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Search Results Type: Posts; User: andre

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  1. In the Field:  Turning In paperwork question
    Our agency is on an EMR so it's really only consents, port DNRs/copies of advance directives and pharmacy auths to turn in. The expectation is to turn everything in within 24 hours of the admit. Or...
    Apr 22, '09
    Forum: Hospice Nursing
  2. New CoPs....
    arggggggggggggggggggggggggggggggggggggh.:banghead::banghead::banghead::banghead::banghead::banghead::banghead::banghead: I can't possibly be the only one trying to figure out how we're supposed to...
    Dec 10, '08
    Forum: Hospice Nursing
  3. Readmission of patient whose family calls 911
    What we have done in these scenarios is explain to the pt and family that if they call 911 or go to ER without calling us first, they are revoking their hospice benefit as that is outside our plan of...
    Oct 16, '08
    Forum: Hospice Nursing
  4. A rant: sick time use and policies
    I had this same experience when I had the flu a few years back....missed two consecutive days of work and was required to get a doctor's note. I went to my MD's office but saw a covering MD who, when...
    Jun 15, '08
    Forum: General Nursing Discussion
  5. A rant: sick time use and policies
    Ok. I totally understand that nursing is a 24/7/365 operation. Really. And I knew when I went to nursing school that I'd be working weekends and holidays, and planning my vacations six month in...
    Jun 15, '08
    Forum: General Nursing Discussion
  6. number of visits per day
    I'm not case managing any longer, but when I did I carried a caseload of 12 and generally did 4 visits and several phone calls per day. Five visits was BUSY and happened sometimes, but I never did...
    May 23, '08
    Forum: Hospice Nursing
  7. Hospice Electronic Documentation
    Our agency is now on Road Notes, which is fine but is not terribly intuitive. I hear GREAT things about HealthWyse (have a friend who is a project manager for that company). I've heard very mixed...
    May 2, '08
    Forum: Hospice Nursing
  8. Ultrascopes???
    LOVE my Ultrascope! I hear much better with it than my (double the cost) Littman.
    Apr 12, '08
    Forum: General Nursing Student
  9. Patient Navigators
    Anyone work in a clinic that has a Patient Navigator? Any experiences to share with how that model works? TIA, andre
    Apr 6, '08
    Forum: Oncology Nursing
  10. Lather, Rinse, Repeat
    One of my assigned patients is dying of metastatic liver cancer. I was told in report, "he's full of mets". The day before I took care of him, Hospice was consulted. He had a significant amount of...
    Feb 18, '08
    Forum: General Nursing Discussion
  11. Catch 22 making me take a year off between ADN and BSN!
    I graduated in NH (NHCTC Stratham) in May of 2005. Took my boards June 7th, 2005. Could have tested sooner but I wanted a few more days to study. It is do-able, IMHO. Andrea
    Jan 16, '08
    Forum: General Nursing Discussion
  12. High Blood Pressure At End Of Life?????
    Clearly I didn't read your first post very closely! Somehow I thought you had said she was moaning with care....:uhoh3: Your other post about not being able to auscultate heart sounds, along with...
    Sep 25, '07
    Forum: General Nursing Discussion
  13. High Blood Pressure At End Of Life?????
    I'd rather suspect she is either in pain or anxious--anxiety may be r/t dyspnea. Is she on any morphine? I think she needs to be medicated!
    Sep 25, '07
    Forum: General Nursing Discussion
  14. Experience required for Hospice RN
    I went to hospice directly from tele! Well, unless you want to count the 8 weeks of misery in outpatient oncology before I ran screaming to hospice (oh I loved onc--the patients, the work itself--it...
    Sep 25, '07
    Forum: Hospice Nursing
  15. Handling On Call
    I am going to respectfully disagree with that statement. Pain crises happen at all hours of the day and night. This is not a reflection on how well case managers are taking care of their patients. ...
    Sep 17, '07
    Forum: Hospice Nursing
  16. Should I return to the ER?
    Can you ask to shadow for a shift before accepting the position? This would give you a better "feel" for the unit.....
    Sep 11, '07
    Forum: Nursing Career Advice
  17. Is a hospice program needed in LTC?
    I could not agree more with this post! It isn't that LTC nursing staff don't want to provide excellent end of life care...and obviously in many cases, they do. But given the LTC nurses' patient...
    Sep 6, '07
    Forum: Hospice Nursing
  18. New Hospice Nurse says HI!
    Welcome to hospice! I've only been in this specialty for five months, but I can't imagine going back to tele/stepdown now, at least not full time (I'm still per diem at the hospital). I do home...
    Sep 6, '07
    Forum: Hospice Nursing
  19. Paper or computer documentation???
    Road Notes is what we'll be using! I asked the question because so many of the RNs in my hospice are sooooooooooo negative about the change over--and I am personally looking forward to it! I came to...
    Aug 31, '07
    Forum: Hospice Nursing
  20. Paper or computer documentation???
    I am curious, is your hospice using computer documentation, and if so, what program are you using? do you like it? If you have done both paper and computer documentation in the hospice setting, which...
    Aug 30, '07
    Forum: Hospice Nursing
  21. Insightful answers please. . . . .
    I agree with this response as well.....my hospice job is much more flexible and family friendly than my 12 hour shift work in the hospital setting.
    Aug 29, '07
    Forum: Hospice Nursing
  22. Having a hard time with boundaries
    I refuse to believe that hospice requires us to be "on" 24/7. In fact, in my hospice I am encouraged not to even think of checking my email on my day off, or on the weekend. I am salaried at 32 hours...
    Aug 16, '07
    Forum: Hospice Nursing
  23. Ultrascope steth??  Anyone?
    LOOOOOOOOOOOOOOOOOOOOOOOOOOOVE my ultrascope. I'd never go back to Littmann...I hear so much better with my hot pink breast cancer scope!
    Jun 1, '07
    Forum: General Nursing Student
  24. How often are you on-call; scheduled weekend visits?
    We have a dedicated on-call team. I am currently obligated for one weekend of scheduled visits (8-430) per month, but our manager is in process of hiring weekend only nurses...which means my weekend...
    May 13, '07
    Forum: Hospice Nursing
  25. Accepted into RT & Nursing program...I don't know what I want to do!  HELP!
    That's tough. The main reason I chose nursing over another medical field I had been considering was that flexibility. I started out in telemetry, transferred briefly to oncology, and am now starting...
    Apr 10, '07
    Forum: General Nursing Discussion


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