elimayrn

Latest Activity

1. New Introduction Care Management CE??

   elimayrn replied to elimayrn's topic in Case Management

   Yes, I accepted their offer and start Nov. 5th. I am thoroughly excited and want to prepare for this paradigm shift in my nursing career to foster my success. CMS does have great general information on CPC+ but none specific to the care manager posi...

2. New Introduction Care Management CE??

   elimayrn posted a topic in Case Management

   I am expecting an offer from a primary care within a large Hospital in the Kansas City area. My background is hospice cm and Home Health with some long-term care. I am looking for a ce activity on CPC+ and Care Management in the primary care setting....

3. Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   I did accept the possition and will start Feb. 5th so we shall see! I have 3 years with hospice as a CM and 4 years with HH as an LPN. That should help.

4. Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Thanks for all the information, it is very helpful! I definately see your point on improving patient care and efficiency.

5. Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Thank you for your reply. That makes sense. Am not understanding the PTO example you gave. Is this to make up for too few visits?

6. Help! Baffled by 'pay per visit' offer

   elimayrn replied to elimayrn's topic in Home Health

   Also how are "pay per visit" RNs compensated for meetings, inservice, on-call hours etc? I will be going from a hospice case manager on a salary to Home Health case manager so this is a big decision for me!

7. Help! Baffled by 'pay per visit' offer

   elimayrn posted a topic in Home Health

   I recently applied as a home health case manager and received a phone call last night saying she would call tomorrow with an offer. The company in Kansas City Missouri pays per visit. I am not sure how to convert my requested annual salary to a per v...

8. Home Health RN hours?

   elimayrn replied to elimayrn's topic in Home Health

   Thank you Nursylinda, This is exactly why I'm leaving hospice. The money isn't worth the trade off for me. I don't want to live to work, just work to live a decent life.

9. Newly hired New to hospice

   elimayrn replied to elimayrn's topic in Hospice

   Update: 2 years later. I've learned so much in 2 years working as a RN CM with hospice, many in-depth lessons about nursing in general and have gotten in closer touch with my family and myself! Unfortunately the reality is hospice is taking a huge ...

10. Home Health RN hours?

    elimayrn posted a topic in Home Health

    Hello to all and thank you in advance, I am currently a RN hospice case manager X 2+ years. Prior to this I was an LPN working LTC and 3+ years in home health. I loved home health and I love hospice most of the time but now I want to return to home...

11. Communication w facilities

    elimayrn replied to aphillipi's topic in Hospice

    This gets complicated for me also. Where i have trouble is when the facility staff are not providing the best care such as not turning my Pt through the night or wound dressings are not changed. You would think the nurses would want to know and cor...

12. PO morphine tablets for SOA?

    elimayrn replied to elimayrn's topic in Hospice

    Shortness of air. Many at least in my area have gotten away from SOB.

13. PO morphine tablets for SOA?

    elimayrn replied to elimayrn's topic in Hospice

    She has no dysphagia, a&o x 3. She's currently taking Roxanol 10mg 3 to 4 times daily and 15mg at hs. I discussed the ms contin with her but daughter said they tried them before and she was loopy so they cut the dose in half and still loopy. T...

14. PO morphine tablets for SOA?

    elimayrn replied to elimayrn's topic in Hospice

    Thanks for your reply! I've spoken with my patient and she is willing to try this, I will be calling her doctor today. Thanks for the link I have been looking at this and will be ordering it.

15. PO morphine tablets for SOA?

    elimayrn posted a topic in Hospice

    I've worked as a hospice case manager for 1 year now and still have lots of questions. I have a COPD patient that can't tolerate Lorazepam but gets relief with Roxanol 0.5ml 4-5 x daily. Lately she is waking up SOA and having to take extra doses in ...