RN4hospice replied to nurselearner's topic in Hospice
I personally feel that it is too difficult to attend all of our patient's calling hours/funerals. I tried to do this when I first started hospice 12 years ago and finally discovered that it kept me emotionally drained. You have to perserve yourself i...
RN4hospice replied to introspectiveRN's topic in Hospice
One of the best books I read when I first started hospice was called "Final Gifts" by Maggie Callanan and Patricia Kelley. Both ladies are hospice nurses. The book is about understanding the special needs, awareness and communications of the dying. A...
Our hospice has been advised that we may be paying for "unnecessary" meds that shouldn't be covered under the hospice benefit. We have always paid for medications related to the terminal illness and meds for symptom management. Our pharmacy bills are...
RN4hospice replied to Wildbriar's topic in Hospice
Our hospice has had several similar wounds. As the disease progresses, it is a possibility that the patient could "bleed out". Placing dark towels in the home is less frightening to families when there is bleeding. We have used Monsel's solution (Fer...
RN4hospice replied to pixienurse's topic in Hospice
I hear what you are saying! I have worked hospice for over 12 years. I have taken as much as 10 call per month including 1 or 2 weekends. It can be very exhausting . Our management would be understanding if we needed the next day off to sleep. NOW, a...
Hospice promotes comfort by managing pain and uncomfortable symptoms with the most effective, non-invasive techniques. RARELY is an IV route used, due to poor venous access as the illness progresses. SubQ routes are very effective to manage pain when...
our hospice is considering hiring an lpn perdiem . can anyone tell me what lpn's are not allowed to do in the hospice setting in the state of ohio or where i can obtain this information? can an lpn initiate, monitor, titrate, discontinue a pca pump t...
Our hospice is looking into hiring an LPN -mostly to assist with taking call. Does anyone else do this? What are the limitations for an LPN in the hospice setting? If a patient has a PCA pump infusing subcutaneously, can the LPN initiate, or disconti...
I have the upmost respect for LPN's because I was one for over 8 years before becoming an RN. Our hospice is considering hiring an LPN on a per diem basis to help take call. Does anyone know of where I can obtain rules stating what hospice LPN's can...