curiousauntie

curiousauntie

LTC, Sub-Acute, Hopsice

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All Content by curiousauntie

  1. Hospice Oncall Staffing

    curiousauntie replied to Rhawnda's topic in Hospice, Palliative

    We have 2 on call nurses. They work 7 days on/7 days off. They are salaried but are offered the chance to get extra if they do visits or admissions on their week off. This works well as the full time...

  2. Do you as a Hospice Nurse use a pulse oximeter?

    curiousauntie replied to SoCalRN1970's topic in Hospice, Palliative

    We have 2 POx in our office that for months were hardly used until recently when an audit by corporate showed we needed to tighten up our documentation for eligibility. So now they are ordering one...

  3. Sad sad situation, but not hospice appropriate yet.

    curiousauntie replied to AtlantaRN's topic in Hospice, Palliative

    Westieluv, That is how I feel. I don't understand why she hasn't been referred to a pain management specialist, a neurologist for possible surgical intervention...someone other than hospice. I feel...

  4. Looking for a hospice caseload acuity tool

    curiousauntie replied to joyfulljen's topic in Hospice, Palliative

    Wow. I wish my company would think like that. One of our nurses has most of her patients in 2 different nursing/assisted living facilities, 5 miles apart. We have the same number of patients, all of...

  5. Sad sad situation, but not hospice appropriate yet.

    curiousauntie replied to AtlantaRN's topic in Hospice, Palliative

    I think I may be having the same situation on Sunday. I was asked to work a bit of OT by doing an evaluation for a 42 year old with serious pain from a disk problem in her lower back. From what I...

  6. Co-worker switched hospices, now poaching our pts.

    curiousauntie posted a topic in Hospice, Palliative

    A co-worker left to work for another hospice and has raided a facility where we had quite a few patients. Close to half of them went with the other hospice, supposedly to stay with that nurse. In my...

  7. Fair salary offer?

    curiousauntie replied to Marshall1's topic in Hospice, Palliative

    In our hospice, the on-call nurses start at around 30/hr, but are salaried. They do the 5pm to 8:30am, Mon to Thur and 5pm fri to 8:30am Mon schedule. Then they have 7 days off. But they get paid...

  8. frequency on RN visits

    curiousauntie replied to americanTrain's topic in Hospice, Palliative

    Twedles, I am in southern New Jersey, covering 2 counties (both pretty large counties). For the most part the patients are split in 2 teams, sort of. My mileage runs from 50 to 100+ a day, according...

  9. Calling Doctor to START end of life Med.

    curiousauntie replied to powerflash's topic in Hospice, Palliative

    Whenever I do an admission, I make sure to tell the family that we order a comfort kit for every patient (removing any meds that the patient is allergic to or cannot take for a medical reason) which...

  10. frequency on RN visits

    curiousauntie replied to americanTrain's topic in Hospice, Palliative

    Our hospice requires one Rn visit per week. We also have Lpns who do visits as the case manager requests. I have a case load of 21 right now, with Lpns seeing 14 or 15 of them at least once a week...

  11. Question about LPNs in Hospice

    curiousauntie posted a topic in Hospice, Palliative

    We are a small office in a large, national for profit hospice. We have 3 full time case managers, 1 part time case manager (who works about 10 hours a week), 2 LPNs, and 2 full time night/weekend...

  12. Question about LPNs in Hospice

    curiousauntie replied to curiousauntie's topic in Hospice, Palliative

    Hal, Thanks so much for your reply. I have always maintained that the LPN role in hospice should be expanded and feel that any RN who does not believe that the LPN is a very valuable resource needs...

  13. Disposing of medications at time of death

    curiousauntie replied to RubyRN,CHPN's topic in Hospice, Palliative

    Our policy says that we should have clumping kitty litter in zip lock bags available in the office...You see that in my original post I say that we are supposed to use kitty litter. I haven't gotten...

  14. Disposing of medications at time of death

    curiousauntie replied to RubyRN,CHPN's topic in Hospice, Palliative

    When I worked in long term care, we used to joke about the happy fishies...after flushing the narcs. Then when Medicare Part D happened and we had to start to dispose of all of the OTHER meds,...

  15. Hi, New user, Hospice nurse looking for input from other hospice nurses

    curiousauntie replied to pcrn's topic in Hospice, Palliative

    Oh my God, what state are you in and are there any openings????????? My case load right now is 19, soon to be 20. I make 31.50 an hour. I usually make 6-8 visits a day, and never feel that I can give...

  16. Hospice Nurse Transporting Patient Medications

    curiousauntie replied to Mazzi's topic in Hospice, Palliative

    At my hospice, if a patient needs meds NOW (can't wait for the delivery from Hospice Pharmacia the next day or it is a weekend that they cannot get a delivery) we will get the script and have it...

  17. Mileage reimburssment

    curiousauntie posted a topic in Hospice, Palliative

    After reading the thread about on-call, I noticed a few of you had posted what you get for mileage. We are having a debate in our office about the amount that we are reimbursed. The official IRS rate...

  18. Mileage reimburssment

    curiousauntie replied to curiousauntie's topic in Hospice, Palliative

    I say just send him this thread. (Except for the one from that poor nurse in LA that was only getting 20/mile, but now gets 35/mile!!!) I have a feeling we work for the same

  19. Mileage reimburssment

    curiousauntie replied to curiousauntie's topic in Hospice, Palliative

    As of today the cheapest gas I can get in (South) Jersey is 3.45. I posted that a couple of weeks ago. In fact, it started going up just a day or so after I posted the origional thread. We have always...

  20. Patients who are too lazy to open their own splenda packets

    curiousauntie replied to FireStarterRN's topic in General Nursing

  21. Organization for Hospice NUrse

    curiousauntie replied to Mamanurse62's topic in Hospice, Palliative

    I too have had a few different ways to keep track of everything. But the one thing that I have done since the first day is keep a small spiral notebook on my dashboard for mileage. I use my trip...

  22. How long are your visits in the home?

    curiousauntie replied to NurseFeelGood2005's topic in Hospice, Palliative

    I have 18 patients right now, 5 of them in assisted living facilities on dementia units. With these 5 patients there is not much I can talk to them about, a lot of the visit is talking with the...

  23. Mileage reimburssment

    curiousauntie replied to curiousauntie's topic in Hospice, Palliative

    WOW!!! 3.45/gal!! Here in south Jersey we have been hovering around 3.00, but I could usually get gas for 2.95-2.99 until this week when it shot up to 3.11 yesterday. And you should hear us complain!...

  24. Charting guidelines

    curiousauntie posted a topic in Hospice, Palliative

    I am still a relatively new hospice nurse. I was wondering if any of you know where I could find pocket-sized charting guidelines. You know, the "cheat sheet" cards that I can carry with me daily that...

  25. Hospice Certification exam

    curiousauntie replied to Brightonrn1's topic in Hospice, Palliative

    What review class did you take? Do you know of any taped review classes available? I did that with geriatrics and it was very