aimeee BSN, RN

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All Content by aimeee

  1. Now and then...if they must be tube fed we try to get them on bolus feedings, and try to get them switched to just an OTC liquid nutrition such as Ensure. We have had some luck with getting donations...
  2. aimeee

    Hospice On Call Compensation Structure

    For weekday on-call the nurses are paid only if they make a visit. We have a separate phone triage team. When they are on call during the weekend since they are being paid for working (2) 8 hour...
  3. aimeee

    Hospice On Call Compensation Structure

    For weekday on call the nurses don't receive anything extra, just paid by the hour if they go out, plus travel time and mileage reimbursement. Weekend call starts at 8a on Saturday and runs through...
  4. aimeee

    Hospice On Call Compensation Structure

    For weekday on call the nurses don't receive anything extra, just paid by the hour if they go out, plus travel time and mileage reimbursement. Weekend call starts at 8a on Saturday and runs through...
  5. aimeee

    A new pet peeve of mine

    Nothing wrong with being anal about spelling drug names correctly. The difference of a letter or two can mean two completely different drugs, such as cerebex and celebrex. I've often wondered how...
  6. aimeee

    Organization tips needed for FT case mgr

    Gail, have you moved now? If so, how is the new job
  7. I'm sad to hear of your loss.
  8. aimeee

    new grad and home care

    I understand totally the way you feel about med surg. I didn't want to start there either. But you do need a place where you can get comfortable in your nurses shoes and solidy your assessment...
  9. Wow! Terrific! I'm going to make sure to mention this to nurses who work for all our referral
  10. aimeee

    State Laws For Staffing Ratios

    I don't think this link is going where you meant it
  11. Jacel, best wishes for success, growth, and fulfillment in your new
  12. moderator's note: as stated above, the subject of the thread is how do non-believers deal with death. any further posts dealing with grammar or the lack thereof will be pruned from the
  13. Nobody's going to stone you, Angel. But please recognize that it isn't that many of us are not comfortable with faith, it is that we simply do not feel it in the same way that you experience it....
  14. If a person is "timing" their meds and asking for them each time they are due, it is a possible signal for 2 things. First, round the clock pain calls for a long acting med rather than shorting...
  15. aimeee

    Price differences in oxycodone products - FYI

    Maybe the oxycodone comes from a different drug company? What an eye opener, Gail! Thanks for the heads
  16. aimeee

    hospice education

    Exactly! I love that site and try to pass it along to all the new nurses who orient with our hospice. Its good to see in print that the "experts" are saying the same things that we are being taught....
  17. aimeee

    Roxanol use in ltc

    and source: http://judiciary.senate.gov/oldsite/42520kf.htm
  18. aimeee

    Is this understaffing (or is it me?)

    My experience is that most places are well staffed only in the best case scenario...in other words, IF everyone shows up, IF your staff all do their jobs well without constant supervision, IF there...
  19. aimeee

    Decadron uses?

    From the HPNA website: "A group of drugs that are important are the glucocorticoids and I think they are widely used. One study has shown limited effect of up to four weeks on symptoms such as...
  20. aimeee

    hospice education

    Congratulations! I've heard the Kaye book is very good but I'm not familiar with it myself. This is the algorithm book that our medical director recommends:...
  21. The particular clinical skills used will vary widely according to setting. In our home hospice setting I have never seen a peripheral IV. If we do have IV meds, they are generally infused through a...
  22. aimeee

    Non-Profit vs For-Profit

    I have not worked in both settings so I can't provide pros/cons of both. Some non-profits hospices utilize LPN's. My hospice is currently moving away from the use of LPN's, mainly because it limits...
  23. aimeee

    Sudden improvement before death?

    I've seen it too. Its a mixed blessing because while it gives the loved ones a last chance for a bit of quality time, it often gives them false hopes that the patient is going to completely pull out...
  24. Purple, you did well to involve the family in the care. As Earle states, refer questions about their meds or prognosis etc to the nurse. Its nicest if you can say something like "I'll tell the nurse...
  25. Purple, you did well to involve the family in the care. As Earle states, refer questions about their meds or prognosis etc to the nurse. Its nicest if you can say something like "I'll tell the nurse...