aimeee BSN, RN

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  1. aimeee

    RN Case Manager "characteristics"

    There's a long list.... strong assessment skills, ability to "connect" with a wide variety of people and yet maintain boundaries, good listening and communication skills, teaching skills, time management and organizational skills, team player, critic...
  2. aimeee

    Discharging pts?

    Patients should be discharged as soon as it is determined that they are no longer appropriate for hospice and a plan for supporting their needs can be put together. If you wait until the end of a cert period you might not be reimbursed for that care...
  3. aimeee

    New CoPs....

    There is no specific requirement to gather MAC in the new cops. What the new COPS require is a form for the gathering of data elements to be utilized in your QAPI program. It is up to the individual organization to determine what form will be used,...
  4. aimeee

    Young Hospice Nurses

    We have some male nurses and age is only a factor as far as it correlates to limited life and professional experience. Each person must be judged on their own merits. Some people have more experience and maturity at 20 than some ever achieve in a l...
  5. aimeee

    Recommended Reading for Hospice Nurses

    Yes, there is a core curriculum and a study guide. Your most economical alternative is to purchase a membership in HPNA and then the cost of the test is discounted and so are the study materials. If you go to the website you will find link...
  6. aimeee

    Hospice full time on call

    I agree with the above... they should cut out the requirement to be at IDT's. 1 person per 70 is definitely justifiable at full time, especially on the weekend. We have a census of about 200 and have three people covering call. On the weekends we...
  7. aimeee

    List of CIII medications for pain

    That sounds like a policy that is not patient service driven. In fact, your post shows the unintended effect... the difficulty of obtaining the medication is driving use instead of what would be the best medication for relieving the symptoms. The t...
  8. aimeee

    Palliative Care & Morphine

    We have standing orders that allow us to titrate the dosage up another 50% if necessary to achieve relief but after that we would have to call the physician to get an increase. If you are doing hospital nursing you will probably not have such libera...
  9. aimeee

    day in the life of an admissions RN?

    Freedom? That's an interesting word I never would have thought of applying to hospice nursing. Autonomy maybe. It certainly can be stressful, or it can be delightful. It all depends on what comes about. Certainly every day is different as no two...
  10. aimeee

    Question on code status and hospice

    We cannot exclude patients due to full code status. It doesn't make much sense to be a full code when terminally ill.... but still... some can't bring themselves to sign a DNR. Sometimes it means no one has really educated the family on what runnin...
  11. aimeee

    first weekend on call

    It runs the gamut from people who just need a little reassurance or have a question about a medication to a patient that has just decided constipation is an emergency to a family freaking out because they are suddenly confronted with the reality of d...
  12. aimeee

    Oregon's Death with Dignity Act

    The small numbers may reflect that while few people actually MAKE the choice, they want to be able free to make it. It may reflect that we have deep taboos in our society and makeup about taking our own lives that keep us from doing that even when w...
  13. aimeee

    Transitioning Question

    I think it is just another euphamism for dying that is coming more and more into vogue. And like the word dying, it all depends on how you define it. Dying can happen in a day or it can be a lengthy process that takes weeks. We had a discussion ab...
  14. aimeee

    Oregon's Death with Dignity Act

    I'm personally uncomfortable with it but I support self-determination. My father is a member of the hemlock society and I would want to be able to support him.
  15. aimeee

    RN shift in the home

    Actually the COPs say that for a day to qualify as "continuous care" there must be 8 hours of direct nursing care provided. At least 50% of this care must be skilled care, meaning it is provided by an RN or LPN.