katie'sangel BSN, RN

Latest Activity

1. 

   How many patients should a case manager be responsible for.

   katie'sangel replied to katie'sangel's topic in Hospice

   I'm beginning to think organizations like NHPCO could help. But the hospice agency has to belong to NHPCO first, then the employees, nurses, can join. I'm looking for some protection from the co-oprate greed that pushes the needs of the nurses...
2. 

   How many patients should a case manager be responsible for.

   katie'sangel posted a topic in Hospice

   I just started working at a for-profit hospice agency in Houston Texas. I am per-diem and shocked at how many patients the full time case managers carry. 15 to 20 or more patients. The standard of care at this agency is just one visit from the RN c...
3. 

   Other Hospice RN's in-put regarding on-call

   katie'sangel replied to hospiceCM's topic in Hospice

   The agency I work for has a dedicated team of after hours and weekend nurses. So I rarely am required to help on weekends and never after hours. Pay is 50cents a mile and I'm at $30/hour because I'm per-diem. But per-diem is another story. My probl...
4. 

   Good Houston hospice?

   katie'sangel posted a topic in Texas

   OK I know I've already posted this subject somewhere else, but I'm SERIOUSLY not happy with my current employer. But I DO love hospice nursing. Just need to find a good one in Houston. PSS I'm a RN and I know a LVN also looking for a change.
5. 

   Please share with me your experiences with this....

   katie'sangel replied to *LA*'s topic in Hospice

   To angel's assit, Near Death Awareness, I like that term. I AM fairly spritutal:) but not in the traditional christian sense:stone . Both of these stories ,about talking to some unseen person, I find very reasuring. Our understanding of the ...
6. 

   A hospice poem/writing-

   katie'sangel replied to Hellllllo Nurse's topic in Hospice

   I copied it and sent it to all the administrators at our corp office. These nurses sit in their nice clean offices and have forgoten what we bedside nurses do. And the incredible significance of our of humble personal sacrifices we give to help...
7. 

   HI! I'm new! Couple questions/Nurses

   katie'sangel replied to JennieIrene's topic in Hospice

   Jennie Glad to hear your enthusiasum for nursing. It's a job that has been flexable enough to allow me to follow my husbands career across the nation. The pay is good in the hospitals and I feel it's a job that carries a great deal of respec...
8. 

   Personal question/need information

   katie'sangel replied to alwayslearnin's topic in Hospice

   So sorry to hear about your father. From what you've said, it's probably good idea to not put him through the chemo. Advantages of Hospice: First, The nurses are wonderfull. It's our buisness to assist the family as much as the patient. We ...
9. 

   Hospice and litigation question

   katie'sangel replied to jsteine1's topic in Hospice

   I have a solution for the MD uncomfortable with hospice level narcotics. He/She should admit the pt to hospice program and let the hospice MD cover the patients care. Our hospice MDs understand how much Rx isneeded and because thier specialty is ho...
10. 

    thin ice nursing

    katie'sangel replied to katie'sangel's topic in General Nursing

    OK it's me again, Katie'sangel, and Here's a perfect example of the common problem I have on this unit: I'm having difficulty getting my patient's air way clear because I don't have the right suction equipment! The details here aren't importan...
11. 

    Are 12 hr shifts long and drawn out?

    katie'sangel replied to FirstYear2005's topic in General Nursing

    I've always done 8 hr shifts until the last few weeks. I Like having three days off on my weekends. I spend less time commuting, and that means less gas spent also. And my commute is one hour long, one way. Also, I notice the day shift nurses a...
12. 

    thin ice nursing

    katie'sangel posted a topic in General Nursing

    :uhoh21: Some of the policies on our hospice unit may put the nurses here, me included, on thin ice legally. I have some legal questions and I know I can't get professional legal advice on a discussion board. I'm just looking for some feedb...