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It all worked out. Facility said i TOLD them to call x-company. My bosses knew better, they just had to hear my side of the situation. Thank God.

Asked to come in n meet w branch director n mgr clinical practice. Word is a facility complained about me this weekend. Said that i said "we dont do continuous care," and they said when i returned...

no, 16hrs a day is not normal. Our case managers work 8-10 hrs a day, but if they get near overtime, they can usually take part of a day off (corporate does not like ot). cms see 4-6 pts a day,...

Choline Magnesium Trisilicilate 1200mg, i can't recall 2-3 times a day can help with bone pain (its an old drug, and its cheap, but it works), also steroids are helpful. dexamethasone can be...

I guess my issue is, this is hospice and there is NO real recovery....just symptom management. Narcotics cause gi sluggishness, so of course i'm gonna open a gi care plan and add senna to the...

I understand careplanning....but we got a note from our QI person that we should be careplanning for comorbidities.... Qi lady says if pt has hx hypertension we need to be careplanning for...

It depends on the company. Some hospices sell hospice as an "extention of home health," which is wrong because hospice is end of life care. NO pcas, no wound vacs. mostly oral meds and wound care...

"Gone from my sight" is standard issue in our admission packet.  Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms...

"Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start...

original poster------you hit the nail on the HEAD! Thank you for starting this thread. i have shared it with my whole office---we are all experiencing levels of your symptoms. Some days are...

This is a good thing! I have shared the link with my office.

i had a patient with pulmonary fibrosis that was on 15liters.....he did fine for about 2 weeks, then he passed. he also had been a smoker yrs prior and had copd.

Thats why it's prn instead of scheduled....you did the right thing. Did day nurse come into a patient in pain? No? you did the right thing. some folks just want to tell everyone how to manage...

nope. im on the south side of atlanta and they are all competitive and won't allow you to work for another hospice company. Now, if you work for a large company, you could work for another...

i don't really know, i just know adele music is dramatic, so i would believe that is why it's on the site

i know when patients have agonal breathing, or long periods of apnea, we are fearful if we turn them, it will send them on to meet Jesus. you have to turn patients to clean them. also, I know it is...

AACN Updates Clinical Guidelines to Prevent CAUTIs this may be a good place to start. we used to change foleys q30days in the home, but have moved to only changing if there is a problem.....

I wouldn't give any pertinent personal information-social security number, a copy of my license.....NOTHING to someone who asks me to "meet at a DQ," instead of a business address.....

OMG-today there is an Adele song uploaded..... "Monday, 12 March 2012 Warning: Some parts of this journal may be triggering. Please stay away if you think this will trigger you in any way. If I...

Questions, Questions, many many questions..... I've been a nurse for 16 yrs, hospice for last 5. What i knew to be true seems not to be true anymore. We have a new "qi" person who has come to...

i read just the intro of her blog.......i smell a rat as well.....

yep-4 page visit notes are the routine visits or for the on call nurse if the patient had a significant change....... our nurses are to drop off notes 2x/week BUT, if anything is missing from a...

my location has tried to change the way we are paid for mileage, saying they won't pay us for anything they can't bill for-such as delivering briefs, or chux....has anyone else heard of this? I'm...

DME person complained about you? Isn't he providing a SERVICE that your company is COMPENSATING his company with $$$$? Don't be discouraged. We order what we believe the patients need at the...

yep-nurse for 15 yrs here-i work as a weekend on call nurse for hospice, but i still worry i forgot to tell someone something.