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Search Results Type: Posts; User: pfeliks

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  1. When entering orders, please remember....
    Patient was "difficult to AROUSE".....DID YOU TRY HARD ENOUGH?....IT'S ROUSE
    Oct 20
    Forum: Geriatric Nurses / LTC Nursing
  2. on call
    None!
    Aug 1
    Forum: Hospice Nursing
  3. Best tips for blood draw on elderly
    I've been a RN case Manager for 2 years now. I started out in heme/onc and then did Bone Marrow transplants. I've never had blood drawn on a home patient. What tests are you drawing for? We would...
    Jun 29
    Forum: Hospice Nursing
  4. Question about dressing
    Yes our agency had to pay for the supplies which were not cheap. But as they were recommended by our wound team, the bean counters couldn't deny the charges I also work for a company where most...
    Dec 4, '13
    Forum: Hospice Nursing
  5. Question about dressing
    I had a patient exactly like that and after a wound care consult(iWork for a national company). We used unna boot with zinc,fan folded so there was no circumfrential wrapping. Then wrapped with...
    Nov 28, '13
    Forum: Hospice Nursing
  6. Are you a RN or LPN???
    That is very smart of them to require an RN to be in the building as it is a requirement of Medicare for a hospice patient to change from routine care to general inpatient care.
    Sep 29, '13
    Forum: Geriatric Nurses / LTC Nursing
  7. Hospice and GIP admissions
    I just put a patient in an OTC on GOP for uncrotrolled symptoms,dyspena.
    Jul 12, '13
    Forum: Hospice Nursing
  8. Medicare Diagnosis Changes
    I work for a national hospice. This month we've been told we can no longer use AFTT or Debility as primary hospice diagnoses due to changes in CSM. We've been scrambling to try and qualify our AFTT...
    Jun 13, '13
    Forum: Hospice Nursing
  9. Let's talk $$ for hospice. (Idea lifted from Agency nursing)
    RN On salary. 65,000 as a case manager Massachusetts The rare times I am on call: 5.00/hour,45 dollars for a visit, 145 dollars for an admission 0.45 cents a mile
    Apr 7, '13
    Forum: Hospice Nursing
  10. On call question
    Fwiw. Case Managers and on call nurses make the same starting salary, 65,000 dollars. Is this in line with other Hospice Companies?
    Mar 15, '13
    Forum: Hospice Nursing
  11. On call question
    Where I work we have two dedicated on call nurses who each work 7 days on and 7 days off. They are salaried positions. The company I work for has an average daily census of about 60. The case...
    Mar 15, '13
    Forum: Hospice Nursing
  12. Question
    What symptom would you be waking up a sleeping patient to treat?
    Mar 3, '13
    Forum: Hospice Nursing
  13. Ethical dilemma
    Does this patient meet the COPS to qualify for ES pulmonary? The picture you paint doesn't seem so. Disabling dysphasia at rest? PO2 less than 88% on RA? Frequent ER visits for pulmonary...
    Mar 3, '13
    Forum: Nursing Student Assistance
  14. Roxanol/Ativan cocktail
    I have 2 end stage pulmonary cases right now. I find using roxanol and Ativan indispensable for symptom relief. Roxanol works best on Air Hunger. Ativan works best on the anxiety associated with...
    Feb 14, '13
    Forum: Hospice Nursing
  15. Ex California Hospice RN looking to come back
    I work for Beacon Hospice in Massachusetts. It is part of a nationwide company called Amedisys. I feel we'll supported there.. I don't know if we have Care Centers in California..
    Feb 14, '13
    Forum: Hospice Nursing
  16. Using PPS rating correctly-chairfast vs. bedfast
    If someone is in bed requiring hoyer lift to transfer to a broda chair, at the Hospice at which I work we consider them bed fast.
    Feb 14, '13
    Forum: Hospice Nursing
  17. Mentor
    I'm sure you carry a cell phone. You can always call your fellow case managers, clinical manager, medical director, hospice pharmacy etc. for clinical support when you are unsure and alone out in the...
    Oct 7, '12
    Forum: Hospice Nursing
  18. Dear God, Help me
    Instead of telling demented patients to Sush! the babies are sleeping! We give them life-like baby dolls to hold. It works like a charm. A good NON pharmacological interventions. We refer to them as...
    Oct 7, '12
    Forum: Geriatric Nurses / LTC Nursing
  19. On-call hospice nurse
    I'm a case manager who does on-call infrequently to cover when no on-call staff is available. I get 5 dollars an hour to be on call. 45 dollars for a visit and 145 dollars to do an admission.
    Oct 5, '12
    Forum: Hospice Nursing
  20. What can I do or say???
    At my Hospice we are taught to use this phrase. "Your loved one isn't dying because they're not eating, they're not eating because they're dying.
    Oct 3, '12
    Forum: Hospice Nursing
  21. Diabetes The Hows and Whys Please
    Just an FYI. Diabetes is the cause of gastroparesis in about 30% of cases. 70% of gastroparesis cases are idiopathic and unrelated to diabetes. I happen to be one of the 70%. For the record, GP...
    Aug 5, '12
    Forum: Diabetes / Endocrine Nursing
  22. How long was you orientation traing when you started in LTC?
    I came to lct as an experienced acute care nurse. My orientation to lct was 3 weeks. They asked me after2 weeks if I felt ready. I said no and got an extra week. I needed every one of those days of...
    Jul 31, '12
    Forum: Geriatric Nurses / LTC Nursing
  23. Suggestion to prevent damage to lips when vomiting?
    I'm more concerned as to why this patient has intractable nausea and vomiting. Find and treat the reason and the lip problem will disappear. In the meantime, Have you tried 8 Mgs of Zofran q8?
    Jun 22, '12
    Forum: Geriatric Nurses / LTC Nursing
  24. First State Audit!
    Can a resident receive oral medication in a "public" area(hallway, day room etc.) or do you have to Bring them to their room or a treatment room to administer oral medication? My residents are all...
    Jun 14, '12
    Forum: Geriatric Nurses / LTC Nursing
  25. First State Audit!
    It's official. A State Auditor will audit my med pass tomorrow morning. My first time. Any thoughts?
    Jun 14, '12
    Forum: Geriatric Nurses / LTC Nursing


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