EmptytheBoat

EmptytheBoat

Med-Surg, Rehab, MRDD, Home Health

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All Content by EmptytheBoat

  1. Attending memorial services, funerals, condolence calls etc

    EmptytheBoat replied to nurselearner's topic in Hospice, Palliative

    No fast rules, just go by God's

  2. SNF asking hospice to change meds

    EmptytheBoat replied to silverwillow's topic in Hospice, Palliative

    I'm with doodlemom on this one, what good is hospice it they are not initiaiting orders, that's what is all about. If up to SNF, patients wouldn't get what they need, they haven't a clue for the most...

  3. SNF asking hospice to change meds

    EmptytheBoat replied to silverwillow's topic in Hospice, Palliative

    I have SNF fighting me every step of the way, whether be Obra 22, or just indifference. My philosophy, my orders, remain whatever it takes to make the pt. comfortable, I'll settle for no less. God...

  4. Revocation

    EmptytheBoat replied to silverwillow's topic in Hospice, Palliative

    The story is incomplete, but I will assume that you did not revoke/transfer when pt. went out of service area; yes, revoke, if he doesn't sign, then discharge w/documentation retro. Best

  5. on call nightmare

    EmptytheBoat replied to pixienurse's topic in Hospice, Palliative

    God Bless you! Don't feel guilty for the sweet weeks, the bitter weeks all but compensate. They're lucky to have

  6. vital signs

    EmptytheBoat replied to hcan's topic in Hospice, Palliative

    Yes, I have many families that ask about vitals if I do not tell them first. This is a good discussion here, seems to be split 50/50, it's always helpful to know how others handle their roles. I would...

  7. Do comatose patients need pain medicine

    EmptytheBoat replied to sophie2's topic in Hospice, Palliative

    I agree with you and your medical director. For a truly comatose patient, I utilize ativan for restlessness; will use an opiod to treat SOB if needed. Good discussion here,

  8. vital signs

    EmptytheBoat replied to hcan's topic in Hospice, Palliative

    Vital signs are tools to help determine the patient's overall condition and may be helpful indicators of the the disease process. I need all the help I may get, so if not too invasive, I get all of...

  9. Guys, I'm scared and new to Hospice

    EmptytheBoat replied to dosamigos76's topic in Hospice, Palliative

    Hey Boomer, thanks for your inquiry. I'm a hospice nurse and visit NH pt's quite frequently. You definitely should ride-a-along with an experienced Hospice NH nurse for a few weeks to get all the...

  10. nebulized ms

    EmptytheBoat replied to doodlemom's topic in Hospice, Palliative

    I'm sorry doodlemom, didn't mean to offend thee. I haven't been in hospice too long (2 years) and I first heard about nebulized MS earlier this year, the medical director for the hospice I worked for...

  11. nebulized ms

    EmptytheBoat replied to doodlemom's topic in Hospice, Palliative

    Sounds like someone went to the Pallative Care Conference and got influenced, they are always trying to come up with new ways of doing things. I agree with the others, Oxygen, Ativan SL, morphine...

  12. We Open Tomarrow!!!!

    EmptytheBoat replied to ShayRN's topic in Hospice, Palliative

    Looks are deceiving, care is what matters. God

  13. Constipation Relief...

    EmptytheBoat replied to SCgirl1962's topic in Hospice, Palliative

    Senna and Lactulose are a good combination, may need to increase

  14. courses online for Hspice Case Mngmnt

    EmptytheBoat replied to RNDYN2CU's topic in Hospice, Palliative

    I have no recommedations for online courses, but just wanted to let you know from my readings of your posts, you present as a very knowledgeable and compassionate case manager now; experience will...

  15. Concerned about new widow... she is VERY angry

    EmptytheBoat replied to nosonew's topic in Hospice, Palliative

    By all means, call the son(s) and let them know your concerns for their mother, she needs all the support she can get at this time. Rally any other troops you can, church, pastor i.e.. You need not...

  16. I want to be a hospice nurse.....

    EmptytheBoat replied to laurel38's topic in Hospice, Palliative

    Many Hospices require 1-2 years of nursing experience, you may want to check your area. In this area Hospice pay is comparable to other areas, but usually not the differentials. You can make more...

  17. Question on pancreatic ca

    EmptytheBoat replied to mc3's topic in Hospice, Palliative

    How about a home visit from your doctor to let him witness first hand your patient's anguish? Titrate the basal rate based on the amount of bolus doses, you mentioned 10-19+, in 24 hour period, it's...

  18. How does this sound?

    EmptytheBoat replied to photorn's topic in Hospice, Palliative

    I'm so sorry for your losses, you present yourself stoically, God bless you! You will make a wonderful Hospice nurse, it may well be your purpose. I lost my Mom last year to cancer and it added a true...

  19. Reference books

    EmptytheBoat replied to RNLolaRN's topic in Hospice, Palliative

    Symptom Management Algorithms A Handbook for Palliative Care Second Edition By linda Wrede-Seaman, M.D. ISBN 1-888411-07-4 And yes, Old Coot,

  20. What's the difference?

    EmptytheBoat replied to req_read's topic in Hospice, Palliative

    Same church, different pews. Nice to hear from you again req reader (old

  21. RN Case Mngr Hospice

    EmptytheBoat replied to RNDYN2CU's topic in Hospice, Palliative

    doodlemom wise to suggest methadone. You may also wish to try a longer-acting opiod depending on pt's allergies, Dilaudid usually used for breakthrough pain. You may also wish to get patient on some...

  22. Did you ever bring up hospice and have families get bent out of shape?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Hospice is not about acceptance, it is about denial. We all have denial, we may only hope for the acceptance of eternal

  23. Has anyone read this?

    EmptytheBoat replied to aimeee's topic in Hospice, Palliative

    LTC and Hospice? When I first got onto this Hospice forum it was with the intent of posting about your experiences with LTC and Hospice, but I decided to reply to a few other threads first to get my...

  24. Has anyone read this?

    EmptytheBoat replied to aimeee's topic in Hospice, Palliative

    Yall have an excellent thread going here! Thanks req reader for your input, your facts are both educational and enlightening. I hope you didn't take that "old coot" comment too hard, I've been to your...

  25. LPN doesn't want dying patient to go to hospice.

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Doodlemom is correct. If Medicaid is paying for the private duty LPN, they may not pay for Hospice (nor Medicare). In my state, the regulations are not very clear, and also, this state Medicaid would...