BeExcellent

BeExcellent

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All Content by BeExcellent

  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 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...

  3. 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...

  4. 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...

  5. 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...

  6. Grief. Mine!

    BeExcellent posted a topic in Hospice, Palliative

    I am such a old hospice war horse but I had a very traumatic death a few months back and I haven't really recovered from it. Yes, still seeing a counselor. Long story..can't get into details because...

  7. 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,...

  8. 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...

  9. 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...

  10. 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

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. Homeopathic Hospice?

    BeExcellent posted a topic in Hospice, Palliative

    Hey straight talkers. I need some insight. I have a pt/family that does not want to use any conventional medicine. Pt is elderly female with end stage CHF. Mildly symptomatic at this time....

  16. 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...

  17. 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...

  18. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Phew, another hard day of vacation. Napping, watching movies late, not traveling with the cell phone, sweet. Balance is the key to staying sane in this business. I can't herd dust bunnies much less...

  19. Noncompliant Caregiver Woes...

    BeExcellent replied to AtlantaRN's topic in Hospice, Palliative

    O I don't know about NH. Pt may die quickly and then CG will be left with hard to heal guilt on top of depression. Respite can be used as a middle breathing room step, if CG allows. I have gone...

  20. About to embark on a Career in Hospice- Need Advice

    BeExcellent replied to medicine121's topic in Hospice, Palliative

    Expect a big learning curving. Get a few good books. One on symptom control, Kubler-Ross, for sure and one touchie feeling book. If you haven't already, learn to say, "no", and "I don't know," in a...

  21. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Yup, Buba that's it. I don't want to be called a guide, though. I will leave that title to who or what-ever is with the pt during those final days. I think I want to be a hospice midwife. (Looked up...

  22. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Nice to hear from you River. Thank you for the support. These issues are uncomfortable because they are personal and impossible to prove or disprove. At the same time, we want to help our pts and as...

  23. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Leslie, yes, affirmative and right on! The issue I have been skirting than comes up with Michael's comments. My sense tell me something or someone, is helping the pt. Who knows. But I sense people...

  24. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Well, Leslie, ok you can be a cynic and Michael,too. Back to a "good death". We often orchestrate our own "good" deaths through our pts. I try to separate what I would want to focus back on pt. I...

  25. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Cynic was a Greek philosopher that believed in virtue through self-control, so I am not sure if you are a cynic. The problem with all the "stuff" is that it gets distracting. There once was a young...