aimeee BSN, RN

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All Content by aimeee

  1. I don't know how you schedule anything with CC since the nature of the work is crisis care. We just can't seem to get our patients to schedule a crisis to coincide with our staff availability! Our...
  2. aimeee

    Is this practicing without a license??

    Too
  3. aimeee

    Is this practicing without a license??

    Ah, but hospice is paid per diem so dressing supplies are just paid out of the per diem. And you get paid the same whether you visit every day or only once a
  4. aimeee

    Is this practicing without a license??

    We have standing orders that allow us to initiate orders for minor dressings like
  5. aimeee

    From OB to Hospice?!

    Actually I know quite a few people who were drawn to both areas, myself included. They are both transitional points in the circle of life. The three years of med surg is great
  6. aimeee

    Pay for old timers

    Pay varies widely by geographic region. In general, nobody gets rich doing hospice work but salaries are usually close to competitive within a region. It depends somewhat on the level of competition...
  7. aimeee

    Fentora

    Took some searching to find an online pharmacy price for this drug...the lowest dosage I found was a ,, 100 mcg, with a box of 30 going for $337.55.
  8. aimeee

    IV therapy

    Is this for an inpatient unit or home hospice work? Usually peripheral IV's are strongly discouraged because (as stated above) hospice patient's tend to have crappy veins and in a home setting you...
  9. aimeee

    Hospice On Call Compensation Structure

    You should be paid your regular rate for the time you spend on the phone and for the documentation. It can really add up. The $2.00 an hour is compensation for being available and curbing your life...
  10. aimeee

    Hospice Pharmacia- wounds

    No, we are not using it but we got the pitch from them. As I recall, you report the size, type, appearance of the wound and there are established protocols for the treatment. They send the supplies...
  11. aimeee

    How many pts do you care for?

    We have triage nurses on weekends. On the weekdays the oncall nurses take turns triaging the calls and going out to handle them. But at all times, the oncall responsibilities are all handled by a...
  12. aimeee

    Recommended Reading for Hospice Nurses

    I especially like the Fast Facts at this website. You will find one about almost every aspect of symptom management as well as about a number of ethical issues:
  13. aimeee

    extubating for terminal patient

    I'm sorry to hear that you are experiencing this with a family member. It is a difficult decision. Its very difficult to say what will happen after extubation. Sometimes patients surprise us. Here...
  14. aimeee

    Is Hospice for me?

    Check out this thread for replies that may tell you what you want to know:
  15. There are no easy answers here. As stated above, there may be cultural factors involved. We usually encourage disclosure to patients because if they are of sound mind they already perceive that...
  16. aimeee

    Husband Doesn't Get It...

    Maybe husband doesn't want them to stay there? Maybe he is pushing away their help? Next time they start complaining about him you might try something like "He is really struggling with this, isn't...
  17. We didn't have a unit long enough for it to really become an issue but it seems to me that this is a customer service issue. Evidently the kitchen finds the preparation of too many extra meals...
  18. aimeee

    Whacked Family Dynamics

    Are you counting your narcotics and anxiolytics at each visit? Family discord does make everything more challenging, that's for
  19. Great story, Leslie! Thanks for sharing your
  20. aimeee

    Is it always better to die at home?

    The viewpoints expressed in this thread just prove how individual and varied we are. Its a great reminder not to impose our own agendas on our patients and
  21. aimeee

    CHPN exam

    Study guides are available on the HPNA website. This is a general knowledge test of the specialty area so if you are brand new to the field you may want to wait another 6 months before attempting...
  22. aimeee

    missed visits?

    You must visit according to the frequency you set in your plan of care. What we often do is make a phone visit if we are really stretched or the family/patient is not wanting a visit for some
  23. aimeee

    How to decide visit frequency?

    Our patients can change so rapidly that it would be hard to do this. We plan for 2 visits a week and the second visit might turn into a phone visit if they are pretty stable and additional visits are...
  24. aimeee

    My experience with hospice

    I am also grateful and proud to be able to serve in this
  25. Congratulations to all you received their