to not have to be called for everything. pain - ibuprofen, tylen...

9. Hospice Nursing - How much experience do I need

   doodlemom replied to RedhairedNurse's topic in Hospice

   It would be good to have about a year of experience in the hospital so that you will feel more confident with you nursing skills out in the field. As a case manager, your major responsibilities are to make sure the patients symptoms are managed - pt ...

10. new nurse- hospice case manager

    doodlemom replied to weavrvirgorising's topic in Hospice

    Or she should be calling the administrator if she can't

11. LTC Question

    doodlemom replied to RNWithAHeart's topic in Hospice

    My recommendation is to start small; pick one person (preferably one of the nurses) to get to know more and more with each visit. It is hard on the first one or two visits, but after you go 2-3 times, you will more than likely feel more welcomed. The...

12. LTC Question

    doodlemom replied to RNWithAHeart's topic in Hospice

    Our role in facilities can be very different than in the home. These patients probably need us equally if not more than those being cared for by their families in their homes. With our care, we can advocate for what they need. We can update and suppo...

13. Aboriginal communities

    doodlemom replied to thevicarofblue's topic in Hospice

    Accessing federal and state money = rules and regs. If you are running completely as a charitable organization and not billing insurance (Medicare/Medicaid) you do not have to follow Medicare regs. There are a great deal of hospices all over the cou...

14. Hospice Nurse Transporting Patient Medications

    doodlemom replied to Mazzi's topic in Hospice

    We don't make it a frequent thing, but we will deliver medications if there is no way a family member can pick up. We contract with a pharmacy that delivers but not in the middle of the night.

15. 1 week older as a new Hospice nurse, and three deaths later

    doodlemom replied to weavrvirgorising's topic in Hospice

    YOU SHOULD NOT PUT YOUR PATIENTS BEFORE YOURSELF...PERIOD. End of story! Patients will be dying all of the time. If it is your time off, you should not come in to take care of a dying patient - let someone else take care of it. Remember your boundari...