aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Anyone else Salaried here?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Yes, I think getting back 2 hours of commute time a day would be a huge
  2. aimeee

    Anyone else Salaried here?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    You CANT be without a social worker. It is a CORE service. If you do not have a social worker then you are out of compliance with medicare
  3. aimeee

    Having a hard time with boundaries

    aimeee replied to wonderbee's topic in Hospice, Palliative

    I don't understand why they aren't utilizing the prn nurses to take some of the burden off you when your case load is so
  4. aimeee

    Having a hard time with boundaries

    aimeee replied to wonderbee's topic in Hospice, Palliative

    General Inpatient is a higher level of care, sometimes in a hospice house, sometimes in a hospital bed, and sometimes in a nursing home. But if done in a nursing home, they are actually supposed to...
  5. aimeee

    How did you arrive in hospice?

    aimeee replied to Joe NightingMale's topic in Hospice, Palliative

    I shadowed a hospice nurse on one of my "specialty days" during nursing school. Then I had some exposure while working in long term care and it seemed a natural progression for me. I was a little...
  6. aimeee

    RN supervisory visit Frequency?

    aimeee replied to new2hospiceRN's topic in Hospice, Palliative

    Its a Medicare Condition of Participation that an RN must assess the patient and address the care plan with the IDT every 2
  7. aimeee

    Ever Admit without all the needed info?

    aimeee replied to new2hospiceRN's topic in Hospice, Palliative

    Well, this is often a judgement call. There are times that we admit with very little paper evidence and going very much on the level of distress of the family that this patient is sinking fast. We...
  8. aimeee

    REAL Pain or ADDICTION?

    aimeee replied to captain morgan's topic in Hospice, Palliative

    Does this patient have a history of substance abuse? They frequently require very high doses to relieve their pain. I think this is partly because use of these substances has changed the way their...
  9. aimeee

    Hospice nurse advice

    aimeee replied to cherokeesummer's topic in Hospice, Palliative

    Ask the hospice nurse about getting him an alternating pressure mattress. I usually advise continuing to turn but medicating with the liquid morphine 1/2 an hour or so before to minimize associated...
  10. aimeee

    primary diagnosis and co-morbidity

    aimeee replied to Hospice Nurse LPN's topic in Hospice, Palliative

    When a patient is under hospice care then Hospice is the care manager which means we retain ultimate responsibility for the coordination of the total care plan. Therefore, nothing is truly outside...
  11. aimeee

    Anyone else Salaried here?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    I'm salaried but I am not a case manager. You will rarely see me come in before 8:30 but I am often there until 6p and usually don't take much more than 15 or 20 minutes for lunch, unless its a...
  12. aimeee

    Is it wrong that I love this specialty so much?

    aimeee replied to ShayRN's topic in Hospice, Palliative

    Shay, its wonderful that you have found your bliss.
  13. aimeee

    Hospice nurse advice

    aimeee replied to cherokeesummer's topic in Hospice, Palliative

    Those are sometimes difficult things to know even if one is directly involved with a case and darned near impossible from this distance. However, I can tell you that it is typical for end-stage...
  14. aimeee

    Hospice Triage Nurse

    aimeee replied to nashva's topic in Hospice, Palliative

    Our triage nurses make the same "rate" as well, but we have had many different ways of compensating people over the years. Much depends on how busy they are and of course it can vary wildly from one...
  15. aimeee

    LVNs in hospice

    aimeee replied to river1951's topic in Hospice, Palliative

    We utilize our LPN's mostly in our nursing home practice. They act under the direction of an RN Case Manager. The RN visits once every 2 weeks for an assessment of the patient and to check the chart...
  16. aimeee

    Elevated temperature - question

    aimeee replied to cherokeesummer's topic in Hospice, Palliative

    I agree with both Debbers and Irishpooh. I think all 3 can be contributing
  17. aimeee

    Hospice...not what I thought it was going to be

    aimeee replied to Louisepug's topic in Hospice, Palliative

    I had the same thoughts about inpatient hospice...although the staff/patient ratio is generally low, the acuity can be quite high and nurses often do a lot of demanding physical hands on care....
  18. aimeee

    Hospice...not what I thought it was going to be

    aimeee replied to Louisepug's topic in Hospice, Palliative

    Consider this a loud and resounding NO. You sound like you have been blessed with a caseload of very stable patients without a whole lot of needs. They won't stay that way for long. Very soon one or...
  19. aimeee

    Flying Solo - Hellllllllllllllllllllp

    aimeee replied to captain morgan's topic in Hospice, Palliative

    Glad you like the looks of the book. I hope you find it serves you well. Very sad that the patient did not get to die the way he wanted. What a
  20. aimeee

    Flying Solo - Hellllllllllllllllllllp

    aimeee replied to captain morgan's topic in Hospice, Palliative

    Great! Let me know how it works out for
  21. aimeee

    BiPapp

    aimeee replied to RNDYN2CU's topic in Hospice, Palliative

    I am so glad to hear he had a good death. Thanks for sharing. Those successes are indeed why we keep coming to work each
  22. aimeee

    BiPapp

    aimeee replied to RNDYN2CU's topic in Hospice, Palliative

    If its what the patient wanted, why is it inhumane? It would seem inhumane to me to force him to keep wearing it. With roxanol and antianxiety meds to reduce his air hunger and distress, it would be...
  23. aimeee

    Flying Solo - Hellllllllllllllllllllp

    aimeee replied to captain morgan's topic in Hospice, Palliative

    The book she refers to is the Medication Use Guidelines from Hospice Pharmacia. These are issued to all the hospices which are signed up with them as customers but unavailable to anyone else....
  24. aimeee

    Flying Solo - Hellllllllllllllllllllp

    aimeee replied to captain morgan's topic in Hospice, Palliative

    When people are used to depending on the ER to fix their problems it can be difficult for them to learn to trust someone else. You really haven't had time to form a relationship with the patient yet....
  25. aimeee

    Should Patient be Revoked???

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Well....hopefully it will float right through, but there are a lot of things Medicare just automatically rejects and you have to put through a second time with additional documentation to get them...