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Search Results Type: Posts; User: areensee

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  1. morphine pumps
    Not in our area. PICC's are placed by APRN's or physicians exclusively in a clinical setting. We would have to transport the patient to have it placed. This is one reason why when we admit a patient...
    Apr 30
    Forum: Hospice Nursing
  2. Newer Nurse trying to follow heart
    I am prejudiced, I admit it. I worked in med-surg for 15 years and do feel it is the best preparation for hospice as well as most other specialties, however I agree it is not the only way to get the...
    Apr 30
    Forum: Hospice Nursing
  3. Revoking and Hospitalization
    I disagree about the use of the revocation paperwork having the patient sign on a date, but listing the effective date as an earlier date. Clearly, a benefit can not be revoked BEFORE the date the...
    Apr 30
    Forum: Hospice Nursing
  4. Revoking and Hospitalization
    This is an area that has costs hospice agencies a lot of money. It is extremely important to know if the hospitalization is related to the diagnosis or not. It is also important to communicate with...
    Apr 30
    Forum: Hospice Nursing
  5. LVN to "fill in" for ADON while she is away
    No this is not appropriate. It has nothing to do with the person, just the title. Law requires an RN to supervise and this is very clear. While the LVN could take on some of the responsibilities that...
    Apr 30
    Forum: Hospice Nursing
  6. Distance limit
    In Utah, a hospice agency can only serve locations within an hour's drive of the office. We restrict our service area to 3 counties. We are urban, however. A rural hospice will by nature need to...
    Apr 30
    Forum: Hospice Nursing
  7. Did I make a mistake?
    Welcome to nursing. We've all been there. This is the reason that it is generally recommended that you have at least one year of med-surg or related experience before getting into hospice. But since...
    Apr 30
    Forum: Hospice Nursing
  8. PRN Evenings - what to expect?
    Your job is triage, put out fires. Resist the temptation to "fix" everything and focus on the immediate needs of the patient. Good communication with your team is a must and you should be given the...
    Apr 30
    Forum: Hospice Nursing
  9. How many patients should a case manager be responsible for.
    Probably is time to leave. Why jeopardize your license for unsafe practices?
    Apr 30
    Forum: Hospice Nursing
  10. How many patients should a case manager be responsible for.
    For profit or not for profit, it doesn't really make any difference in hospice. The not for profit agencies I have had acquaintance with don't necessarily do a better job for the patient. In fact,...
    Apr 30
    Forum: Hospice Nursing
  11. Hospice admitting nurse
    My recommendation is that you should have case management experience first, before working as an admission nurse. The admissions nurse is the first contact and the way you set things up will either...
    Apr 30
    Forum: Hospice Nursing
  12. Frustrated with Case management
    Sounds like the problem isn't with your nursing skills, but rather with a hospice agency that has serious issues. Find yourself another employer. You deserve to be treated with the respect due a...
    Apr 30
    Forum: Hospice Nursing
  13. morphine pumps
    Narcotic drips can be given through a peripheral line! The problem is that if it is going to be long term, the IV will need to be changed out according to your hospice policies. Also, IV sites have a...
    Apr 30
    Forum: Hospice Nursing
  14. Hospice Nursing - Compassionate Care at the End of Life
    Yes this is a very difficult field of nursing and can be emotionally taxing. I can't imagine doing anything else, though! They say it takes a special kind of nurse to do hospice. I look at it a...
    Apr 30
    Forum: Hospice Nursing
  15. Let's talk $$ for hospice. (Idea lifted from Agency nursing)
    RN Hourly, $26 in Utah plus mileage
    Apr 30
    Forum: Hospice Nursing
  16. Newer Nurse trying to follow heart
    No med-surg isn't the only way to get into hospice, but it is the best. I would not recommend getting into hospice without a good year of med-surg or related experience. The demands of the job...
    Apr 30
    Forum: Hospice Nursing
  17. rescue meds...or not.
    Wow! Your heart was in the right place and clearly the facility's heart wasn't. I doubt there are any state laws requiring e-kits in facilities. The facility did leave themselves (as well as your...
    Apr 30
    Forum: Hospice Nursing
  18. The Best Study Materials for NBCHPN's Certification Exams
    Thanks for the reassurance. I have ordered the Core Curriculum, the study guide and the competencies guide. I wouldn't even try this exam if I didn't have a few years of experience in hospice....
    Nov 25, '13
    Forum: Hospice Nursing
  19. The Best Study Materials for NBCHPN's Certification Exams
    I'm going to take the certification exam in a couple of months, and I would like to be as prepared as possible. I would like to know what study materials others have used and how helpful they found...
    Nov 18, '13
    Forum: Hospice Nursing
  20. Should we teach unlicensed caregiver . . . . .
    No, we would never do this. We would send in a nurse to give the injection, however we probably would not use IM haloperidol anyway. There are so many other options available. Sublingual haloperidol...
    Nov 18, '13
    Forum: Hospice Nursing
  21. Too Much Suffering
    Yep! I know exactly what you mean!
    Nov 18, '13
    Forum: Hospice Nursing
  22. Pt cant forgive...
    This sounds like a pretty complex issue and one suited best for a spiritual care coordinator (chaplain) or a social worker. As far as what you can do, let your patient say anything. Trust and rapport...
    Nov 18, '13
    Forum: Hospice Nursing
  23. Is Hospice Nursing depressing?
    Depression is a clinical diagnosis. If you are prone to depression, you are likely to experience it regardless of what specialty you choose. Perhaps you should look to yourself to see what's going on...
    Nov 18, '13
    Forum: Hospice Nursing
  24. Why Do People Bully Me?
    What I will never understand is how bullies remain in their positions. There should be zero tolerance in the workplace. Maybe if more employers find themselves on the losing end of a hostile working...
    Feb 27, '13
    Forum: Nurse Colleague / Patient Relations
  25. Can a new graduate be a hospice RN?
    It is difficult to get an inpatient position. I had hospice experience and still couldn't get an interview in an inpatient unit. I would encourage you to keep trying, and if you can take some CE in...
    Feb 23, '13
    Forum: Hospice Nursing


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