MJ Marx

MJ Marx has 18 years experience and specializes in Long Term Care; Home Care/Hospice.

Latest Activity

1. PO meds can be given rectal?

   MJ Marx replied to rnbackagain's topic in Hospice

   I have only been in Hospice a few months. In a crisis, until getting something subcutaneously, we will utilize the rectal route. This has been determined by the Medical Director of my agency and he tells us which medications we can do this with, as w...

2. building teamwork

   MJ Marx replied to debRN10's topic in Hospice

   Deb, In regards to appreciation. Observe them and give thank you cards, notes, giving them specifically what you are thanking them for. Does your agency have the capabilities of doing small dollar amount gift cards to a local coffee shop or eatery to...

3. building teamwork

   MJ Marx replied to debRN10's topic in Hospice

   Deb, It takes time. I know that is probably what you don't want to hear, but it is true. I do have some ideas that I myself have been using the past few months in my new position with Home Health/Hospice. Listen. Listen for tidbits about each ones pe...

4. RN's are part of one huge CULT!

   MJ Marx replied to madwife2002's topic in General Nursing

5. Role of a Hospice RN in the SNF?

   MJ Marx replied to brenrn06's topic in Hospice

   I have worked in SNF's with Hospice nurses coming in, and now I'm a Hospice nurse who visits the SNF. Check with your supervisor and find out what the "arrangement" is. We had to write out the expectations of each role. And as the Hospice nurse I wil...

6. I feel defeated

   MJ Marx replied to Idaho Murse's topic in General Nursing

   I am so sorry this is happening. But I'm an optimist, and will believe that because you are already employed, this situation is out of your control, the hospital will work with you to stay on board. Good luck.

7. Home Health Nurses, how many opens and visits do you have a week?

   MJ Marx replied to owleyes's topic in Home Health

   Kate,RN, I apologize that my newness is showing. I was unaware that the nurse themselves got paid per visit. I have only worked in rural america and a nurse being paid by the visit is unheard of out here. And I actually appreciate you explaining the ...

8. RN's are part of one huge CULT!

   MJ Marx replied to madwife2002's topic in General Nursing

   As a new person to Home Care, if the efficiency rate I've been faced with would be closer to 3.5 instead of almost 8 per visit I might be willing to agree. However, I feel very passionately there is a happy medium, but then I do live in a "rose color...

9. Home Health Nurses, how many opens and visits do you have a week?

   MJ Marx replied to owleyes's topic in Home Health

   For the person who assumed that nurses are paid per visit, that is incorrect. Home Care is paid in a bundle based upon diagnosis. This creates real havoc for nurses who have been used to being paid by the visit. Medicare cuts are creating stress on a...