SCgirl1962

SCgirl1962

Med Surg, Administration, ER, OR, SCU,

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All Content by SCgirl1962

  1. HCHB promisepoint

    SCgirl1962 posted a topic in Hospice, Palliative

    Anyone using this software care to comment on how to streamline charting? I find this software very redundant. It's like doing a revert visit every

  2. Charting until midnight?

    SCgirl1962 replied to Grasshopper11's topic in Hospice, Palliative

    Previous computer program ( allscripts) could be completed in the home. Now using hchb and it is ridiculous! One pain assessment where pt had multiple pain sites had 60 questions that had to be...

  3. Narcotics disposal in home

    SCgirl1962 posted a topic in Patient Medications

    What are your hospice policies regarding disposal of unused narcotics in the home after a hospice patient

  4. How many admissions & visits in an 8 hour shift?

    SCgirl1962 replied to hospicechpn's topic in Hospice, Palliative

    Allscripts is a terrible program... not user friendly and very cumbersome. That being said, after you've worked with it for a while, you can complete the admission documentation in about 1-2 hours but...

  5. on call requirement

    SCgirl1962 replied to leisamartinez's topic in Hospice, Palliative

    I work for a smaller office and the on call is my biggest complaint. I average 10 days per month. One night per week and one weekend per month wouldnt be so bad but since we lost a nurse, it's more...

  6. How many admissions & visits in an 8 hour shift?

    SCgirl1962 replied to hospicechpn's topic in Hospice, Palliative

    Forgot to add that on top of the admission, I did 3 routine visits and spent a few hours in the office doing administrator duties.....

  7. How many admissions & visits in an 8 hour shift?

    SCgirl1962 replied to hospicechpn's topic in Hospice, Palliative

    Did an admission today. Spent 2 hours in the home explaining the hospice benefits, doing the initial clinical assessment, getting paperwork signed and getting a list of all medications. Came home...

  8. How many admissions & visits in an 8 hour shift?

    SCgirl1962 replied to hospicechpn's topic in Hospice, Palliative

    Allscripts is time consuming and not user friendly. Getting everything documented in the computer for an admission and all of the notifications to DME, pharmacy, MD's and other team members can take...

  9. Pancreatic Ca and Nausea

    SCgirl1962 posted a topic in Hospice, Palliative

    Help! I have a 63 year old male pt. with pancreatic CA who has undergone a jejunostomy in the past. He is chronically nauseated and is having trouble keeping even fluids down. Currently he's on...

  10. Pancreatic Ca and Nausea

    SCgirl1962 replied to SCgirl1962's topic in Hospice, Palliative

    This patient is already on Phenergan, Haldol, Compazine, Reglan, Protonix, and Ativan. Felt that it was due to a mechanical obstruction, so I did get his permission to put in an NG tube. This has...

  11. How many pts do you care for?

    SCgirl1962 replied to FrankieJane's topic in Hospice, Palliative

    I work in a rural area and usually my caseload is 8-10 patients. ( which is really good ) I have had as many as 12 and that's okay depending on how far you have to drive between patients and how many...

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

    SCgirl1962 replied to jessica's topic in Hospice, Palliative

    I took the exam in Columbia, SC. Just got my results today. Cannot believe it, but I passed. I was sure that it was a lost cause after taking the exam!! Good

  13. Uncontrolled Seizures

    SCgirl1962 posted a topic in Hospice, Palliative

    Just wondering if anyone has experience with hospice patients having uncontrolled seizures. Case Scenario: Pediatric patient - 13yrs. with hx of seizures since age 4. Allergic reactions to most...

  14. Mentally Ill Patients and Hospice

    SCgirl1962 posted a topic in Hospice, Palliative

    We admitted a patient to hospice for end stage COPD. Unfortunately, he also has schizophrenia. Currently, his COPD is fairly well controlled. Unfortunately, his schizophrenia is not. The family...

  15. use of Cadd pumps in pain management

    SCgirl1962 replied to jwelhwel's topic in Hospice, Palliative

    That's been a consideration. Gotta get with his MD on this. Wish we'd never started it though. It's harder to convince a patient that they can get the same relief by taking po meds once they've...

  16. Recommended Reading for Hospice Nurses

    SCgirl1962 replied to introspectiveRN's topic in Hospice, Palliative

    Another great book is called " Midwives for Souls

  17. Attending memorial services, funerals, condolence calls etc

    SCgirl1962 replied to nurselearner's topic in Hospice, Palliative

    Totally agree. When I first started hospice, I tried to attend all as well and I burned out very fast. Felt like I was in perpetual mourning. Not only that, but this job is very demanding and takes...

  18. Uncontrolled Seizures

    SCgirl1962 replied to SCgirl1962's topic in Hospice, Palliative

    Thanks for the input. We went up on the doses of Versed and Valium and this has helped so far. Unfortunately, this patient doesn't have any IV access - both the port and PICC lines clotted repeated...

  19. Help! What meds are not covered under hospice?

    SCgirl1962 replied to RN4hospice's topic in Hospice, Palliative

    We cover all meds related to the terminal illness for comfort/ pain control. I would love to have the e-packs, but we don't use them. To me, that would save a lot of $$ in that you'd only have a few...

  20. am i wrong? or a bad person?

    SCgirl1962 replied to myebel's topic in LPN to RN

    If you truly enjoy the patient aspect of nursing, then forget about the treatment from the nurses you met while training. Unfortunately, sometimes it's true that "nurses eat their young". Maybe...

  21. Revocation

    SCgirl1962 replied to silverwillow's topic in Hospice, Palliative

    We've been told that under Medicare guidelines, a revocation must be patient/ family driven. While I understand this on one level, it puts the hospice in a dilemma when patients don't really...

  22. CHPN exam

    SCgirl1962 replied to Mandee's topic in Hospice, Palliative

    Anyone who took the exam in Sept. 06 in Cola, SC heard anything yet? I'm on pins and

  23. use of Cadd pumps in pain management

    SCgirl1962 replied to jwelhwel's topic in Hospice, Palliative

    We use CADD pumps occasionally - usually when pain cannot be controlled with oral meds and/or other methods of pain control have failed. I currently have a patient on a CADD pump for a morphine drip....

  24. Constipation Relief...

    SCgirl1962 posted a topic in Hospice, Palliative

    Anyone have any great ideas for chronic constipation relief for a parkinson's patient who has been on Sennekot-S, Lactulose,( according to his wife ) and Docusate Sodium and MOM ( according to me ) in...

  25. Caseloads

    SCgirl1962 posted a topic in Hospice, Palliative

    Just wondering what the typical caseload is for other Hospices - also are you in a rural or urban