spoiled28

spoiled28

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About spoiled28

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  1. Home health computerized charting.

    Looking for information on computerized charting. We currently use Allscripts and have for years, but management feels there are better programs out for to help increase productivity. Our nurses have...
  2. NEEDING Some HELP??

    She is taking Roxanol 2-3 times, it seems to happen more when she trying to do any ADLS. HHA visit daily, and her family assist her but there are still somethings she tries to do herself, simply...
  3. NEEDING Some HELP??

    Duragesic 50mcg, lortab 10mg at HS (which she will not give up), Ibu 600mg BID, roxanol prn, cymbalta, and her daily b/p meds. We did think about the lidoderm patch, but her oncologist warned us...
  4. NEEDING Some HELP??

    Patient that had breast cancer, that had already spread to bone prior to her seeing the Dr., so surgeon did a simple mastectomy 4/09. Now she is on Hospice and having tremendous pain in her arm...
  5. needing some advise

    New hospice pateint that was dx with imflamatory breast cancer and now has skin metastsis. Skin mets along her mastectomy incision line and now they are growing at a very rapid rate on her arm, and...
  6. Pain med for ALS hospice pt

    Please help! I've been a hospice nurse for 6 yrs and this is my first ALS pt with uncontrolled pain. We have tried morphine (Roxanol 15-20mg Q 1 hour) at times and finally was able to get ahead of...
  7. ICD 9 coding class

    Does anyone know of a ICD 9 coding class for home health coming up? Our biller/coder quit and now my boss is wanting one of us Rn to take the class and become the company coder. PLEASE
  8. Anyone heard of Aureus Medical group

    A friend of a friend told me about this small travel company named AUREUS MEDICAL GROUP has anyone else had any good or bad experiences with them??? Getting ready to start traveling in Aug.
  9. Any ideas for unrelieved N/V

    Thanks guys its always good to get some new ideas. We use a topical compound of haldol, decadron, ativan and reglan, it most genreally works great for our patients, just not this time. The family...
  10. I have been doing Hospice care for about 5 years now. I recently had a patient with CA of the gallbladder and had uncontrolled n/v. We tried topical compounds, PO meds (Phenegran, reglan and finally...
  11. Any GOOD companies?

    I am also looking to start travel nursing in Aug 06. All the information is helpful but so confusing. I have sent in two appliation with two companys, one says they pay is top but then I wonder from...
  12. How did you hear about allnurses.com?

    A friend that I was visiting with about travel nursing recommended