hospicemom

hospicemom has 8 years experience and specializes in hospice.

Latest Activity

1. Hospice Charting and Recertifications

   hospicemom replied to abcwood's topic in Hospice

   Local Coverage Determinators

2. Calling Doctor to START end of life Med.

   hospicemom replied to powerflash's topic in Hospice

   you need an order before any treatment can begin. Sometimes if its the weekend and I know that the MD will not be around to sign all the papers then I will page and get numerous medications started or at least given the order to go ahead and start if...

3. hospice care plans

   hospicemom posted a topic in Hospice

   Looking at switching to a different hospice care plan. Anyone out there who really loves/ likes theirs? If so, where did you find it? I cant imagine there is no hospice specific diagnosis/careplanning books out there for purchase however I am not com...

4. scheduled meds and PRN dose orders in nursing home

   hospicemom posted a topic in Hospice

   example: clonazepam is scheduled TID AND Q4 hours PRN. Question: do you take these as two seperate orders or as one order. To clarify.... If the scheduled dose is at noon and in one hour they are still not managed can you give the PRN dose at that t...

5. How much experience should I get before getting into Hospice?

   hospicemom replied to AddieRN's topic in Hospice

   I was a hospital nurse for about 3 years before going into hospice. I think its always a great idea to start in the hospital to get the basics on nursing, medications and things, prior to getting involved in any specialty.

6. Hospice Certification exam

   hospicemom replied to Brightonrn1's topic in Hospice

   hey, thanks for the support. I am hammering away on that study question book and everything else I have. Thanks again.

7. Hospice Certification exam

   hospicemom replied to Brightonrn1's topic in Hospice

   Thank you for your kind words. However, I did not pass. My score was a 97 and 98 was passing. I also had a lot of ALS questions as well as superior vena cava syndrome and spinal cord compression which unfortunatly I have not had in the years I have b...

8. Hospice Certification exam

   hospicemom replied to Brightonrn1's topic in Hospice

   :)I have been studying using the core curriculum, study guide as well as the flash cards. I take the test in two days. I am not sure as to what to expect but I am getting a little nervous. I have been in hospice about 4 years and took the online sae ...

9. Fentanyl Patch

   hospicemom replied to Brightonrn1's topic in Hospice

   I have had this reaction with the patch. I am not a big fan of those patches.

10. nursing home difficulties

    hospicemom replied to hospicemom's topic in Hospice

    Thanks for all the input. I will suggest an inservice on this to the NH staff. Unfortunatly, the DON is one of the people who is dc'ing orders. Quite frustrating.

11. nursing home difficulties

    hospicemom posted a topic in Hospice

    I am with a hospice who is "affiliated" but not "owned" by a nursing home. We are having much trouble with the nursing home as far as us getting referrals from "anyone", the nursing home wants to "screen" for appropriateness before it goes to hospice...

12. Post mortem care

    hospicemom replied to mc3's topic in Hospice

    morticians have wonderful ways of fixing things up when they need to, and MY patients are MY patients until I walk the funeral home out the front door. They dont become the morticians until they are driving MY patients body down the road. SO...I appl...

13. Squamous cell CA of Face (graphic content)

    hospicemom replied to seasonedlpn's topic in Hospice

    I dont have any new ideas as far as drainage and bandaging goes. I have used ostomy bags on fungating tumors however that would not work on the face. I also used flagyl, crushed and dissolved in 0.9NS and syringed onto the tumor.

14. average # of nursing home patients

    hospicemom replied to Em1995's topic in Hospice

    a patient may be able to have PT if it is not related to the terminal diagnosis. example...lung cancer patient with broken hip receiving PT for the hip is fine and medicare will cover it even with the hospice involvement.

15. average # of nursing home patients

    hospicemom replied to Em1995's topic in Hospice

    Hospice never pays for the patients "stay" in the nursing home. If the patient has money he/she is "private pay" in the nursing home for room and board. If the patient does not have money they will be medicaid(T19) and they will pay the room and boar...