FLArn

FLArn

Hospice, LTC, Rehab, Home Health

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All Content by FLArn

  1. Charting when you are no longer able to obtain vitals.

    FLArn replied to RivetheadGirl's topic in Hospice, Palliative

    I missed hourly too. We do vitals only once per shift or visit except for temperature or respiratory rate to chart effectiveness of an

  2. Charting when you are no longer able to obtain vitals.

    FLArn replied to RivetheadGirl's topic in Hospice, Palliative

    First, if you are unable to obtain a value for the particular VS state just that "unable to obtain BP" and then proceed with the rest of the values you are able to obtain. For example, VS BP UTO, P...

  3. What's With the "Poop"?

    FLArn replied to bluegeegoo2's topic in Geriatric, LTC

    Perhaps in the past when they lived together in the same home, either hers or the family home, dear old Dad used the bathroom just before dinner (or maybe she just has a bowel fixation). Either way, I...

  4. Moral of the story: Never give IM injections?

    FLArn replied to hnwbeachbum's topic in Geriatric, LTC

    @nightowl If I am reading the original post correctly the OP took 2 other staff with her to restrain the agitated patient so that she (the patient) would not move unexpectedly causing the OP to...

  5. rescue meds...or not.

    FLArn replied to johnys's topic in Hospice, Palliative

    I am so sorry you had that experience and kudos to you for attempting to advocate for your patient. The thing to always remember is that "we" hospice are guests in the SNF and must play by their...

  6. morphine pumps

    FLArn replied to rubysasha's topic in Hospice, Palliative

    When possible it is good to have a PICC or Port if the patient has a longer prognosis (weeks to months as opposed to hours to days) so as to minimize the number of venipunctures needed. But it is...

  7. Medication Adm in FL

    FLArn replied to Murrphy's topic in Florida Nursing

    I never found that it took that much extra time. Also the one time I tried to "save" time by mixing the meds, they congealed into a horrible thick glob in the plastic cup so I had to discard the whole...

  8. Medication Adm in FL

    FLArn replied to Murrphy's topic in Florida Nursing

    And when the state surveyor is following your med pass. (Actually I always gave each Gtube med separately and never gave meds - e.g. Tums, cough syrup - without an order because your patients' or...

  9. PRN and e-kits

    FLArn replied to ValerieHeath's topic in General Nursing

    Based solely on the information contained in the question; I would say no as you state that there are no refills. So technically you have no order for the prn medication. I would say you need to call...

  10. Can nurses have artifical nails?

    FLArn replied to MissMiniPink's topic in Nursing Professionalism

    It is possible to have your nails professionally manicured and buffed to have a kind of a sheen without having artificial nails. I am terrible at shaping my nails so they are more or less uniform so I...

  11. Revoking and Hospitalization

    FLArn replied to Kabin's topic in Hospice, Palliative

    However, if the patient has not revoked hospice, the hospital may not be able to bill Medicare for their treatment of the patient's exacerbation of the terminal diagnosis as Medicare will not pay for...

  12. Should we teach unlicensed caregiver . . . . .

    FLArn replied to Spidey's mom's topic in Hospice, Palliative

    I have taught many skills to FAMILY caregivers who are willing to learn, however, I would never attempt to teach nursing skills to unlicensed paid caregivers. That is an entirely different matter...

  13. Hospice Resources

    FLArn replied to Carla25's topic in Hospice, Palliative

    Check with your supervisor or the education department to see if your company offers ELNEC training. Also find out if they offer any sort of computer based education. Also if you are in a position to...

  14. Hospice nurses required to take marketing territory?

    FLArn replied to jlynn2303's topic in Hospice, Palliative

    I have been a hospice nurse for 10 years and have never heard of anything so outrageous. This was never a part of ANY clinical position I have held in ANY setting. (LTC, Home Health or

  15. Facebook: Should I Just Give in and Join?

    FLArn replied to ScientistSalarian's topic in General Students

    I love my facebook for the free games! It is a great free stress buster! Posting anything private or work related...not so

  16. Comic relief...

    FLArn replied to SGroRN87's topic in Patient, Colleague Relations

    OP, On going back and rereading your post and your follow up comment, I will say that if your intent in the post was to highlight your immediate reaction to the way you were set up by your co-workers,...

  17. Comic relief...

    FLArn replied to SGroRN87's topic in Patient, Colleague Relations

    I hate to be "Debbie Downer" but I find it very disturbing that a) your co-workers found this so amusing that they thought it deserved an audience, b) that your co-workers care so little about his...

  18. Is providing continuous home care required?

    FLArn replied to nurseebol's topic in Hospice, Palliative

    Continuous care is a level of care which may be provided in either of 2 ways: 1) in an inpatient setting such as an IPU or 2) in the patients home. In an IPU coverage is guaranteed as there is always...

  19. How to deal with bad odors

    FLArn replied to RedHeaded2bNurse16's topic in General Students

    Try some perfume on the inside of a mask. Also a strong mint or cough drop may be helpful. Also there are special odor control dressings that the wound care nurse could consider

  20. Dear Hospice Nurses, I beg you for a moment of your time, please.

    FLArn replied to CheesePotato's topic in Hospice, Palliative

    CP - Just for clarification, it is correct that you do not need a physicians order for an information visit; however, admission to hospice care DOES require an order. So it is very important to be...

  21. Burnt out and struggling emotionally

    FLArn replied to MomRN0913's topic in Hospice, Palliative

    If it is available get a company cell for patient calls and turn it off when you are off duty. If no company cell is available, look at getting a cheap cell (like Net10 for example) for work calls....

  22. Bending and Breaking the Rules in Nursing

    FLArn replied to TheCommuter's topic in Geriatric, LTC

    The only reason the hamburger was "forbidden" was because she was in a LTC facility. Had she been at home with hospice or in a hospice residential unit she could have had a hamburger or any other food...

  23. PEG tube replacement

    FLArn replied to Anne36's topic in Geriatric, LTC

    Back in the day we replaced them all the time using catheters if we didn't have replacement feeding tubes. No xrays just obtaining residual to check placement. Then a few years ago we were told we had...

  24. What is the first thing you do when you put a fall-risk pt in the bed?

    FLArn replied to Tyris's topic in Patient Safety Issues

    All our beds have only half length rails at the head of bed. No rails of any kind at the foot of the bed. 2 half rails at the top is considered a mobility aid not a restraint. Older beds with full...

  25. New Grad for Hospice

    FLArn replied to tnguy31's topic in Hospice, Palliative

    First off, invest in a phone with caller ID if you don't already have one and don't answer for work unless YOU want to. You need your time off to re-energize yourself. Secondly, see if your job offers...