SuesquatchRN BSN, RN

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All Content by SuesquatchRN

  1. SuesquatchRN

    Question regarding "full code" status

    I would do what is required of you by the law, not the DON. Here is TX that policy is
  2. SuesquatchRN

    Medicare Diagnosis Changes

    Again, we disagree that simple old age requires skilled
  3. SuesquatchRN

    Medicare Diagnosis Changes

    Why does someone dying of old age need hospice? Dying does not always require
  4. I have never done per visit hospice. It's kind of equivalent. But seriously, don't even think about getting away from paperwork in nursing no matter where you go. And hospice is tough - even though...
  5. It depends. If you are doing visits only the documentation is pretty simple - nursing note. If you are a case manager be prepared to write your tush
  6. SuesquatchRN

    How much is too much morphine?

    That's more in the nursing home/long term care situation than the hospital. Lots of laws governing who can do what in LTC and there's often not an RN on at notes. LVNs are pretty restricted in their...
  7. SuesquatchRN

    How much is too much morphine?

    I will never, ever give narcan, which eliminates the ability to control pain AT ALL for hours, to one of my dying patients. And thank a merciful providence I am no longer in a hospital setting....
  8. SuesquatchRN

    How to Take Care of Me When I Am Old

    blue, I am a hospice nurse who did LTC for a long time. I get nuts at the, "Really? She never tells ME she hurts." Really? You didn't see her there with tears in her eyes? REALLY? You're asking...
  9. SuesquatchRN

    Medicare Diagnosis Changes

    But if they do not meet CMS criteria they do NOT actually qualify. We are working like maniacs to get people off of the now questionable diagnoses and NO ONE who qualifies for hospice doesn't have an...
  10. SuesquatchRN

    Medicare Diagnosis Changes

    I am not. Personally, they are overused diagnoses. Dying does not equal a need for hospice. I agree that hospice is now used when not necessary. Old age and infirmity should not be an automatic...
  11. SuesquatchRN

    Theft of Fentanyl Patches

    Y'know, we have such a nannyish government that we spend hours every shift in LTC just counting drugs. For goodness' sake, if someone is in pain, psychic or physical, let 'em have
  12. All of them. Just apply to that state's
  13. SuesquatchRN

    Sepsis as Hospice Diagnosis

    Really? Never, ever seen it
  14. SuesquatchRN

    So disgusted

    Here the responders must, under the law, do everything possible unless they actually see the special out of hospital DNR. I'm sorry this happened to
  15. SuesquatchRN

    going crazy with the politics

    And stop picking up shifts. If you are not already petted it will not be appreciated and you will be treated like the proverbial work
  16. SuesquatchRN

    On-call hospice nurse

    Yeah, there is. Look. It's right
  17. SuesquatchRN

    considering hospice on call position

    Odyssey is the hospice company and Gentiva acquired them fairly recently. Odyssey is supposed to be good. I have no idea about pay in
  18. SuesquatchRN

    splashed with hep c blood

    You're
  19. SuesquatchRN

    Morphine and comfort care.

    I've known folks with COPD on it for
  20. SuesquatchRN

    General info about hospice

    An order is needed for hospice admission. A UTI will be treated as it is a comfort issue and can lead to sepsis. Pneumonia will be treated if the patient or POA/family want it treated. Antibiotics...
  21. SuesquatchRN

    NEW NURSE: Help! Tell me why what I did was wrong??

    Bri, do NOT be mad at yourself. You did what a conscientious, prudent new nurse would do - tried to take care of your patient to the best of your ability. Now you know, and won't make that mistake...
  22. SuesquatchRN

    Part-Time Hospice Nurse?

    The answers to these questions really depend on for what company you work. If they use an LVN/RN team it is primarily to give the RN as high a case load as possible to manage while the LVN does half...
  23. SuesquatchRN

    Hospice reading

    Read anything by Ira Byock,
  24. SuesquatchRN

    Let go during orientation, will I ever work again?

    Leave it
  25. SuesquatchRN

    doing duties I dont think I should be

    Do you have to?