aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Guys, I'm scared and new to Hospice

    Cheryl, glad to hear you are progressing well, both in knowledge and in your comfort with this work. Your new patient sounds challenging in many ways but those are the ones that need us most. You...
  2. aimeee

    Question about CHPN Exam test prep

    Go for it in September! It is a general knowledge exam so you likely know what you need to about the symptom management things. Be sure to review the requirements for HOSPICE care versus palliative...
  3. aimeee

    Can a patient do chemo or radiation?

    Ours is around $120 dollars too. I see a lot of the chemotherapy and radiation treatments being done not because any benefit is really expected but because the patient/family doesn't want to "give...
  4. aimeee

    Can a patient do chemo or radiation?

    Its certainly worth another look if it can be done that reasonably. Still, I think there should be some clear parameters for specific symptom relief and duration of expected benefit period from
  5. aimeee

    Can a patient do chemo or radiation?

    Its wonderful that your hospice can do this. You must be working for either a very large hospice or a hospice that has a lot of donated funds pooled for just such treatments. The cost of radiation...
  6. aimeee

    uniforms or street clothes

    The HHA's usually wear brightly colored scrubs. For nurses chinos and a polo shirt or dress-t works well. You can also keep a cotton/linen blazer to put on if you need to look a bit more formal...
  7. aimeee

    How long are your IDT mtgs? And content?

    :chuckle MD likes to
  8. aimeee

    Giving pain meds.

    You follow the good training you were giving in nursing school and you do a pain assessment and you chart it. Where do you hurt? What is the pain like? You rate it on a 10 point scale. You ask how...
  9. aimeee

    Has anyone read this?

    Req read, thank you for explaining the cap. Very interesting. I hadn't realized that. We are in no danger of even coming close. But even if there weren't a financial reason to take on those...
  10. Wow. In our state the best you might do is that sometimes Medicaid will pay for a few hours per day. If you can't get by with that, its off to the nursing
  11. aimeee

    I feel like just giving up...

    BeExcellent, I love your post! So full of truth!
  12. aimeee

    Music with the dying patient?

    http://www.chaliceofrepose.org/ I think you will find the link above of interest. I am very interested in this subject as well and I hope we get to the point where we can have a true music therapy...
  13. Yes, good for you for advocating for the patient. When people who are hurting "don't want hospice" I always wonder if they really understand what they are rejecting or if they think accepting it...
  14. aimeee

    Guys, I'm scared and new to Hospice

    This is SO true. For many people it is like the dam breaking when hospice comes in and they sense they can finally talk about what they are experiencing with someone who
  15. aimeee

    I Got The Job!!!!!

    Congratulations!
  16. aimeee

    Guys, I'm scared and new to Hospice

    You CAN do this and it is normal to be nervous at first. Don't be afraid to ask lots and lots of questions of the veteran nurses you work with. Make sure to support yourself with plenty of sleep,...
  17. aimeee

    Anyone do INPATIENT Hospice nursing?

    One thing that isn't clear here is whether this is a hospice house or an "Inpatient General" unit. "Inpatient General" is a level of hospice care provided for those who have very high acuity. A...
  18. aimeee

    How long are your IDT mtgs? And content?

    The whole purpose of IDT is to bring the whole team together to put your heads together and have everyone's input in the care planning. There is no magic number for how long that process takes....
  19. aimeee

    What is the ideal caseload?

    I agree. We would never even THINK of telling someone we were not coming and to call the coroner. We would find a way to get SOMEBODY there. I do want to say though that there are other reasons...
  20. aimeee

    What is the ideal caseload?

    In our hospice we figure each patient will routinely be visited twice a week and more if needed to manage their symptoms. 5-6 visits per day is what is reasonable when you spend enough time with the...
  21. aimeee

    Any ideas for unrelieved N/V

    Check it out here: http://www.sea-band.com/seaband.htm I tried accupressure on that point myself last summer when I was at the fair and riding the pirate ship. I really began to feel queasy so I used...
  22. aimeee

    Considering Hospice Nursing

    There is a certification, but it is a general knowledge test of the specialty area and the recommendation is that you have 2 years experience in the specialty before taking the exam. You can find...
  23. aimeee

    Defibrillators...

    What an excellent idea! I'm going to try
  24. aimeee

    Dad died yesterday

    Wishing you peace and healing in this time of
  25. aimeee

    New to Hospice

    Welcome to the rewarding world of hospice care. Sounds like you have a nice varied background to draw upon. Advice: Above all, make time to take care of you. Take a lunch break, even if it is a...