aimeee BSN, RN

Member

  • Content

    932

  • Visitors

    12,757

  • Followers

    0

  • Likes

    6

All Content by aimeee

  1. aimeee

    Pain Not Controlled With Dilaudid Pum

    aimeee replied to waterstarjen's topic in Hospice, Palliative

    That's terrific news! Got 'em crossed that it continues!
  2. aimeee

    Pain Not Controlled With Dilaudid Pum

    aimeee replied to waterstarjen's topic in Hospice, Palliative

    Sounds like a very challenging case. I hope you are able to achieve comfort for her soon. Sounds like her whole CNS system is super sensitized to all stimulation at this
  3. aimeee

    Pain Not Controlled With Dilaudid Pum

    aimeee replied to waterstarjen's topic in Hospice, Palliative

    Wow. That is a huge dose for IV dilaudid. What is the pain source? Is she on any
  4. aimeee

    Compensation and Job Structure for Hospice

    aimeee replied to funlovincutie's topic in Hospice, Palliative

    12-15 is a full caseload which will vary in its manageability with the acuity of the patients and the amount of windshield time needed to see them. It is by no means a "low" caseload, especially when...
  5. aimeee

    average # of nursing home patients

    aimeee replied to Em1995's topic in Hospice, Palliative

    14? Huh. That's a new number to me....I'll have to check with one of our gals who used to work in the admissions department of the nursing home. I have never read the nursing home skilled care regs...
  6. aimeee

    average # of nursing home patients

    aimeee replied to Em1995's topic in Hospice, Palliative

    Its my understanding that following a "qualifying" hospital stay, Medicare will pay for 5 days of observation under the skilled care benefit.....after that they would have to be able to show that the...
  7. aimeee

    hospice RN certification

    aimeee replied to weavrvirgorising's topic in Hospice, Palliative

    I recertified this year. I think it is pretty difficult to recertify unless you attend a big conference each year (such as one of the NHPCO conferences) or are going to school and can use your...
  8. aimeee

    implantable defibrillators/pacers

    aimeee replied to mc3's topic in Hospice, Palliative

    You really can't make generalizations about defibrillators because there are different models and they can be set up with different parameters for firing. We have had a time or two where the patient...
  9. aimeee

    roxanol in neb treatments

    aimeee replied to lesrn2005's topic in Hospice, Palliative

    The few studies that have been done don't seem to provide clear results. It seems to be one of those things though that is worth a try. Above quoted from
  10. aimeee

    Hospice nursing

    aimeee replied to nurse2btracy's topic in Hospice, Palliative

    You really need experience to prepare you for all the situations that you will encounter. I don't have data to support this statement, but I am venturing a guess that green nurses who start in...
  11. aimeee

    Medical Supplies Question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    The physician must certify the patient under the diagnosis that is the one that appears most likely to be driving the terminal process. End of story. Anything else is unethical. If its a toss up I...
  12. aimeee

    Continuous Care Question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    The case manager must call their own team manager or the continuous care team manager to discuss whether the situation qualifies for continuous care and to find out what kind of staffing is available....
  13. aimeee

    Death stories?

    aimeee replied to Teachchildren123's topic in Hospice, Palliative

    That's a beautiful poem and a lovely personal story. Thanks for sharing
  14. aimeee

    "Called" to hospice nursing?

    aimeee replied to Cree8ive1's topic in Hospice, Palliative

    Ah, your "firefighter's type of schedule" might be more likely if you are working in a hospice inpatient unit in a hospital setting or a hospice house. If you are doing home hospice case management...
  15. aimeee

    Disposing of medications at time of death

    aimeee replied to RubyRN,CHPN's topic in Hospice, Palliative

    that is what bugs the heck out of me. the hospices in africa have to charge their patients (most of whom have next to nothing) for morphine (if they can even get what they need) and here we are...
  16. aimeee

    roxanol

    aimeee replied to calliesue's topic in Hospice, Palliative

    Yes, it is absorbed through the mucous membrane...that's the whole point of using it after the patient can no longer swallow
  17. aimeee

    Disposing of medications at time of death

    aimeee replied to RubyRN,CHPN's topic in Hospice, Palliative

    this is our method now as well. we follow the federal guidelines:
  18. aimeee

    COP's

    aimeee replied to Sabby_NC's topic in Hospice, Palliative

    I haven't finished reading through all of the new final rule yet but really what you quoted above is what hospices should have been doing all along. Hospice Guy's blog is great! Thanks for the...
  19. aimeee

    "Called" to hospice nursing?

    aimeee replied to Cree8ive1's topic in Hospice, Palliative

    please see responses above in red. good luck to you in finding your
  20. aimeee

    Kennedy Terminal Ulcers

    aimeee replied to CANRN's topic in Hospice, Palliative

    This is the first time I had seen that term used. I had to do a search on it and read about it here: http://www.kennedyterminalulcer.com/ After reading about it, I don't see why the theory behind it...
  21. aimeee

    Hospice CNA Frustrated re:caseload

    aimeee replied to southcarolina716's topic in Hospice, Palliative

    Our HHA's attend team and we certainly value them and include them as a part of the IDT. That is a very heavy caseload. It would be one thing if this was temporary due to census increase at the same...
  22. aimeee

    Summer Hospice Clinical

    aimeee replied to Mia123's topic in Hospice, Palliative

    Check out this thread: https://allnurses.com/forums/f25/day-life-hospice-nurse-140276.html Best wishes for a great clinical
  23. aimeee

    New to the Hospice board too.

    aimeee replied to sbenning5's topic in Hospice, Palliative

    Welcome and good luck to you in your endeavors. Thank you for all you do and have done as a
  24. aimeee

    New to Hospice and the board

    aimeee replied to RNWithAHeart's topic in Hospice, Palliative

    Check the sticky thread at the top of the forum page: Recommended Reading for Hospice Nurses
  25. aimeee

    How far can a hospice nurse go, spiritually-speaking?

    aimeee replied to GardenerGirl's topic in Hospice, Palliative

    Even if a patient directly ASKS about my beliefs, I still feel it inappropriate to share more that a very minimal amount to satisfy their response. For instance, if a patient says to me "do you...