andre

andre

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About andre

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  1. In the Field: Turning In paperwork question

    Our agency is on an EMR so it's really only consents, port DNRs/copies of advance directives and pharmacy auths to turn in. The expectation is to turn everything in within 24 hours of the admit. Or 24 hours of the revocation/discharge. And ok to fax ...
  2. New CoPs....

    arggggggggggggggggggggggggggggggggggggh.:banghead::banghead::banghead::banghead: I can't possibly be the only one trying to figure out how we're supposed to have any time left to see patients with all the new documentation requirements??????
  3. Readmission of patient whose family calls 911

    What we have done in these scenarios is explain to the pt and family that if they call 911 or go to ER without calling us first, they are revoking their hospice benefit as that is outside our plan of care. There are occasions where we will ok hospita...
  4. A rant: sick time use and policies

    I had this same experience when I had the flu a few years back....missed two consecutive days of work and was required to get a doctor's note. I went to my MD's office but saw a covering MD who, when I told her why I was there shook her head and said...
  5. Ok. I totally understand that nursing is a 24/7/365 operation. Really. And I knew when I went to nursing school that I'd be working weekends and holidays, and planning my vacations six month in advance, at least while I worked in the hospital setting...
  6. number of visits per day

    I'm not case managing any longer, but when I did I carried a caseload of 12 and generally did 4 visits and several phone calls per day. Five visits was BUSY and happened sometimes, but I never did more than that.
  7. Hospice Electronic Documentation

    Our agency is now on Road Notes, which is fine but is not terribly intuitive. I hear GREAT things about HealthWyse (have a friend who is a project manager for that company). I've heard very mixed reviews about McKesson, but have never seen it.
  8. Ultrascopes???

    LOVE my Ultrascope! I hear much better with it than my (double the cost) Littman.
  9. Lather, Rinse, Repeat

    So my usual morning routine goes like this: print my report sheet, and start putting in my little boxes for med times, assessments, etc (yes, I'm the OCD nurse), while I wait for the night nurses to be ready for report. Get a face-to-face report from...
  10. I graduated in NH (NHCTC Stratham) in May of 2005. Took my boards June 7th, 2005. Could have tested sooner but I wanted a few more days to study. It is do-able, IMHO. Andrea
  11. High Blood Pressure At End Of Life?????

    Clearly I didn't read your first post very closely! Somehow I thought you had said she was moaning with care.... Your other post about not being able to auscultate heart sounds, along with the wet breathing would lead me more toward fluid overload.....
  12. High Blood Pressure At End Of Life?????

    I'd rather suspect she is either in pain or anxious--anxiety may be r/t dyspnea. Is she on any morphine? I think she needs to be medicated!
  13. Experience required for Hospice RN

    I went to hospice directly from tele! Well, unless you want to count the 8 weeks of misery in outpatient oncology before I ran screaming to hospice (oh I loved onc--the patients, the work itself--it was the nastiness of the other staff I just couldn'...
  14. Handling On Call

    I am going to respectfully disagree with that statement. Pain crises happen at all hours of the day and night. This is not a reflection on how well case managers are taking care of their patients. Otherwise, I agree with the rest of your post! Andre...
  15. Should I return to the ER?

    Can you ask to shadow for a shift before accepting the position? This would give you a better "feel" for the unit.....