curiousauntie

curiousauntie

LTC, Sub-Acute, Hopsice

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All Content by curiousauntie

  1. Hospice with Physical Therapy together??

    curiousauntie replied to Shell5's topic in Hospice, Palliative

    We will order Physical Therapy if we think it will help with the patient's quality of life. We use it for caregiver training, especially for transfer training with patients who have gotten too weak...

  2. Heartland Hospice or Seasons hospice

    curiousauntie replied to LvANrse80's topic in Hospice, Palliative

    Westieluv, I can honestly say that a year ago I would never have told anyone to work for Heartland. As I said in my first post, the management team at our office was awful, disorganized and morale was...

  3. Heartland Hospice or Seasons hospice

    curiousauntie replied to LvANrse80's topic in Hospice, Palliative

    Hi. I work for Heartland in New Jersey. We are for profit (There is a large non-profit company that is in our area and from what I hear about them from patients and ex-staff, we have it all over them!...

  4. Confused patient

    curiousauntie replied to Vtachy1's topic in Hospice, Palliative

    "*snort*". ??? As in that is funny or you don't believe my assessment? As I was at my wits end helping the son deal with a mom who had become a raving lunatic, I called Hopsice Pharmacia and spoke to...

  5. Confused patient

    curiousauntie replied to Vtachy1's topic in Hospice, Palliative

    Risperdal is not generally covered by hospice. Haldol is, with less side effects. Actually, Risperdal is covered, but it is the one with less side effects, especially if you need to use it long term....

  6. It shouldn't have happened this way....

    curiousauntie replied to nerdtonurse?'s topic in Hospice, Palliative

    I am not understanding why doing General Impatient in a hospital seems to be unheard of by most of you. If a patient is hospice appropriate, in a hospital and has uncontrolled symptoms, part of the...

  7. texting?

    curiousauntie replied to Vtachy1's topic in Hospice, Palliative

    Our hospice does not allow texting, but it is due to the $$$ of enabeling the texting on our work cells. The only texting I do is with my personal cell to one specific MD who is impossible to reach...

  8. Hospital policy?

    curiousauntie replied to mom4josh's topic in Hospice, Palliative

    We have a hospital in my practice area that has their own hospice. They do not allow us to do hospice visits to our patients who happen to be there (and it is a large hospital with 2 campuses that is...

  9. Medication Administration through a feeding tube

    curiousauntie replied to lalexa15's topic in General Nursing

    What I was told years ago by a pharmacist from my state Department of Health during an annual survey was that you should never crush different medications in the same vessel as you can actually change...

  10. hospice RN certification

    curiousauntie replied to weavrvirgorising's topic in Hospice, Palliative

    I have been a nurse, mostly in LTC/sub acute, for 26 years and was certified in gerontology in 1998. I thought that was a hard test then. But in June, after 4.5 years as a hospice nurse, I took the...

  11. Best way to unclog a PEG?

    curiousauntie replied to BrazoriaLVN's topic in General Nursing

    "I also use baking soda and warm water. We have clog zapper to use on bad jtube clogs. To clear the brown gunk out of the peg tubing --> push really warm water or cranberry juice or ginger ale into...

  12. gangrene of the scrotum

    curiousauntie replied to nola1202's topic in Hospice, Palliative

    When I was working in LTC, I had a patient with a "holy member". He had a neurogenic bladder, and refused a suprapubic cath. He had used foleys for years and the underside of his member had eroded...

  13. What is your Hospice paying for mileage

    curiousauntie replied to jeannepaul's topic in Hospice, Palliative

    I would love to have a car that gets 30 mpg, but in the area where I live that would mean that on the days that we get 12 inches of snow, I would never get out of my driveway! After getting stuck for...

  14. FAST Scale

    curiousauntie replied to aub123's topic in Hospice, Palliative

    No skipping allowed! Your patient would fit 6E. We had been using the FAST for anyone with a "Dementia" diagnosis, but just recently have been differentiating between the dementia and a true...

  15. What is your Hospice paying for mileage

    curiousauntie replied to jeannepaul's topic in Hospice, Palliative

    We had been getting .42/mile until 2 weeks ago when it went up to .45/mile. I live in New Jersey, with lower gas prices (and we Jersey Girls don't pump gas ...really, it is illegal here to pump your...

  16. Source Program and Hospice at the same time???

    curiousauntie replied to AtlantaRN's topic in Hospice, Palliative

    It is the same with the hospice I work for, and all of the ones around me. If, and that is a big if, we have a continuous care case, which is very rare, they may work at night, but usually we don't...

  17. Source Program and Hospice at the same time???

    curiousauntie replied to AtlantaRN's topic in Hospice, Palliative

    @ AtlantaRN Glad I could help. A lot of the stuff I know about Medicare and Medicaid is due to the many years I worked in Sub-Acute and did most of my own discharge planning. I learned a lot playing...

  18. Source Program and Hospice at the same time???

    curiousauntie replied to AtlantaRN's topic in Hospice, Palliative

    Would "Source" be a MediCAID program? (as opposed to a MediCARE program) In my state we have a similar Medicaid program that gives nurses aide hours to the patient and as long as the hospice aide is...

  19. LPN's in hospice?

    curiousauntie replied to sclpn's topic in Hospice, Palliative

    We use an LPN as follow up to the RN. We (RN) must see each patient weekly and if there are issues in the home or the patient or family needs the additional support, the LPN will do a second visit....

  20. RN supervisory visit Frequency?

    curiousauntie replied to new2hospiceRN's topic in Hospice, Palliative

    Our clinical note/assessment form has a section for supervision of the CHHA. We note if the supervision of the CHHA is with the CHHA is present or not present. This is why I do one with each visit....

  21. Caseload for a Full time Case Manager

    curiousauntie replied to jyhn's topic in Hospice, Palliative

    I averaged 12 patients when I was working at my last agency. The agency did not consider travel time when scheduling my visits. I had patients up to 1 3/4 hours away from me that required daily...

  22. RN supervisory visit Frequency?

    curiousauntie replied to new2hospiceRN's topic in Hospice, Palliative

    I believe that an on site supervisory visit WITH the home health aide must be done every 60 days, and assessment of the aide services must be done every 2 weeks. I personally do an "assessment visit"...

  23. Looking for a hospice caseload acuity tool

    curiousauntie replied to joyfulljen's topic in Hospice, Palliative

    Sherpa, No wonder your office has major turnover! I worked like that for about 2 years, and the past 4 months it has gotten dramatically better. How? My 2 bosses were fired and we got a fantastic...

  24. What does your username mean?

    curiousauntie replied to LifesAJourney's topic in Nursing Humor

    Mine is actually an old email address. My niece was playing around on MySpace at too young an age, with a mother (my sister-in-law) that just did not understand the ramifications of the info she may...

  25. Hospice burnout?

    curiousauntie replied to Brightonrn1's topic in Hospice, Palliative

    My advice would be to talk to your manager about how you feel. Hopefully she will really listen to you and try to find a way to give you more home patients and less facility patients. I know how you...