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Search Results Type: Posts; User: FLArn

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  1. Charting when you are no longer able to obtain vitals.
    I missed hourly too. We do vitals only once per shift or visit except for temperature or respiratory rate to chart effectiveness of an intervention.
    Jun 25
    Forum: Hospice Nursing
  2. Charting when you are no longer able to obtain vitals.
    First, if you are unable to obtain a value for the particular VS state just that "unable to obtain BP" and then proceed with the rest of the values you are able to obtain. For example, VS BP UTO, P...
    Jun 8
    Forum: Hospice Nursing
  3. What's With the "Poop"?
    Perhaps in the past when they lived together in the same home, either hers or the family home, dear old Dad used the bathroom just before dinner (or maybe she just has a bowel fixation). Either way,...
    May 6
    Forum: Geriatric Nurses / LTC Nursing
  4. Moral of the story: Never give IM injections?
    @nightowl If I am reading the original post correctly the OP took 2 other staff with her to restrain the agitated patient so that she (the patient) would not move unexpectedly causing the OP to...
    Apr 27
    Forum: Geriatric Nurses / LTC Nursing
  5. rescue meds...or not.
    I am so sorry you had that experience and kudos to you for attempting to advocate for your patient. The thing to always remember is that "we" hospice are guests in the SNF and must play by their...
    Apr 27
    Forum: Hospice Nursing
  6. morphine pumps
    When possible it is good to have a PICC or Port if the patient has a longer prognosis (weeks to months as opposed to hours to days) so as to minimize the number of venipunctures needed. But it is...
    Apr 24
    Forum: Hospice Nursing
  7. Medication Adm in FL
    I never found that it took that much extra time. Also the one time I tried to "save" time by mixing the meds, they congealed into a horrible thick glob in the plastic cup so I had to discard the...
    Apr 20
    Forum: Florida Nursing
  8. Medication Adm in FL
    And when the state surveyor is following your med pass. (Actually I always gave each Gtube med separately and never gave meds - e.g. Tums, cough syrup - without an order because your patients' or...
    Apr 20
    Forum: Florida Nursing
  9. PRN and e-kits
    Based solely on the information contained in the question; I would say no as you state that there are no refills. So technically you have no order for the prn medication. I would say you need to call...
    Apr 8
    Forum: General Nursing Discussion
  10. Can nurses have artifical nails?
    It is possible to have your nails professionally manicured and buffed to have a kind of a sheen without having artificial nails. I am terrible at shaping my nails so they are more or less uniform so...
    Mar 29
    Forum: Nursing and Professionalism
  11. Revoking and Hospitalization
    However, if the patient has not revoked hospice, the hospital may not be able to bill Medicare for their treatment of the patient's exacerbation of the terminal diagnosis as Medicare will not pay for...
    Mar 6
    Forum: Hospice Nursing
  12. Should we teach unlicensed caregiver . . . . .
    I have taught many skills to FAMILY caregivers who are willing to learn, however, I would never attempt to teach nursing skills to unlicensed paid caregivers. That is an entirely different matter...
    Nov 2, '13
    Forum: Hospice Nursing
  13. Hospice Resources
    Check with your supervisor or the education department to see if your company offers ELNEC training. Also find out if they offer any sort of computer based education. Also if you are in a position to...
    Sep 7, '13
    Forum: Hospice Nursing
  14. Hospice nurses required to take marketing territory?
    I have been a hospice nurse for 10 years and have never heard of anything so outrageous. This was never a part of ANY clinical position I have held in ANY setting. (LTC, Home Health or Hospice)
    Sep 7, '13
    Forum: Hospice Nursing
  15. Facebook: Should I Just Give in and Join?
    I love my facebook for the free games! It is a great free stress buster! Posting anything private or work related...not so much!
    Jun 20, '13
    Forum: General Nursing Student
  16. Comic relief...
    OP, On going back and rereading your post and your follow up comment, I will say that if your intent in the post was to highlight your immediate reaction to the way you were set up by your...
    Apr 22, '13
    Forum: Nurse Colleague / Patient Relations
  17. Comic relief...
    I hate to be "Debbie Downer" but I find it very disturbing that a) your co-workers found this so amusing that they thought it deserved an audience, b) that your co-workers care so little about his...
    Apr 22, '13
    Forum: Nurse Colleague / Patient Relations
  18. Is providing continuous home care required?
    Continuous care is a level of care which may be provided in either of 2 ways: 1) in an inpatient setting such as an IPU or 2) in the patients home. In an IPU coverage is guaranteed as there is always...
    Apr 19, '13
    Forum: Hospice Nursing
  19. How to deal with bad odors
    Try some perfume on the inside of a mask. Also a strong mint or cough drop may be helpful. Also there are special odor control dressings that the wound care nurse could consider using.
    Apr 8, '13
    Forum: General Nursing Student
  20. Dear Hospice Nurses, I beg you for a moment of your time, please.
    CP - Just for clarification, it is correct that you do not need a physicians order for an information visit; however, admission to hospice care DOES require an order. So it is very important to be...
    Mar 28, '13
    Forum: Hospice Nursing
  21. Burnt out and struggling emotionally
    If it is available get a company cell for patient calls and turn it off when you are off duty. If no company cell is available, look at getting a cheap cell (like Net10 for example) for work calls....
    Mar 22, '13
    Forum: Hospice Nursing
  22. Today's Hospice. It's not what you think
    The attending physician may elect to maintain full medical management and allow the Hospice MD only to weigh in on the recertification process so the family may not have any meaningful interaction...
    Feb 23, '13
    Forum: General Nursing Discussion
  23. Bending and Breaking the Rules in Nursing
    The only reason the hamburger was "forbidden" was because she was in a LTC facility. Had she been at home with hospice or in a hospice residential unit she could have had a hamburger or any other...
    Jan 29, '13
    Forum: Geriatric Nurses / LTC Nursing
  24. PEG tube replacement
    Back in the day we replaced them all the time using catheters if we didn't have replacement feeding tubes. No xrays just obtaining residual to check placement. Then a few years ago we were told we...
    Jan 29, '13
    Forum: Geriatric Nurses / LTC Nursing
  25. What is the first thing you do when you put a fall-risk pt in the bed?
    All our beds have only half length rails at the head of bed. No rails of any kind at the foot of the bed. 2 half rails at the top is considered a mobility aid not a restraint. Older beds with full...
    Jan 29, '13
    Forum: Nursing Issues On Patient Safety


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