aimeee BSN, RN

Member

  • Content

    932

  • Visitors

    12,759

  • Followers

    0

  • Likes

    6

All Content by aimeee

  1. aimeee

    Should Patient be Revoked???

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    You cannot revoke a patient. Only a patient can revoke their hospice benefit. You can encourage the family revoke so that they will not have charges for the ER visit which was outside their plan of...
  2. aimeee

    Flying Solo - Week 2 orientation

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

    The infusion company that supplied you with the pump and morphine cassette will probably have a standard protocol sheet for you. We use the SASH too, but don't recall the exact amounts. I agree with...
  3. aimeee

    My 54 Yr old Pt wiht ES Liver Mass: What can I expect?

    aimeee replied to RNDYN2CU's topic in Hospice, Palliative

    "A common way to calculate the amount of medication to give for breakthrough pain is to add the total amount of oral opioid given in 24 hours to control the pain adequately and give 10-15% of that...
  4. aimeee

    Flying Solo - Week 2 orientation

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

    I am not certain what all is on the agendas for training because I am not in charge of it but we do have all our nurses spend a full day with each of the other disciplines. They also usually spend a...
  5. aimeee

    Flying Solo - Week 2 orientation

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

    We have a full six weeks orientation for case managers and we have found that when they have no previous hospice experience, if we attempt to put them in the field solo any sooner than that, we do...
  6. aimeee

    Flying Solo - Week 2 orientation

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

    I'm incredulous that a hospice would send a nurse who is completely new to hospice out to do an admission, untrained, in her second week of orientation. If this is indicative of your training...
  7. aimeee

    It's 4pm, who does the 5pm admission?

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    If we have already spoken with the family and they are delayed in arrival and verbally agree to it, we will go ahead with the assessment but no further without signed papers. This sort of situation...
  8. aimeee

    symptom management for dummies

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

    People who have a history of drug or alcohol use often take much larger doses to achieve the same results. They may also manifest their "spiritual pain" in physical symptoms. It doesn't make it any...
  9. aimeee

    Question about fentanyl patch

    aimeee replied to sukichaz's topic in Hospice, Palliative

    Carol, the 12.5 mcg dosage patch is fairly new....it just came on the market about a year ago, I think. Hospice pharmacia did not include it in their formulary until this year. Good mention about the...
  10. aimeee

    Question about fentanyl patch

    aimeee replied to sukichaz's topic in Hospice, Palliative

    I thought the same thing. Still, I am sometimes appalled at what I read in the history when patients come to us. Saw one doc had gone straight from a couple vicodin a day to a 50 mcg patch! And...
  11. aimeee

    What is the best part of being a hospice nurse?

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

    Wow! You must be an adrenaline junkie. I can't imagine ever finding hospice care boring. I am always learning something new and every day is different. On the other hand, ER/ICU always seemed way...
  12. aimeee

    Question about Respite at an Inpt Facility

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    I think a cruise would be fabulous respite!! Seriously though, you are correct. Respite is supposed to be for people who are physically and/or emotionally exhausted and just really need a break. It...
  13. aimeee

    Question about Respite at an Inpt Facility

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    I'm getting the idea there may be some confusion between levels of care here. If your patient is under a Respite level of care, there should be no need to visit every day, just the usual number...
  14. aimeee

    How often are you on-call; scheduled weekend visits?

    aimeee replied to Caffeinated's topic in Hospice, Palliative

    Our census is 150 and we have a dedicated oncall
  15. aimeee

    What is the best part of being a hospice nurse?

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

    Call varies widely from hospice to hospice depending on what level of resource they devote to it. It also can vary widely just from night to night. Some nights our nurses don't go out at all, the...
  16. aimeee

    Should we consider hospice?

    aimeee replied to shleynic's topic in Hospice, Palliative

    I must agree with Hospice Nurse LPN. Hospices should be compared on the basis of the quality of service which their patients receive. Although it pains me to say it, some for-profits provide better...
  17. aimeee

    Should we consider hospice?

    aimeee replied to shleynic's topic in Hospice, Palliative

    Dementia is not something that always follows a linear path. General indicators are a loss of the ability to walk without assistance, loss of ability to communicate meaningfully, inability to perform...
  18. aimeee

    Need tips when charting after the death of a patient

    aimeee replied to skittlebear's topic in Hospice, Palliative

    I would also add a short note about the reaction of the family and the assistance offered to them. (were they tearful but expressing relief? Angry and punching walls? Hugging and supporting each...
  19. aimeee

    March 17, 2007 CHPN exam

    aimeee replied to chris_at_lucas_RN's topic in Hospice, Palliative

    Congratulations to all of you! It reminds me I have to get cracking on getting stuff together for my alternative recertification. I need to submit at the end of this
  20. aimeee

    hospice organizations

    aimeee replied to hcan's topic in Hospice, Palliative

    We get a raise when we get our CHPN (though not a big one) and I feel very proud to have the letters after my name on my name tag. I get asked now and then what it stands for and its great to be able...
  21. aimeee

    hospital admissions

    aimeee replied to hcan's topic in Hospice, Palliative

    That's an easy one to answer. When they are admitted to hospice the hospital only gets reimbursed whatever the hospice has contracted to pay them for the bed....which is probably the lions share of...
  22. aimeee

    What does it mean...

    aimeee replied to jerseyRN's topic in Hospice, Palliative

    All excellent
  23. aimeee

    DME question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    I will usually order an oxygen concentrator for anybody with cardiac dx or lung ca at the get go. They can change in a twinkling and even a short while when you are short of breath can seem like an...
  24. aimeee

    Question about dyspnea

    aimeee replied to sukichaz's topic in Hospice, Palliative

    From the picture you are painting, I wonder if fluid buildup is really the problem. With widespread metastatic disease there may be substantial tumor burden that is mechanically preventing lung...
  25. aimeee

    IV therapy

    aimeee replied to jacjon's topic in Hospice, Palliative

    All good points but we have done IV hydration now and then for families who are struggling mightily and just don't believe what we are telling them. Usually after one bag when they see all the things...