curiousauntie

curiousauntie has 26 years experience and specializes in LTC, Sub-Acute, Hopsice.

Latest Activity

1. DOH survey frequency

   curiousauntie replied to rubysasha's topic in Hospice, Palliative

   I worked at my last hospice job for 7 1/2 years. During that time we were surveyed...not once! Honestly, we did not have one Medicare audit or one visit from the state DOH! We did have CHAP audits, 3...

2. Dealing with calls from work

   curiousauntie replied to Katniss88's topic in General Nursing

   From a sign my sister has over her desk..."Poor planning on managements part does not constitute an emergency on my part". Read it, learn it, live

3. Heartland Hospice

   curiousauntie replied to rubysasha's topic in Hospice, Palliative

   I work for Heartland Hospice. It is owned by HCManorCare, who has LTC, Subacute rehab, AL, Home Care and Hospice and even out patient Pt/OT offices. How good the office is depends on how good your...

4. Written warning for a care plan written prior to my employment

   curiousauntie replied to LTCNS's topic in Geriatric, LTC

   There's no reasoning except they needed a scapegoat to show they addressed the problem. You need to write a statement that can be attached to the write up stating your 3 weeks of employment, that the...

5. Where are all the nurses?

   curiousauntie replied to CapeCodMermaid's topic in Geriatric, LTC

   The local hospital will be laying off another round of nurses in June....I am hopeful, although I don't think hospital nurses could handle the patient load on a sub acute floor! I like that last...

6. DNH order, LTC???

   curiousauntie replied to mmcelhi2's topic in Geriatric, LTC

   Very simply, if he was not to be sent to the hospital, he should have had a DNH order. In the middle of an emergency you don't have time to read POLST forms. That's why we have DNR, DNH, DNI orders....

7. Start of Care/Admission Process Ideas

   curiousauntie replied to tbroz1229's topic in Hospice, Palliative

   Our goal is to have the nurse there within 4 hours of receiving a referral/md order. No admission nurse, but if possible the case manager who will have the patient will do the admission, or the...

8. Massage and Music therapies

   curiousauntie replied to NC29mom's topic in Hospice, Palliative

   We have 2 massage therapist who do wonderful work. I know of one other office who has an on-call music therapist and our office has a vigil volunteer who provides music therapy once the patient is...

9. When do you get Narc orders?

   curiousauntie replied to casi's topic in Hospice, Palliative

   We cannot order meds in a facility. We can leave "Suggestions for care from Hospice nurse" with what we would use, but cannot call the MD and actually get the order. The facility nurses have to do...

10. Too Much Suffering

    curiousauntie replied to GundeRN's topic in Hospice, Palliative

    I'm hoping you mean that NOT having a DNR for an Alzheimer's pt is immoral...I get that feeling from the rest of your

11. Teaching material for Care Kits?

    curiousauntie replied to joyprn's topic in Hospice, Palliative

    tammyG. That's a scary thought. I can't count the number of times that care kit was a difference between an easy and a horrible death. As a full time on-call nurse, the meds in there; morphine,...

12. Should we teach unlicensed caregiver . . . . .

    curiousauntie replied to Spidey's mom's topic in Hospice, Palliative

    What about liquid haldol? We have it in our comfort kits and it works wonderfully. 2mg/ml. We usually start with 0.5ml/1mg. I personally wouldn't want to try to stick a combative, agitated pt. IM or...

13. On Call

    curiousauntie replied to heartnurse2012's topic in Hospice, Palliative

    I'm 40 hours a week, salaried, and with 7 years seniority, at $33/hr. But I lost OT when I changed to on-call, so actually lost pay each week as I always had between 3-6 hours of OT each week when I...

14. Hospice/Palliative care nursing certification

    curiousauntie replied to Melnee's topic in Hospice, Palliative

    The tests are varied, with (I think) questions from 5 different aspects if hospice. I do remember ethics, medications, legal aspects, disease process...the test hand book breaks it down. And for each...

15. On Call

    curiousauntie replied to heartnurse2012's topic in Hospice, Palliative

    Our company has 2 dedicated on-call nurses. For the past year, I have been one of them. I work 7 days, Mon evening to the following Mon morning, covering the hours the office is closed, including...