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I'm considering switching to a Hospice Inpatient Unit. It will be 12 hour shifts, three days a week. They have 16 beds and each RN will have 8 patients. Can someone give me an idea of just how crazy it can get? Any information would be greatly ap...

Ok, I've only posted on here once before but I have a question that I really hope someone can answer. I have a patient that po pain meds just are not working for her, our pharmacy consultant has suggested a Morphine Cadd pump and since her veins don...

We are thinking of adding an admission nurse to our staff. Can any of you tell me how your admission nurse works? Tips for an admission nurse? I'm thinking I want the position and give up case management. Any input would be appreciated. Thank You

I was just wondering how many of you attend a patients viewing or funeral? I've gone to two of my patients and it really seamed to help with the closure. Although, I was very disappointed to see that my office did not send flowers to either of the ...

Well, I too have returned to med/surg after two years in hospice. Anxiety is very high right now. Love hospice but wanted back to the 12 hour shifts. I'm finding that I remember more that I thought I did. My first day back on the floor was today...

Ok, here is an update. Finally got to speak to the Exec Director today. 15 Beds, although they say that not all beds will be filled in the beginning they plan on each nurse having 4 patients, CNA from 8-5, will also have a nurse manager there who ...

This is a new IPU opening up. From what I've been told they may have an aid for a portion of the day, just until the baths/linen changes are completed. I thought that 1:8 was kind of high but haven't done this before. When I worked at a NH a few y...

I would like to know the answer to this also. We just picked up a patient who is a double amputee. Does have heart issues but not staged as a class IV as of yet. I'm not sure what they picked her up under but we were discussing AFTT and decided tha...

Ok, I have a question about respite care. I live and work at a hospice in Georgia. We have a home patient (COPD) who is in need of some respite care. A local SNF is willing to take her but they say if they are to do respite care for a hospice patie...

Husband has orders to Brooks AFB. Can anyone shed any light on the San Antonio area for me? I'm currently a Hospice nurse in Georgia and have worked for the VA before in Omaha Nebraska. Would really like to get into Civil Service and have heard th...

Right now I'm working as a Hospice nurse in Valdosta Georgia, husband is at Moody AFB. I absoultly love hospice but nothing beats the benefits of Civil Service. Unfortunantely, won't get spousal pref because my hubby is not active duty, he is civili...

I know we have been looking into careplans for our hospice, ours are much like the nursing home careplans. Can you give me the ISBN number from the book? Thanks

Thanks for your reply, sometimes I'm not even sure what I am asking! Our office is small and have been having the case managers doing all the visits, evals, admissions, and prn visits. We just got corporate to agree to let us hire another nurse so I ...

Our on call staff triage over the phone and offer to make a visit, most of the time they don't have to go out. It depends on the situation. Nurses seem to be second guessed at all times. We are short a DON at this time so we seem to have people try...

I certainly wish my hospice worked that way. Our load is suppose to be 13, right now I'm at 15 and have been up to 19 at one time. It is very overwhelming. I love hospice, just wish our company loved its nurses. They keep telling us that once our ...

Wow! I thought I was the only hospice nursing having this problem! We have recently lost our DON who was excellent! She would get out and help us in anyway she could. Now without her our census as dropped but now everything falls on the nurses. We...

I think my issue is that I drive 1 hour to my territory and 1 hour back to the office everyday. Wednesdays are usually in the office getting ready for IDG meetings, paperwork, etc. So every week I "waste" 8 hours of my time. I don't mind working la...

I worked PRN for my company before taking on a full-time salaried position in May and now regret my decision. Granted I'm a new case manager but our census is growing, corporate stated once we got up to a census of 45 we would get another case manag...

I have a question experienced hospice nurses. I did an eval on 6-7-07, the patient did not seem appropriate at that time and the LTC staff disagree with me. This patient has a dx of Dementia but is not incontinent (she still wears her own undies, n...

I never listen to the report line while I'm off and do not believe any of the other nurses I work with do either. Your time off is suppose to be your time. I put in 100 hours in the last two weeks so I feel I've deserved my weekend off! I have rec...

AtlantaRN, what is this book you are talking about your "bible"? I'm new to hospice, did PRN for 5 months then started as a Case Manager in early May and have been wondering if I made a wrong move. I'm sure it will be fine once I've been doing this ...

I agree with KellieNurse06 in checking out medications. I have a father-in-law that I ended up taking him to the ER one night because he was dozing off quite often, confused, and very unsteady on his feet. All of this happening within one week. To...

You may not like med/surg but you can't beat the experience it will give you. As far as autonomy being neglected/ignored, maybe you could be the nurse to change that. I feel that it is the nurses job to protect the patient, if you see a fellow co-wor...

Thanks for your input, I'll be starting it this afternoon so I hope all goes well. I do have a wonderful pharmacy consultant so I will double check the dosage with her before starting.