SunDazed

SunDazed BSN, RN

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SunDazed has 18 years experience as a BSN, RN.

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  1. Have you looked into the CSU Palliative Care online courses? I took the one for RN Certification, though it is not the same as HPNA CHPN. I liked the course. They have more courses now. https://csupalliativecare.org The book that is availa...
  2. Hospice agency shutting down - help!

    Vynca out of Palo Alto, CA bought the remote palliative care company started by Dr Fratkin here in Northern California. It involves a lot of remote care. I have heard that the caseloads are quite high for nurse case managers, so it is likely more pal...
  3. Normal Hospice Care/Rural Hospice "Service"

    The family you are working for is very fortunate to be able to afford private caregivers. Many families don't have that option and are surprised to find out hospice does not provide daily in home care. Where I live there is a shortage of home health ...
  4. LPN and imminent pts

    @Princess7777 Sorry you will be missing out on a thing you enjoyed. I get it.
  5. LPN and imminent pts

    It is a medicare thing. The hospice company receives more money for RN and SW visits in the last 7(?) days of life? At some hospices if daily visit by SW and RN are coordinated to continue to qualify for the extra $$ and support the family. So no mor...
  6. Medical Aid in dying

    We have MAID in California. Information dissemination is the biggest issue. People might want it, but don't realize there is a process that takes about 4 weeks. Two doctors, psych eval, then med processing. Most here use an online pharmacy once scrip...
  7. On-call hospice nurse

    I am not sure what it means to have a caseload if you are an on call nurse? A caseload is held by Case Managers in the hospices I have worked at. Sometimes when the census was high, they would have me "hold" a small caseload of 3-5 patients that were...
  8. 7 on - 7 off shift schedule

    Good point. Since @vampiregirl posted the options I have been thinking about how important it is to have the days in a row? For instance, in the hospital when doing 12s I usually worked 2-4 shifts in a row, but would never want just one night off... ...
  9. 7 on - 7 off shift schedule

    Thanks for this example. Do you work something like this now? I was drawn toward working more consecutive night shifts because of my experience in acute care. Maybe in this on call roll, breaking up the days is less of a thing. What does the 4 d...
  10. 7 on - 7 off shift schedule

    She won't quit. I don't want her to quit. I would really hope there is more interjection by management since she clearly expects to do whatever she wants when she wants. They have the power to say no to some stuff. And I am prepared to say more often...
  11. 7 on - 7 off shift schedule

    She had the schedule for only a portion of the 21 years. It was not me who requested her to change it up. It was HR and her supervisor that asked her to change as the were having trouble hiring anyone (again) who would work a relatively low paying nu...
  12. 7 on - 7 off shift schedule

    We had our first in person meeting yesterday since I was hired (Covid remote meetings before). I was able to ask her if she has always been on that schedule. She has not been. She also left for a job at the hospital in that 20 years time and came bac...
  13. 7 on - 7 off shift schedule

    @JKL33 I buy some of these same arguments you pose when the place of work is acute care and the 'them' is hospital administration. I don't think you can distill the essence of this situation in the same precise way due to the small size of organ...
  14. 7 on - 7 off shift schedule

    I returned to hospice this past Spring into a 7 on-7 off on call night shift. The hours and the role I play are great for me right now. The problem is that in 6 months we have worked the 7 on - 7 off schedule less than half the time. I have my review...
  15. On-call hospice nurse

    I started my first shifts on call at the beginning of March this year. This past weekend was the first time I had a night with so many calls I could not get to them, and it would have been nice to have back-up. I had two pain crisis calls I could not...