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...
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.
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...
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 ...
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...
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...