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

   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 not enjoyed any recognition or financial benefits f...

2. hospice organizations

   hcan posted a topic in Hospice

   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 your understanding of symptom relief or patient ca...

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

   hcan replied to Roland's topic in Hospice

   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 bid. We could also add benadryl if there were any si...

4. hospital admissions

   hcan replied to hcan's topic in Hospice

   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 meaningful than if the family had actually had som...

5. hospital admissions

   hcan replied to hcan's topic in Hospice

   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 us!

6. IV therapy

   hcan replied to jacjon's topic in Hospice

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

7. hospital admissions

   hcan posted a topic in Hospice

   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 patient is admitted to hospice, sometimes even in the l...

8. wound care in eol patients

   hcan posted a topic in Hospice

   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. Thanks.

9. The Worst

   hcan replied to BeExcellent's topic in Hospice

   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 well as for all of us that share your pain. We're...

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

    hcan replied to jessica's topic in Hospice

    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. What kinds of questions were those?

11. on call nightmare

    hcan replied to pixienurse's topic in Hospice

    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 find myself at a 3rd hospice as the on call nurse Mon...

12. vital signs

    hcan replied to hcan's topic in Hospice

    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 embarrassed that he had called me out, and vital s...

13. vital signs

    hcan posted a topic in Hospice

    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 state?

14. Medical Director taking new patients?

    hcan replied to tahijajan's topic in Hospice

    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. Most MD's don't havae the understanding of symptom...

15. Hospice certification exam

    hcan replied to hcan's topic in Hospice

    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 brought my little microcosm of hospice knowledge an...