MarciCRN

MarciCRN has 31 years experience and specializes in Maternity, med & Surg Onc, Hospice, Med.

Latest Activity

1. Recommended Reading for Hospice Nurses

   MarciCRN replied to introspectiveRN's topic in Hospice

   Reg Read, What term do you suggest?

2. pt. load for case managers

   MarciCRN replied to holiday2525's topic in Hospice

   Thanks tewdles, my sentiments exactly. I wish they would see the light.

3. Hospice Salary Requirement?

   MarciCRN replied to EmilyLucille523's topic in Hospice

   I took a $5 /hr pay cut to go from hospital to Home care. NYS. I have 30+ yrs exp and 12 yrs of it Hospice. Not as much pay but a whole lot less physical stress, no nights and only a minimum w/e commitment. You being a new grad RN, I think your ra...

4. mileage reimbursement question

   MarciCRN replied to Squeaky44's topic in Hospice

   Yes all the above DITTO :-):)

5. Hospice RNs- How would you interpret this?

   MarciCRN replied to DLS_PMHNP's topic in Hospice

   In my experience, people in their last day/hours can say things and mean another. Maybe she had strong feelings about pregnancy either pos or neg...and in her delerium she said pregnant and meant something else. Just a thought.

6. pt. load for case managers

   MarciCRN replied to holiday2525's topic in Hospice

   I do not case manage, I am an Evaluator and admissions ns. But the gals I work with are carrying a load of 23 more or less and they are all crying! 23 is too many, and have to travel the county to see them all. Its very difficult and they are stress...

7. Hospice Criteria

   MarciCRN replied to TangoLima's topic in Hospice

   In addition, Medicare has strict guidelines for who they will pay for Hospice care, medicare has been denying payment in the agencies in my area because they (medicare) didn't feel the pt's met requirements. We of course appealed as we know the pt's ...

8. Saudi Arabia - Good Idea or Not

   MarciCRN replied to 43RN20's topic in General World

   I'm not sure what your objection is. She is telling it the way it is.

9. LPN entrance exam in New York

   MarciCRN replied to momtomany's topic in New York

   My daughter just took it and was very nervous. She did very well. It wasn't bad. She too had a review book for the test, which I picked up at Barnes and Nobel for about $15. There is plenty of Math and little Bio. Study your math. Good Luck !!:):nur...

10. Can Fentanyl Patches Be Replaced Sooner to Improve Pain Control?

    MarciCRN replied to NRSKarenRN's topic in Medications

    I work in hospice, if a patch isn't holding for the 72 hrs then we assess that the pt needs a higher dose or something for break-thru if the patch is already a high dose. Over 200 mcg/hr we D/C the patch and we do a SQ dilaudid or MS PCA, but as I s...

11. Can you piggyback critical meds like IV Potassium or Mag at your hospital?

    MarciCRN replied to UM Review RN's topic in Medications

    Yes we piggyback, Mag first then K, K is painful , so we run it on separate pump, along with at least 50ml/hr of NS.