hcan

hcan has 29 years experience and specializes in med surg, oncology, hospice last 4 yrs.

Latest Activity

1. hospice organizations

   hcan replied to hcan's topic in Hospice, Palliative

   Our hospice is a member of the state organization, and some of us get to go to the conferences and we do sometimes take advantage of the web conferences that are offered. I am also a CHPN, but have...

2. hospice organizations

   hcan posted a topic in Hospice, Palliative

   Do any of you who are members of a national or state hospice organizations want to share the benefits of membership? What educational opportunities have you taken advantage of? Has it helped you in...

3. Should I be mad at Hospice? My mother...

   hcan replied to Roland's topic in Hospice, Palliative

   I worked at a small hospice that used haldol very successfully for control of opioid induced nausea. We would start it at 0.5 mg bid, a very low dose, and if need be, we could increase it to 1 mg...

4. hospital admissions

   hcan replied to hcan's topic in Hospice, Palliative

   I believe the year bereavement follow up is pretty is pretty standard. We also have it, but it must be pretty impersonal when it comes from a bunch of strangers. It seems that it would be much less...

5. hospital admissions

   hcan replied to hcan's topic in Hospice, Palliative

   Aimee, of course you are right. It would most definitely be in the hospital's financial interests to delay hospice admission as long as possible. Sucks for

6. IV therapy

   hcan replied to jacjon's topic in Hospice, Palliative

   We hardly ever use IV access at our hospice. With all the other routes of medication admin, we seldom need

7. hospital admissions

   hcan posted a topic in Hospice, Palliative

   I am the on call nurse for a hospital owned hospice, and we have run into a situation where the hospital is using the hospice for last minute "emergency admissions", very often after hours. The...

8. wound care in eol patients

   hcan posted a topic in Hospice, Palliative

   Does anyone use a good algorithm for wound care that could help our hospice set up some definitive treatment plans (allowing ,of course, for individual quirks)? I respect your thoughts and advice....

9. The Worst

   hcan replied to BeExcellent's topic in Hospice, Palliative

   Hey be ex. You have my sympathetic understanding. It is a bitter bread to eat when you have a patient in pain that could have been prevented. Its all good though. A learning experience for you as...

10. Anyone received CHPN Exan results from September 2006 exam?

    hcan replied to jessica's topic in Hospice, Palliative

    I guess all the results were sent out this week. I got my results from the Nashville test too. I passed, and did well in everything except patient and family care, which I bombed for some reason....

11. on call nightmare

    hcan replied to pixienurse's topic in Hospice, Palliative

    When I first started hospice, we had to work during the day, and then take call for a full 7 days at a time, with a 3 week rotation. I lasted 6 months before I switched to another hospice. Now I...

12. vital signs

    hcan replied to hcan's topic in Hospice, Palliative

    I went to a patient's home this week at 5 am bc the pcg said the foley wasn't draining. I picked up the tubing from the mattress and 300 ml flowed out immediately. The pcg apologized and was deeply...

13. vital signs

    hcan posted a topic in Hospice, Palliative

    When an on call nurse goes to a home, is it essential that she get all the vital signs each visit, even if they do not apply to the present situation? Is this something that varies state to

14. Medical Director taking new patients?

    hcan replied to tahijajan's topic in Hospice, Palliative

    I've worked at hospices where the md's took whatever came down the pike, and were great with orders for symptom mgmt. It is really nice to have a med director who knows hospice and can direct care....

15. Hospice certification exam

    hcan replied to hcan's topic in Hospice, Palliative

    Holy shmoley! I thought I knew a lot about hospice, and I studied whatever I knew to study, but even so, it was an uncomfortable exam! There is a whole buttload of stuff I don't know! It's like I...