volsfan

volsfan

Hospice, Pediatric, OB/GYN

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About volsfan

volsfan has 5 years experience and specializes in Hospice, Pediatric, OB/GYN.


Latest Activity

  1. Lasix use in CHF?

    I wanted to add that you must also consider that the families and patient's can choose whether or not to treat an infection.
  2. Revocation of hospice service?

    All I can tell you is that is our company's policy; whether it is right or wrong I don't know. I can see both sides of the argument. We open the kit to explain all the meds to the pt, but they are already labeled with their name on it. We then close ...
  3. Revocation of hospice service?

    Although our MD has to sign for us to have the comfort pak in the home (from HP) we are suppose to get another order to use any of the medications in the kit. If we start using a med from the kit we get them then add it to their routine meds; and ord...
  4. On Call Schedule.....that is workable

    All our staff is salary; including on call staff. The starting salary is $24.00/hr. Our case loads are b/t 12-15, but can get as high as 17-18. When the RN Case Manager is on call (backup/primary) they get paid a minimal daily rate, it's under $10.00...
  5. On Call Schedule.....that is workable

    Our company has 2 FT and 1 PT on call staff who work primary call. The RN Case Managers rotate backup call; and will take primary call if the on call staff are sick or on vacation. Mon-Fri: 1 primary (depends on day of who it is) with a backup RN Ca...
  6. Revocation of hospice service?

    I would find out why the management thinks this way; where are they coming from. Is it b/c they are misinterpreting some law, policy, etc. I am in total agreement with Katillac. Many times the pt will have already been on narcotics when they came on ...
  7. How do you explain Respite vs GIP ???

    There is also a difference in how Medicare pays. They will pay significantly more for someone to be on Inpatient care.
  8. social worker visit?

    Per the COPs: The initial assessment must be done within 48 hours, by an RN. The comprehensive assessment must be done within 5 days; this includes the psychosocial (social worker) and spiritual (chaplin) assessment. The family can defer the social ...
  9. Comfort kits

    Many hospices use ekits b/c they are cheaper to have than getting each of the medications individually.
  10. Comfort kits

    To pjtk, As a home hospice nurse I review all comfort pak contents with my families b/c the families are usually the first to give the medications in the middle of the night or on weekends while they await for the weekend nurse to arrive. I have foun...
  11. Tips for working in the field

    An average day: 7:15-7:30 See first pt of the day (I like to get started early, you will find if you start prior to 8 AM it works better) Work until 1030-1100 seeing pts. Take a break for lunch, b/t 15 minutes to 1 hour. Depending on if eating with c...
  12. Do you visit hospice patients daily while in hospital?

    If the pt is in the hospital on INPATIENT STATUS and not outside the plan of care, the COPs (Alabama) require a member of the IDT to visit 6 days per week. You would need to check your particular state to see if it is different. Most hospices here re...
  13. Hospice, TPN, Ovarian Cancer

    She shouldn't have to pay out of pocket since it is related to her diagnosis and would not really be considered aggressive tx, at least that's how my hospice would view it. I know all of them view aggressiveness a little different. But, ours would sa...
  14. Hospice, TPN, Ovarian Cancer

    TNP is appropriate in the hospice and home setting. But always remember it's about quality of life. If the TPN will bring improved quality to her life to her, even for a short period of time, then it sounds like it's worth it to her. When speaking w...
  15. case manager turnover

    A good hospice company will not have the high turnover rate that other hospice companies do. I know this from personal experience. Our longest Case Manager has been with our branch for more than 6 years (basically since our branch opened); I have bee...