hospicernsrgr8t

hospicernsrgr8t

Med-surg, skilled nursing, Hopice

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About hospicernsrgr8t

hospicernsrgr8t specializes in Med-surg, skilled nursing, Hopice.


Latest Activity

  1. How can I get hired for Hospice with no experience in "Hospice"

    I applied for my RN Case Manager position as a newly licensed RN, but after 5 years of experience in med surgical, long term care and Pediatric Home care as an LPN. They told me flat out at the interview that they didn't feel that I had enough experi...
  2. Question About the Certification Exam

    I just took the CHPN exam this past Friday. I studied for about two weeks in the evening for an hour or two. I brushed up on some things that we do not see in this region much (i.e. HIV/AIDS and some cultural things) and reviewed the drug conversions...
  3. Average RN Case Manager Pay in PA??

    I am a case manager in Central PA, for a large non profit hospice agency. My caseload is usually at an average of 14, with a mix of home and facility patients. I do not have a company car, and get paid mileage. We usually see 4 people a day, and have...
  4. Free Reign for Hospice Orders?

    Do you have signed symptom management orders?? That is what we use to initiate/change medications per our facility policy. For example, we always start with lowest dose of roxanol, 2 mg po/sl q 1 hour prn. Usually if it is a dyspnea at rest/pain iss...
  5. Aspiration risk, Hospice and SNR

    Thanks everyone for your input, it has been helpful. I checked today at the IDT meeting if volunteers could feed her breakfast, sadly that is not an option for my organization. So, we will continue to collaborate with the family to feed the pt per th...
  6. Are you going to work tommorow in the big storm?

    I work for a Hospice organization as a HH RN case manager. I have called all my pt's, none have serious symptom managment issues or needs today...all have enough medications and oxygen if we lose power. Will I go to work if a patient is approaching e...
  7. Balancing hospice and family??

    At my agency, we work usually work M-F...with the exception of one weekend a month and one major and one minor holiday. We are salaried, so some days I am at home early....other days are late and I never really know how it is going to be, because pat...
  8. Aspiration risk, Hospice and SNR

    So, I need to hear opinions on this. I went to the SNF where I have just started to serve 3 new hospice patients, leadership wants a case manager to "develop relationships" with the staff, so that we may have better referrals and relationship with th...
  9. Admitting patients for the sake of admitting?

    Our agency is a non-profit agency, and we are told that on most medicare pt's we lose out, counting on gifts and fundraising events to make up the difference to continue to provide service to the rest of the community. I am new to hospice nursing in ...
  10. Do you as a Hospice Nurse use a pulse oximeter?

    My agency does not routinely provide a pulseox for Hospice HH assessments, however they are available for us to sign out for some more in depth assessments. I have found it usefull, especially with COPD pt's who need to be recertified. I recently had...