aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Reasonable (?) caseloads

    aimeee replied to jerseyRN's topic in Hospice, Palliative

    That happens to us now and then, but its during one of those unavoidable times when someone resigns, the census takes a jump, and someone is out on sick leave. It certainly isn't the
  2. aimeee

    Reasonable (?) caseloads

    aimeee replied to jerseyRN's topic in Hospice, Palliative

    As you know, much depends on the acuity level of those patients and how much travel time you have as well. 8 patients could be a full load if they are all very high acuity and you are spending a lot...
  3. aimeee

    Final days:AGITATION

    aimeee replied to JamiRN's topic in Hospice, Palliative

    Darvocet N-100. I hadn't seen it referred to by those letters before either. At least that one makes sense. I still haven't figured out where they get APAP out of
  4. aimeee

    Codeine for analgesia

    aimeee replied to NurseFirst's topic in Oncology

    Interesting, I have not seen such a device. Leslie, I've done the same thing with ativan. I just wondered if maybe there was a pre-prepared form of "paste" out
  5. aimeee

    Has hospice changed your world view?

    aimeee replied to req_read's topic in Hospice, Palliative

    I feel somewhat the same...maybe not quite to that level, but certainly that each day is precious and too short to put up with things (situations and people) that ruin it. Also that material stuff is...
  6. aimeee

    Codeine for analgesia

    aimeee replied to NurseFirst's topic in Oncology

    CD situations? I'm drawing a blank at that term. We use Ativan for terminal restlessness, Haldol would be preferred for actual delirium. I have not seen Ativan as a buccal paste. Is it compounded...
  7. aimeee

    Codeine for analgesia

    aimeee replied to NurseFirst's topic in Oncology

    Demerol has its place as short term acute pain relief but is inappropriate for those with impaired renal function (which a CA patient with mets everywhere is almost certain to have). I would doubt...
  8. aimeee

    Calling the coroner when hospice patients die?

    aimeee replied to Blackcat99's topic in Hospice, Palliative

    We only need to notify the funeral home, give them the time of death, and notify the physician. Many physician's request they not be notified until the next business
  9. aimeee

    ? About treating Hospice pts

    aimeee replied to Schmoo1022's topic in Hospice, Palliative

    Good grief! I've seen a lot, but I haven't seen that, thank
  10. aimeee

    pay for hospice nurses

    aimeee replied to angie1982's topic in Hospice, Palliative

    You get $50 over and above your salaried rate for doing admissions? Is that for admissions during regular hours? Do you participate in on call
  11. aimeee

    Lasix in Nebs for Air Hunger?

    aimeee replied to rosemadder's topic in Hospice, Palliative

    Leslie, is the same Lasix solution used that would normally be used for IM or IV
  12. aimeee

    Discouraged!!!

    aimeee replied to mc3's topic in Hospice, Palliative

    Find out the structure of the hospices near you and talk to the person who can change the way they utilize LPN's (Director of Clinical Services) and convince them to give you a try. You are already a...
  13. aimeee

    Wounds at End of Life

    aimeee posted a topic in Hospice, Palliative

    Interesting study on wounds at the End of Life: http://www.medscape.com/viewarticle/504322?src=mp You'll need to register at medscape to read but its free and medscape also has a great weekly...
  14. aimeee

    Wounds at End of Life

    aimeee replied to aimeee's topic in Hospice, Palliative

    There may be another factor...they may have become hospice patients BECAUSE they had wounds, at least the ones who were nursing home patients. When the nursing home brings hospice in and the patient...
  15. aimeee

    Treating constipation in active dying process?

    aimeee replied to indianahope's topic in Hospice, Palliative

    I have pretty much the same take on this as Leslie. Only intervene if the constipation appears to be causing the patient distress. There have been times we have taken on a patient with terminal...
  16. aimeee

    For Profit vs Non Profit

    aimeee replied to upwithpeople's topic in Hospice, Palliative

    Hospice care in a nursing home done according to regs would not be double dipping. We are careful to supplement the care the nursing home gives rather than doing their job for them. I cannot speak...
  17. aimeee

    Do hospices only offer part-time?

    aimeee replied to Blackcat99's topic in Hospice, Palliative

    We have both full and part-time staff in our hospice house. In the home hospice teams most of our staff is full-time and that is the preference because it makes for better continuity of
  18. aimeee

    For Profit vs Non Profit

    aimeee replied to upwithpeople's topic in Hospice, Palliative

    That thought makes me ill. They also have a reputation for "skimming the cream". They tend to have very high nursing home to home patient ratios because they can promise lots of benefits to...
  19. aimeee

    Brainstorming, End of life and Morphine use.

    aimeee replied to Antikigirl's topic in Hospice, Palliative

    It sounds like her pain is still not well managed if she rarely sleeps and is needing her breakthrough medication that frequently. It makes me wonder if she has bone or neuropathic pain that is not...
  20. aimeee

    Want to be CHPN....how to start?

    aimeee replied to Ashera's topic in Hospice, Palliative

    Go to http://www.hpna.org and you will find links to the pages which instruct you on how to get your CHPN. Hospices will often reimburse part or all of the testing costs for their employees. If you...
  21. aimeee

    Smiles for patients

    aimeee replied to nurscee's topic in Hospice, Palliative

    I think it all hinges on whether you are able to discern the instances where it WILL be appreciated. I love the idea of having a store of material to draw from when and if you find it appropriate but...
  22. aimeee

    New nurse wants to be Hospice

    aimeee replied to nurscee's topic in Hospice, Palliative

    While an exciting idea, it also sounds like a daunting task. I hope the owner is ready to pledge the resources it will take to make a success of the project. Good luck to
  23. aimeee

    Education

    aimeee replied to webblarsk's topic in Hospice, Palliative

    Yes! If you join the Hospice and Palliative Nurses Association, you will receive the bimonthly Journal of Hospice and Palliative Nursing as one of the benefits of membership....
  24. aimeee

    Assisted living- what happens when patients need more care?

    aimeee replied to lexilou's topic in Hospice, Palliative

    I think much depends on the particular ALF and the staff there and the same with nursing homes. If the family can afford to hire in some extra care that is often a good
  25. aimeee

    At Your Hospice, Do You. . .

    aimeee replied to Katillac's topic in Hospice, Palliative

    I just chose ALS as an example. I have no idea what Medicare considers to be medical criteria for payment of ventilator costs. I am assuming though that Medicare would demand that a hospice who...