aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    After Hospitalized, Patient goes to another hospice

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Hospital discharge planners have no idea that a change of designated hospice is needed. Most of them are not very familiar with hospice rules and regulations. This discharge planner may not have...
  2. aimeee

    Do you attend funerals?

    aimeee replied to Rnmomajmj's topic in Hospice, Palliative

    I have only attended when the patient was also a family member of our staff, but many of our staff do attend either the wake/viewing or the service. Families are very touched and grateful. We also...
  3. aimeee

    Hi, New user, Hospice nurse looking for input from other hospice nurses

    aimeee replied to pcrn's topic in Hospice, Palliative

    I'm not clear on your compensation....when you say you get Visit pay of $25 in town, are you saying that you get a stipend of $25 for being on call on a weekday and then if you go on a vist (which...
  4. aimeee

    LPN job in Hospice entails not much, why?

    aimeee replied to kstec's topic in Hospice, Palliative

    It was much the same for us and we have gone from utilizing LPNs to not to back to it again. We have found some really terrific LPN's and when you have the right RN and LPN teaming together it can...
  5. aimeee

    Recommended Reading for Hospice Nurses

    aimeee replied to introspectiveRN's topic in Hospice, Palliative

    Michael, I understand that you feel very strongly about this subject, but using the terms ignorant and disgusting is pretty harsh. As a society, we are struggling with this subject and to turn around...
  6. aimeee

    Care at the Time of Death

    aimeee replied to NRSKarenRN's topic in Hospice, Palliative

    Good post, Leslie! I am not out in the field much but I am constantly reading the oncall reports and the sense I get is that those who have accepted that they are dying and made their peace with...
  7. aimeee

    LPN job in Hospice entails not much, why?

    aimeee replied to kstec's topic in Hospice, Palliative

    Some of the difference may be due to state law where you are. In our state, LPN's cannot pronounce a death. As Doodlemom stated, it is Medicare that has decreed that an RN must assess the patient at...
  8. aimeee

    Palliative/Full code

    aimeee replied to Nursebarebari's topic in Hospice, Palliative

    Many of our palliative care patients are full code. Many of our hospice patients are also full code. Usually by the time that they are near death, assuming their decline is not abrupt, they will...
  9. aimeee

    Question about becoming a hospice nurse

    aimeee replied to Little Panda RN's topic in Hospice, Palliative

    This question comes up regularly here and there is not one hard and fast answer. Most hospices consider the ideal candidate to be one who has had a variety of experiences which include some exposure...
  10. aimeee

    Interview questions and Red Flags for Hospice

    aimeee replied to Fiesta Red's topic in Hospice, Palliative

    Great news.
  11. aimeee

    Care at the Time of Death

    aimeee replied to NRSKarenRN's topic in Hospice, Palliative

    My thoughts are very similar. You've expressed yourself well. Everytime I go to post in threads like this I type a great deal and end up erasing it all because it never says what I want it to. Then...
  12. aimeee

    Is a hospice program needed in LTC?

    aimeee replied to clevelandrocksgirl38's topic in Hospice, Palliative

    When I started in LTC I think one of the reasons nurses didn't medicate more for pain was that it was so darned inconvenient. Since the narcotics were all kept in the locked cupboard in the nurses...
  13. aimeee

    New Hospice Nurse says HI!

    aimeee replied to CRNAorBust's topic in Hospice, Palliative

    Welcome to the hospice
  14. aimeee

    Any Admission nurses out there??

    aimeee replied to Rnmomajmj's topic in Hospice, Palliative

    Ah....reference materials....do you mean what is handy dandy to have with you? Your "tool kit?" If this is what you mean then I suggest a list of the physicians you work with most often, phone...
  15. aimeee

    Any Admission nurses out there??

    aimeee replied to Rnmomajmj's topic in Hospice, Palliative

    I'm not quite sure what you are asking for..... We have a full time admissions nurse who is salaried and several part-time admissions nurses who are hourly. Our full time nurse likes a later schedule...
  16. aimeee

    Is a hospice program needed in LTC?

    aimeee replied to clevelandrocksgirl38's topic in Hospice, Palliative

    I began my nursing career in LTC so I have experienced hospice from both sides. Some facility nurses do an excellent job of caring for their end-of-life patients...but often there is inconsistency in...
  17. aimeee

    Pain tool for nonverbal, dementia, alzheimers, and terminal patients

    aimeee replied to jyhn's topic in Hospice, Palliative

    We use the PAINAD scale
  18. aimeee

    Hospice Team Leader

    aimeee replied to saribeth's topic in Hospice, Palliative

    We had a team leader position for a while but have changed our model again. The team leader did the assignments and daily scheduling to make sure all visit needs were covered. They also did a lot of...
  19. aimeee

    Again, would someone please give me some input on hospice?

    aimeee replied to kstec's topic in Hospice, Palliative

    Congratulations! How
  20. aimeee

    Paper or computer documentation???

    aimeee replied to andre's topic in Hospice, Palliative

    We have gone to computerized documentation. I doubt if there is any time savings but its great for tracking and reports. Its also wonderful for the sharing of information, particularly for the...
  21. aimeee

    Handling On Call

    aimeee replied to CaringRN1234's topic in Hospice, Palliative

    We triage the calls too. Often a family just wants to clarify an issue or get a little reassurance that they are doing the right thing. In fact, in many cases a visit would be disruptive to...
  22. aimeee

    The Best Pain Med. Beside Morphine That Will Work For A Hospice/als Patient

    aimeee replied to miche18's topic in Hospice, Palliative

    There are a number of things at work here.....for instance, an end stage heart or COPD patient may have been resuscitated before and its hard for the patient/family to grasp that it won't work again...
  23. aimeee

    Specialty Mattress covered by medicare Hospice Benefit?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    When we take on a patient who is on a specialty mattress the first thing we do is assess the need and the goals. Then we figure out what mattress/overlay we need to achieve that. We have a DME...
  24. aimeee

    HELP! Hospice Nurses! How Many Patients Do You Have?

    aimeee replied to tencat's topic in Hospice, Palliative

    10 to 12 patients is usually considered a decent caseload but if you have a lot of windshield time that could affect it. Also, acuity plays a part and how many times a week you are needing to visit...
  25. aimeee

    hospice in LTC/payment

    aimeee replied to ktwlpn's topic in Hospice, Palliative

    I'll do my best but it can be a bit confusing.... If the patient is currently paying privately for their room and board and is in a basic bed at the nursing home, then not much changes. The patient...