rnboysmom

rnboysmom

HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS

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All Content by rnboysmom

  1. Nurses, physicians weigh in on new doctoral nurse degree

    rnboysmom replied to Brian's topic in Doctoral Nursing Degrees

    Go

  2. Nurses, physicians weigh in on new doctoral nurse degree

    rnboysmom replied to Brian's topic in Doctoral Nursing Degrees

    We had a similar (but quite different) topic on allnurses a couple of months ago that got quite heated. It involved employees in MD offices that were calling themselves nurses, but were actually...

  3. Daughter doesn't want hospital to know Patient on hospice

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    What you have here, folks, is a daughter that wants desperately to maintain control of the situation. Medicare will pay for hospice and a hospitalization as long as the hospice diagnosis and the...

  4. Nurses, physicians weigh in on new doctoral nurse degree

    rnboysmom replied to Brian's topic in Doctoral Nursing Degrees

    One would not expect a poet with a PhD to offer to help with an emergency on a plane---HOWEVER, a nurse with an advanced practice degree, and most certainly almost any nurse would "step-up to the...

  5. Post mortem care

    rnboysmom replied to mc3's topic in Hospice, Palliative

    Gee, I am sorry that you are that busy with the company you work for, but the fact that the company you work for chooses to work you like that does not excuse giving proper care to a patient or family...

  6. Hospice On Call Compensation Structure

    rnboysmom replied to Katillac's topic in Hospice, Palliative

    I don't know that I agree with keeping one set of timesheets and turning in a different one to your employer. You may be able to use that in the event of a lawsuit, but their defense would be all...

  7. Post mortem care

    rnboysmom replied to mc3's topic in Hospice, Palliative

    That was the exact reason they requested we leave central lines, midlines and PICC's--they said it was much easier to use an existing line than to accomplish the task post mortem. I don't know about...

  8. Post mortem care

    rnboysmom replied to mc3's topic in Hospice, Palliative

    BTW, in this area (midwest) several of our local morticians have requested (at inservices) that (if we think about it) not to pull midlines or PICC's as they are easy routes for embalming. As we meet...

  9. Post mortem care

    rnboysmom replied to mc3's topic in Hospice, Palliative

    Mike True, true. I am from the midwest and from an area with a strong German Catholic heritage. In my years as a hospice nurse, I can think of maybe one time that a family initially objected, then...

  10. RN Case Manager "characteristics"

    rnboysmom replied to deecee474's topic in Hospice, Palliative

    Aimeee HeeHee, I agree, sometimes the cape is just harder to see! Good listening skills, practicality and resourcefullness; the ability to remain calm (and,at times, to mask the look of shock) in...

  11. Hospice On Call Compensation Structure

    rnboysmom replied to Katillac's topic in Hospice, Palliative

    Dear LaRn NOBODY but you can allow the practice of "working you for free". Hospice is one of those wierd areas where the nurse is actually considered to be a manager (as she is "managing" the core...

  12. hospice work schedule question

    rnboysmom replied to OutWest's topic in Hospice, Palliative

    Outwest Thanks for the concern. We are in the southern tip of Indiana ad had almost 100,000 without power, Kentucky is just across the river and they still have greater than 50,000 without power...

  13. South Carolina Medicaid Cuts

    rnboysmom replied to shrinky's topic in Hospice, Palliative

    Not in SC, but have heard about this! Hopefully, our new president's incentive proposal (also dubbed the Health care Tax Reform Bill as it contains GOBS of healthcare incentives) will be of benefit...

  14. Post mortem care

    rnboysmom replied to mc3's topic in Hospice, Palliative

    Amen,Amen,Amen in whatever religion you want to be a part of. Post mortem care is about RESPECT to the family, the deceased and our profession!!!!!!! After asking the family their preferences or...

  15. Tremors

    rnboysmom replied to Melinurse's topic in Hospice, Palliative

    I know that I will get some flac for this, but I do have to agree with leslie on this one. While opioid rotation is an accepted practice and we tend to suggest it often, there isn't a lot of research...

  16. hospice work schedule question

    rnboysmom replied to OutWest's topic in Hospice, Palliative

    Sorry everybody, we have had a terrible ice storm here and things aren't working well internet-wise. I hit refresh twice and it finally sent three responses to the same

  17. hospice work schedule question

    rnboysmom replied to OutWest's topic in Hospice, Palliative

    sorry-duplicate

  18. hospice work schedule question

    rnboysmom replied to OutWest's topic in Hospice, Palliative

    Hospice does require a level of commitment (kind of like being a postal worker--neither rain nor snow nor sleet nor hail...). However, it is essential to balance your work and home life to be able to...

  19. New to hospice and I have a question...

    rnboysmom replied to ElliShay's topic in Hospice, Palliative

    Okay, I am making an attempt to be positive and agree with leslie regarding the need to care plan for the questions the patient or family may have regarding enteral feedings. As hospice professionals,...

  20. Student Nurses and Hospice patients

    rnboysmom replied to NHCNurse's topic in Hospice, Palliative

    j-me Awesome that someone that built your program thought to include a rotation in a hospice in-patient. Please listen and watch, and learn closely. I recently read that the average nursing student...

  21. Continuous Sub Q Morphine

    rnboysmom replied to scribblerpnp's topic in Hospice, Palliative

    The proper dose of morphine is the dose that controls the symptoms. The only limitations on the SQ morphine is the amount of fluid you are infusing into the SQ tissue, which should not exceed 3cc/hour...

  22. "Evaluate and Treat" question

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    In the US, hospice is usually reimbursed under Medicare which is a "physician driven" system. The physician (or NP) has to give the evaluation order, then the hospice contacts the patient/family to...

  23. "Evaluate and Treat" question

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Yes, some physicians will write "evaluate and treat". WE only evaluate with that order and will NOT evaluate a patient for service without that order--as you are practicing without an order if you...

  24. Starting as a hospice case manager...

    rnboysmom replied to TNlearner1's topic in Hospice, Palliative

    Re the "paperwork" Yep--paperwork is a nightmare and will consume you if you don't stay on top of it. However...paperwork is the necessary evil of the government and federal regulations and is a...

  25. advice on rash

    rnboysmom replied to TrueBlue2's topic in Hospice, Palliative

    Lots of support to allow him to keep doing the things that he wants--for as long as he can is the first order of business. Was there any types of poison Ivy, Oak or Sumak in the back yard? Has he...