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Search Results Type: Posts; User: aimeee

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  1. RN Case Manager "characteristics"
    There's a long list.... strong assessment skills, ability to "connect" with a wide variety of people and yet maintain boundaries, good listening and communication skills, teaching skills, time...
    Feb 10, '09
    Forum: Hospice Nursing
  2. Discharging pts?
    Patients should be discharged as soon as it is determined that they are no longer appropriate for hospice and a plan for supporting their needs can be put together. If you wait until the end of a...
    Feb 10, '09
    Forum: Hospice Nursing
  3. New CoPs....
    There is no specific requirement to gather MAC in the new cops. What the new COPS require is a form for the gathering of data elements to be utilized in your QAPI program. It is up to the...
    Feb 10, '09
    Forum: Hospice Nursing
  4. Young Hospice Nurses
    We have some male nurses and age is only a factor as far as it correlates to limited life and professional experience. Each person must be judged on their own merits. Some people have more...
    Jan 13, '09
    Forum: Hospice Nursing
  5. Recommended Reading for Hospice Nurses
    Yes, there is a core curriculum and a study guide. Your most economical alternative is to purchase a membership in HPNA and then the cost of the test is discounted and so are the study materials. ...
    Jan 10, '09
    Forum: Hospice Nursing
  6. Hospice full time on call
    I agree with the above... they should cut out the requirement to be at IDT's. 1 person per 70 is definitely justifiable at full time, especially on the weekend. We have a census of about 200 and...
    Dec 25, '08
    Forum: Hospice Nursing
  7. so.... what do you think?  First impressions?
    Looks great! Very clean, fresh, and easy to read (which is a big plus for those of us who need longer and longer arms every year) :) :yeah:
    Dec 20, '08
    Forum: allnurses News and Announcements
  8. List of CIII medications for pain
    That sounds like a policy that is not patient service driven. In fact, your post shows the unintended effect... the difficulty of obtaining the medication is driving use instead of what would be the...
    Dec 18, '08
    Forum: Hospice Nursing
  9. Palliative Care & Morphine
    We have standing orders that allow us to titrate the dosage up another 50% if necessary to achieve relief but after that we would have to call the physician to get an increase. If you are doing...
    Dec 13, '08
    Forum: Hospice Nursing
  10. day in the life of an admissions RN?
    Freedom? That's an interesting word I never would have thought of applying to hospice nursing. Autonomy maybe. It certainly can be stressful, or it can be delightful. It all depends on what comes...
    Dec 5, '08
    Forum: Hospice Nursing
  11. Question on code status and hospice
    We cannot exclude patients due to full code status. It doesn't make much sense to be a full code when terminally ill.... but still... some can't bring themselves to sign a DNR. Sometimes it means...
    Dec 3, '08
    Forum: Hospice Nursing
  12. first weekend on call
    It runs the gamut from people who just need a little reassurance or have a question about a medication to a patient that has just decided constipation is an emergency to a family freaking out because...
    Nov 23, '08
    Forum: Hospice Nursing
  13. Oregon's Death with Dignity Act
    The small numbers may reflect that while few people actually MAKE the choice, they want to be able free to make it. It may reflect that we have deep taboos in our society and makeup about taking our...
    Nov 22, '08
    Forum: Hospice Nursing
  14. Transitioning Question
    I think it is just another euphamism for dying that is coming more and more into vogue. And like the word dying, it all depends on how you define it. Dying can happen in a day or it can be a...
    Nov 20, '08
    Forum: Hospice Nursing
  15. Oregon's Death with Dignity Act
    I'm personally uncomfortable with it but I support self-determination. My father is a member of the hemlock society and I would want to be able to support him.
    Nov 20, '08
    Forum: Hospice Nursing
  16. RN shift in the home
    Actually the COPs say that for a day to qualify as "continuous care" there must be 8 hours of direct nursing care provided. At least 50% of this care must be skilled care, meaning it is provided by...
    Nov 13, '08
    Forum: Hospice Nursing
  17. The 3 boys?
    I have never heard of that one. I'm skeptical.
    Nov 11, '08
    Forum: Hospice Nursing
  18. Newish Nurse, interviewing for Hospice position
    Hi Emilie, Guess you didn't get an answer in time for your interview. While a deeper and broader experience would prepare you better, your heart for the work and your communication skills, your...
    Nov 10, '08
    Forum: Hospice Nursing
  19. Admission Nurse for a new hire
    I started as an admissions nurse in hospice care after experience in long term care. It worked well as a transitional role for me. As an admissions nurse the main focus is on the documentation of...
    Nov 1, '08
    Forum: Hospice Nursing
  20. No five stages of grief
    This article in Scientific American's Mind and Brain suggests that research has not found supporting evidence for a progression through Kubler Ross' five stages of grief, despite the theory's popular...
    Oct 25, '08
    Forum: Hospice Nursing
  21. "Evaluate and Treat" question
    Evaluate and Treat is an open ended order that is used for the Nurse Practioner to make a Palliative Care visit. Perhaps they have some confusion and are working with multiple programs?
    Oct 24, '08
    Forum: Hospice Nursing
  22. Readmission of patient whose family calls 911
    These are gray and much debated areas. You cannot discharge a patient for going outside the plan of care. There are only three reasons you can discharge a patient: 1) They are no longer...
    Oct 18, '08
    Forum: Hospice Nursing
  23. nursing home difficulties
    Its still rough for now but within a couple of years it should be much better....the conditions of participation for nursing homes are being revised just as the hospice ones have been and when they...
    Oct 7, '08
    Forum: Hospice Nursing
  24. Comfort / E-Kit Contents
    We have the standard kit from Hospice Pharmacia.
    Oct 5, '08
    Forum: Hospice Nursing
  25. TPN in hospice setting?
    Not normal, but we do it now and then when it would otherwise be a barrier to them getting started on hospice. Usually its the young patients with ovarian CA. I don't think we have ever had a lung...
    Oct 3, '08
    Forum: Hospice Nursing


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