aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    RN Case Manager "characteristics"

    aimeee replied to deecee474's topic in Hospice, Palliative

    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...
  2. aimeee

    New CoPs....

    aimeee replied to andre's topic in Hospice, Palliative

    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...
  3. aimeee

    Young Hospice Nurses

    aimeee replied to DarkHairedStudentCCC's topic in Hospice, Palliative

    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...
  4. aimeee

    Recommended Reading for Hospice Nurses

    aimeee replied to introspectiveRN's topic in Hospice, Palliative

    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...
  5. aimeee

    Hospice full time on call

    aimeee replied to pixiec11's topic in Hospice, Palliative

    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...
  6. aimeee

    List of CIII medications for pain

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    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...
  7. aimeee

    Palliative Care & Morphine

    aimeee replied to flygirls2's topic in Hospice, Palliative

    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...
  8. aimeee

    day in the life of an admissions RN?

    aimeee replied to nyteshade's topic in Hospice, Palliative

    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...
  9. aimeee

    Question on code status and hospice

    aimeee replied to moeluvrn's topic in Hospice, Palliative

    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...
  10. aimeee

    first weekend on call

    aimeee replied to BandEmom's topic in Hospice, Palliative

    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...
  11. aimeee

    Oregon's Death with Dignity Act

    aimeee replied to Jump_Nurse's topic in Hospice, Palliative

    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...
  12. aimeee

    Transitioning Question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    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...
  13. aimeee

    Oregon's Death with Dignity Act

    aimeee replied to Jump_Nurse's topic in Hospice, Palliative

    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
  14. aimeee

    The 3 boys?

    aimeee replied to jenrnmcg's topic in Hospice, Palliative

    I have never heard of that one. I'm
  15. aimeee

    Newish Nurse, interviewing for Hospice position

    aimeee replied to middypiegirl's topic in Hospice, Palliative

    Hi Emilie, Guess you didn't get an answer in time for your interview. While a deeper and broader experience would prepare you better, your heart for the work and your communication skills, your...
  16. aimeee

    Admission Nurse for a new hire

    aimeee replied to angshallad's topic in Hospice, Palliative

    I started as an admissions nurse in hospice care after experience in long term care. It worked well as a transitional role for me. As an admissions nurse the main focus is on the documentation of...
  17. aimeee

    No five stages of grief

    aimeee posted a topic in Hospice, Palliative

    This article in Scientific American's Mind and Brain suggests that research has not found supporting evidence for a progression through Kubler Ross' five stages of grief, despite the theory's popular...
  18. aimeee

    "Evaluate and Treat" question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Evaluate and Treat is an open ended order that is used for the Nurse Practioner to make a Palliative Care visit. Perhaps they have some confusion and are working with multiple
  19. aimeee

    Readmission of patient whose family calls 911

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    These are gray and much debated areas. You cannot discharge a patient for going outside the plan of care. There are only three reasons you can discharge a patient: 1) They are no longer appearing...
  20. aimeee

    nursing home difficulties

    aimeee replied to hospicemom's topic in Hospice, Palliative

    Its still rough for now but within a couple of years it should be much better....the conditions of participation for nursing homes are being revised just as the hospice ones have been and when they...
  21. aimeee

    Comfort / E-Kit Contents

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    We have the standard kit from Hospice
  22. aimeee

    TPN in hospice setting?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Not normal, but we do it now and then when it would otherwise be a barrier to them getting started on hospice. Usually its the young patients with ovarian CA. I don't think we have ever had a lung...
  23. aimeee

    nursing home difficulties

    aimeee replied to hospicemom's topic in Hospice, Palliative

    As far as them d/c'ing orders without consulting you, you may need to gently remind them that it is HOSPICE who is supposed to drive the plan of care. If the care plans don't dovetail, THEY will be...
  24. aimeee

    Can I do this?

    aimeee replied to Darwinsthumb's topic in Hospice, Palliative

    Well, we don't "eat our young" in my organization, but you would need to have experience before you got here in order to be prepared to face the daily challenges. I found that when I started spending...
  25. aimeee

    Palliative Bowel Care Question

    aimeee replied to bluekermode's topic in Hospice, Palliative

    Even when feedings stop, waste material continues to be produced. I would give the meds unless there is an indication that intestinal distress is being caused by them. I have had people who had...