jerseyRN

jerseyRN

Member

  • Content

    140

  • Visitors

    2,971

  • Followers

    0

  • Likes

    0

All Content by jerseyRN

  1. Final Gifts

    jerseyRN replied to Irishgirl's topic in Hospice, Palliative

    A 2006 edition was just released. I have the edition just prior to that... I don't have it here to check the date, but it's not as old as 1990. It is helpful but not definitive. There is also a book...

  2. Final Gifts

    jerseyRN replied to Irishgirl's topic in Hospice, Palliative

    There are two great books by Elizabeth Ray: "I'm With You Now" and "I"M Here to Help." They are great references and I still refer to them, and have lent them to hospice families who also found them...

  3. Home care vs. LTC

    jerseyRN posted a topic in Hospice, Palliative

    Looking for some advice... or maybe just a pep talk. After four years in hospice home care, which I love, I recently accepted a new assignment with a caseload that's mostly LTC, with a only a few...

  4. Home care vs. LTC

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    p.s. thank you all for your

  5. Home care vs. LTC

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    what's a reasonable caseload for a LTC hospice case manager? how many is everyone

  6. Angry patient

    jerseyRN replied to bay bay's topic in Hospice, Palliative

    Off the thread, bay bay... but what is that little bird in the picture???? So

  7. futility of care

    jerseyRN posted a topic in Hospice, Palliative

    Went to a great symposium today where an extremely enlightened MD presented about the need for advance care planning for people with "eventually fatal chronic illness" - ESRD, CHF, Alzh, etc. - and...

  8. frustrated and overwhelmed

    jerseyRN replied to kelluvanurse's topic in Hospice, Palliative

    This is off the topic --which is hospices looking to save a penny wherever possible... which is certainly within the realm of my experience and something that's required my patient advocacy skills...

  9. frustrated and overwhelmed

    jerseyRN replied to kelluvanurse's topic in Hospice, Palliative

    I've been a hospice nurse for four years and things have changed so much since I started. Everyone is expected to do more (higher census) with less (reduced staff) and the bottom line is, as a case...

  10. Chpn

    jerseyRN replied to rubynrse's topic in Hospice, Palliative

    I think the best prep for the CHPN exam is

  11. Anyone been through a state survey (hospice) lately

    jerseyRN replied to ATLRN's topic in Hospice, Palliative

    The surveyors are adept at making you feel they are your friends, and getting you to talk more than you need to. My advice is just answer what you are asked and don't volunteer more information. Be...

  12. CHPN exam

    jerseyRN posted a topic in Hospice, Palliative

    Anyone have any advice for preparing for this exam? It's only about a month away. I'm getting kinda

  13. CHPN exam

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    Go to the HPNA website. I think you can get the study materials through them. But before you buy them.... see if your agency has them or will buy them for your use. Good luck! It's worth the effort to...

  14. Hospice work difficult during holidays

    jerseyRN replied to mlynn's topic in Hospice, Palliative

    Families try to continue the traditions of years past and fulfill holiday expectations even though someone is dying - I encourage them to not let go of "shoulds" and "musts". My own holiday...

  15. Can I keep going.....

    jerseyRN replied to webblarsk's topic in Hospice, Palliative

    Our relationships with patients and families are brief, but meaningful and genuine. Sometimes no one "gets it" not even our co-workers. Mourn your patient and try to take comfort that you brought a...

  16. Does anyone love their job?

    jerseyRN replied to Lisa CCU RN's topic in General Nursing

    I'm a hospice nurse. I love my

  17. Dealing With Lay Curiosity

    jerseyRN replied to Anhelo Impedio's topic in Hospice, Palliative

    Yeah, that "saintly" thing. That always makes me vaguely uncomfortable. I think, "if you only

  18. Dealing With Lay Curiosity

    jerseyRN replied to Anhelo Impedio's topic in Hospice, Palliative

    Aimee, your post cracked me up. Those are the two reactions! :rotfl: And I always get this question every holiday from my brother-in-law: "How's work?" Don't worry, he changes the subject before I...

  19. I want to be a hospice nurse

    jerseyRN replied to jaylynn67's topic in Hospice, Palliative

    One way to see if it's really for you is to work for a hospice as a home health aide. You will see, do and learn a lot, and the experience will help you as a hospice nurse (or any kind of

  20. Abd cramping

    jerseyRN replied to saribeth's topic in Hospice, Palliative

    Good luck finidng a doc willing to work with you on the methadone. In my experience most are unfamiliar with it and leery about trying it. even our medical

  21. Abd cramping

    jerseyRN replied to saribeth's topic in Hospice, Palliative

    does this lady have IV access? sounds like a good candidate for a CADD pump with IV morphine or dilaudid. Failing that, I would bag the ulltracet, slowly increase the methadone, increase the prn...

  22. pain management for bone ca

    jerseyRN replied to dinkymouse's topic in Hospice, Palliative

    We use ibuprofen a lot, but rarely trilisate. How much & how often do you

  23. Reasonable (?) caseloads

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    " My normal day will be 6 to 8 visits or 25 to 32 visits a week. My question is, do other hospices make allowances for casemanagers who cover a very large territory or not? I cover four counties and...

  24. Reasonable (?) caseloads

    jerseyRN posted a topic in Hospice, Palliative

    Help! I'd like to get an idea how many patients other homecare case managers are expected to carry. Target for our agency is allegedly 14... though we generally have more. I work four days, and...

  25. Reasonable (?) caseloads

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    Yep, heavy loads sometimes can't be helped, like those 20-minute visits which turn out to require two hours. Or more. That's the nature of the work. Decided to speak to my supervisor tomorrow about...