BeExcellent

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1. Question for the Nurse Geeks

   BeExcellent posted a topic in Nursing Informatics

   I have a question about documentation in the HomeWorks program that "disappeared". I worked for a Home Health agency that is telling a past nurse employee that he must reconstruct on paper visits...

2. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Nursing Informatics

   The hardware is more than adequate. Hardware and software were purchased specifically to replace paper and to implement Misys organization wide. We have just upgraded server to so more problems with...

3. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Nursing Informatics

   Yes, it is helpful. I am glad to hear that my initial intuition was correct re:super-users. I landed in the middle of this when I took a mid-level nurse manager position a few months ago. Chart...

4. Let's Just Imagine

   BeExcellent replied to BeExcellent's topic in Nursing Informatics

   Well, Sue..., your reply made me feel like Einstein that is EXACTLY what I am attempting to do. Okay, I am of reasonable intelligence, why can't I find much info about the Misys software on my own. Is...

5. Let's Just Imagine

   BeExcellent posted a topic in Nursing Informatics

   Let's just imagine like Alice falling down the rabbit hole, you found yourself in the center of a hospice using the Misys EMR system. Let's also imagine you are not a techie yourself and you find...

6. end of life care falling short in LTC

   BeExcellent replied to ktwlpn's topic in Hospice, Palliative

   Well, thanks for being there for your patients. You don't always know when but you WILL get blessings. LTC's are a business and ALWAYS interested in money. Two calm approaches may work. First,...

7. How did you know hospice is for you?

   BeExcellent replied to NurseFeelGood2005's topic in Hospice, Palliative

   As far as my frame of reference is concerned, all of us reach a point in life..and die. My years in nursing gave me understanding that the death was inevitable but HOW the person died and the impact...

8. Inpt Bathing

   BeExcellent replied to BeExcellent's topic in Hospice, Palliative

   Yes, Leslie and all, appalling. I have decided to follow ...'change what I can, when I can" and try to at least, motivate my immediate staff to the wonders of good hospice

9. Recommended Reading for Hospice Nurses

   BeExcellent replied to introspectiveRN's topic in Hospice, Palliative

   Recently finished "Final Gifts". As said before, this is a great read. The book uses the term" Nearing Death Awareness" for the mental process often experienced as a person declines toward death. I...

10. Inpt Bathing

    BeExcellent posted a topic in Hospice, Palliative

    I am now working in our inpatient hospice unit. I may be fretting over nothing but we don't move much less bathe patients very much. Room are assigned by shift for a bath and certainly not every pt...

11. Recommended Reading for Hospice Nurses

    BeExcellent replied to introspectiveRN's topic in Hospice, Palliative

    Okay Dokey.... Actually the term "palliative care" always makes me mad. I think IT is disgusting. "Palliative care" (to me) is care that the insurance company will reimburse and the acute care...

12. Question about dyspnea

    BeExcellent replied to sukichaz's topic in Hospice, Palliative

    If your Mom does seem to need serial taps, you may consider a Denver catheter placement. This allows easy home (sterile) para or thorcentesis. I have had a few pts d/c'd from acute care with one and...

13. Homeopathic Hospice?

    BeExcellent replied to BeExcellent's topic in Hospice, Palliative

    I am not sure that homeopathic hospice exists. But, it isn't uncommon to have a few pts on the hospice caseload that prefers less conventional care and treatment. I think I would contact the...

14. would appreciate advice

    BeExcellent replied to MQ Edna's topic in Hospice, Palliative

    Most 'good" hospice nurses I know are on the mature side of life. I don't think you have to have been a nurse a long time but having life experience helps. Admittedly, hospice is about symptom...

15. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Yes, to all. I think we need a separate thread on the spiritual aspect of a good death. Maybe this thread has just become too long and muddy for people to want to jump right in. I agree that every...