rnboysmom

rnboysmom

HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS

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All Content by rnboysmom

  1. New to Hospice starting Monday

    rnboysmom replied to ParrotHeadRN's topic in Hospice, Palliative

    A big who-hoo to Finn! A proper orientation program! Ours is very similar--a mentor/resource is invaluable and worth their weight in gold!! I am still in this profession, 8 years later because I had...

  2. Driving time

    rnboysmom replied to Em1995's topic in Hospice, Palliative

    BEWARE, Beware, beware!!! Some states DO NOT RECOGNIZE COMP TIME (check with your state department of labor)(Indiana does not)!!! This means, for example, that if you do 22 hours of on call this week...

  3. Starting as a hospice case manager...

    rnboysmom replied to TNlearner1's topic in Hospice, Palliative

    TN I am not sure that the job gets any "easier", you just get better at it. You will get very familiar with APS. I often wondered why it seemed that every single patient that our company signed...

  4. Starting as a hospice case manager...

    rnboysmom replied to TNlearner1's topic in Hospice, Palliative

    I agree with finn11707, it is quite unusual to only see your patients every two weeks--are LPN's seeing them in the interim? What does your caseload look like? I have done the whole spectrum in...

  5. discharges

    rnboysmom posted a topic in Hospice, Palliative

    Does anybody have a policy with company guidelines for discharging a patient? We are in our 4th year and have never done his before, but finally have a home where my staff is so threatened to provide...

  6. Do you attend funerals?

    rnboysmom replied to Rnmomajmj's topic in Hospice, Palliative

    We are given the option of attending fuanerals and visitations and are allowed to schedule this into our day. For most of us, it helps with closure and often helps the family as well. We have never...

  7. Pain Not Controlled With Dilaudid Pum

    rnboysmom replied to waterstarjen's topic in Hospice, Palliative

    One of the worst things for a hospice nurse is a symptom crisis. Remember, the right dose of the opioid is the dose that controlls the pain. I once had a very young Ovarian CA (27 yo)patient that was...

  8. I love hospice, but caseload is impossible, should we go to nurse advocate or CEO?

    rnboysmom replied to abby2525's topic in Hospice, Palliative

    Abby I agree with Kathleen, nurses are much too valuable to be treated the way you describe--and such a shame as you all sound very dedicated. Definitely start with the chain of command--if this is...

  9. Elnec

    rnboysmom posted a topic in Hospice, Palliative

    Does anyone have any experience with the ELNEC (End of Life Nursing Education Consortium) program sponsored by the American Association of Colleges of Nursing? I am attending the porgram in June 08...

  10. I know a CNA who's name badge says nurse!

    rnboysmom replied to RNFROMTHEHILL's topic in General Nursing

    I have no problems with specialized training and job responsibilities. I work beside LPN's, CNA's, HA's and QMA's that I learn from every day and am proud to be on a team with. I am aware that ther...

  11. I know a CNA who's name badge says nurse!

    rnboysmom replied to RNFROMTHEHILL's topic in General Nursing

    I totally agree, we work too long, too hard for licensure to allow this type of thing to go un-checked. The punishment for this type of misrepresentation is severe--loss of her licensure is just a...

  12. Last night made me realize

    rnboysmom replied to dreamingofbeing's topic in General Nursing

    Wow, what area of the US are you in??? I am always hiring hospice nurses with a heart, you are on the right track. You will be the most fulfilled when you follow your insticts. I started on an...

  13. Low/moderate stress nursing jobs???

    rnboysmom replied to Genista's topic in General Nursing

    I agree with Aimers, usually government types of nursing jobs meet these types of qualifications you mentioned. Hospice nursing is definitely out. Education types of jobs are usually lower stress...

  14. How long before I'm not considered a "Newbie"?

    rnboysmom replied to gentlegiver's topic in General Nursing

    You are...til your not. You will know when your'e seasoned--you will be the one running TO the code instead of running AWAY from

  15. My D.o.n. Is So Unprofessional!!!!

    rnboysmom replied to RNFROMTHEHILL's topic in Geriatric, LTC

    Let her rant, wait for an audience, walk to her door and ask..."wow, do you feel better

  16. If you weren't a nurse what other job would you like to do?

    rnboysmom replied to Ms. Nurse Assistant's topic in General Nursing

    When I grow up I want to be a tornado/storm chaser. Second would be a genealogist. I love my job, but not sure if healthcare would be something I would continue to do if I won the lottery...

  17. I know a CNA who's name badge says nurse!

    rnboysmom replied to RNFROMTHEHILL's topic in General Nursing

    Don't agree with that one. The general public is very niave about general titles unless they apply to them. After all, to the general public, who in the world would want to represent themseves as a...

  18. Medicare reimbursement

    rnboysmom replied to funlovincutie's topic in Hospice, Palliative

    Any cut threatens the benefit. Hospice is one service that is particularly vulnerable to economy fluctuations, rising transportation costs, soaring medication prices and nursing shortages to name a...

  19. Cr 5567

    rnboysmom replied to rockchalkjayhawk's topic in Hospice, Palliative

    Our solution---computerization. We have selected Misys and they are here this week. However, point of care will not be up and running until August, so we willl have to do this manually until then....

  20. Amount of paperwork and hours for paperwork

    rnboysmom replied to NurseFeelGood2005's topic in Hospice, Palliative

    I agreee. The hospice benefit is never definite, "6 months or less if the disease process runs it's normal course", but, when 50% of your patients have been on service for a year? I couldn't help...

  21. So What Does The Inside of Your Car Look Like?

    rnboysmom replied to DutchgirlRN's topic in Home Health

    Just saw an awesome new thing in the auto section at Walmart when I was in the auto parts section with my teen boys, there is a front seat organizer that buckles in that looks awesome kind of like the...

  22. Request for deceased to stay in home overnight

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Laws vary state to state. We currently have a family on service that has the entire funeral planned in their living room for when their family member passes. The coffin will be delivered to the home...

  23. May lose my license :(

    rnboysmom replied to kentucky_RN's topic in General Nursing

    Be proactive about this, call the board after calling an attorney, do some soul searching, are you substituting one habit for another? If so, get some help immediately. As in real life, take the...

  24. Hospice Electronic Documentation

    rnboysmom replied to jyhn's topic in Hospice, Palliative

    We start building our Misys program this week, we are very excited, but also very scared! Most of us were "raised on paper". We looked at the McKesson product too, and it looked fairly...

  25. Amount of paperwork and hours for paperwork

    rnboysmom replied to NurseFeelGood2005's topic in Hospice, Palliative

    No offense here, but OUCH--20 minutes for a hospice visit? That information, along with the fact that 6 of 12 of your patients have been on service for a year or more, are very stable and require...