CHPN1680

CHPN1680

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About CHPN1680

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  1. Has anyone read this?

    The mega corporate hospices - Vitas, Odyssey, Vistacare, all do about 80% of their business in nursing homes where the length of stay is much longer. They mostly invest their marketing dollars in the nursing facilities. They hire nursing home medical...
  2. Hospice patient receiving TPN ?

    We take many patients with TPN as many hospices will not. Every situation is different. Most often, these patients are coming from an acute care setting where the focus has been on curative measures. Most often, doctors and other health care professi...
  3. confusion re: hospice care

    I agree. I work for a for profit and have not experienced the "trolling". I have always been proud that we continue to do the right thing for the patient and family regardless of the cost. I have heard of less than ethical practices in both non prof...
  4. Hospice Team Interview! Help!!

    I have not heard of this approach but I think that I like it! I know that the prospect of this kind of interview seems a bit overwhelming but view it as an opportunity for you to ask them what they value in an RN Case Manager. I think that it speaks ...
  5. Trying to find my Niche

    I was an LPN for 12 years. I worked sub-acute and LTC. I always wanted to work in hospice but LPN's were really not employed in hospice in my area either. When I finally finished the RN program, I applied for a job as a case manager in hospice and go...
  6. Check out http://www.hpna.org . There are lots of links etc.. that may help you find some good info and advice.
  7. I have run into similar problems with patients as ALF's. Often, the problem becomes a financial one because some patients are often running low on financial resources and the addition of private caregivers can threaten their financial ability to stay...
  8. Not doing well in Nursing school

    The nursing program is ovewhelming for everyone. You stated yourself that you haven't been doing the reading or studying enough. There many things that you can do to improve your grades. Without knowing your situation with other obligations, it's har...
  9. Not a real nurse??

    My mom has been working in CT for many years. I have heard her speak of this ridiculousness of having an R.N. co-sign orders. This is something fairly recent. Not only has she been charge nurse for many years, but often the only IV certified nurse on...
  10. Nervous about NCLEX results

    Congratulations! Enjoy the rewards resulting from your hard work. Welcome to Nursing!
  11. Artificial feeding-Terri Schiavo

    As I sit here reading postings, I can hear in the backgound continuous reports on Fox news about Terri's case. It is rather unfortunate that what should be a personal matter has become such a media circus! At least some good has come of this. People...
  12. Pre-pouring meds

    When I first started in LTC, I worked for a facility that still used the old ticket system for meds. I thought that it worked great! You would pre-pour meds and the tray had holes in it for the med cups with slots behind each cup for the ticket with ...
  13. PDA use for nurses?

    Thanks for the info. I will check it out.
  14. PDA use for nurses?

    I have been using Epocrates on my PDA for 2 years and am quite pleased with it. I have not seen the Davis Drug Guide for PDA's. Is there anyone out there who has used both and what is your opinion? Thanks!
  15. Lab Work

    We do lab work quite often and for different reasons. It is very appropriate to use lab work for diagnostic reasons in order to provide the correct treatment. We also will draw labs if there is a question of eligibility especially in the case a patie...