rnboysmom

rnboysmom

HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS

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All Content by rnboysmom

  1. Amount of paperwork and hours for paperwork

    rnboysmom replied to NurseFeelGood2005's topic in Hospice, Palliative

    Might just want to check in with state labor laws, I am fairly certain (in our state, anyway) that a hospice couldn't salary an LPN. Salaried have to be "managing" someone--this is how they can...

  2. Developing Good Relationship with Death

    rnboysmom replied to MissouriBSNstudent's topic in Hospice, Palliative

    Missouri I, by no means am any more qualified to help you through this, but I am always willing to help, when I can. I am sure that you have been versed by now that some of your "panic" probably comes...

  3. Mileage reimburssment

    rnboysmom replied to curiousauntie's topic in Hospice, Palliative

    We reimburse at government rates. Keep in mind that you can claim any unreimbursed mileage on your federal taxes if you file long form--you can deduct oil changes, and other car maintenance as well...

  4. How long are your visits in the home?

    rnboysmom replied to NurseFeelGood2005's topic in Hospice, Palliative

    Chrissy I agree with dailysong-there is a wide variance of time you need to be on a visit, best answer is until you are comfortable that the patient is comfortable/assessed and the family is...

  5. Which Hospice companies are Good to work for?

    rnboysmom replied to Raine08's topic in Hospice, Palliative

    Yes Yes Yes!!! People, there is a nursing shortage! Good help is hard to find. Believe me when I tell you that life is too short to be working in a position or job that you don't enjoy. If you are...

  6. Organization for Hospice NUrse

    rnboysmom replied to Mamanurse62's topic in Hospice, Palliative

    If you are new to hospice nursing, organization is a process, you may go through 5 or 6 different systems before you find one that works for you (I did!!!) it was an entire year before I felt that I...

  7. md visits in inpatient

    rnboysmom replied to hospicemom's topic in Hospice, Palliative

    Visits by the MD are set by hospital policy--almost any hospital that has any type of certification requires that MD visits daily for management of the patient within the system. Most hospitals that...

  8. Which Hospice companies are Good to work for?

    rnboysmom replied to Raine08's topic in Hospice, Palliative

    I don't know that I totally agree with the profit vs non-profit and that is why I did not mention it in my last post. For-profit companies will tell you that the only difference between them and NFP...

  9. Home pt. with glioblastoma. Could use some tips.

    rnboysmom replied to wonderbee's topic in Hospice, Palliative

    It will be two years in June that my husband passed from an aggressive, left temporal GBM (inoperable). I agree with LPN, this CA is ravaging. My husband chose to starve himself rather than to eat and...

  10. Help!!! Considering hospice job!

    rnboysmom replied to funlovincutie's topic in Hospice, Palliative

    A lot of the paperwork depends on the company--whether they are on paper or computer. Most larger corporate companies have their paperwork streamlined to be as efficient as possible for the nurse....

  11. Salary Question

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Some of this depends on the state you live in (Georgia I presume) and some of depends on your "status" --are you salaried-- are you salaried exempt? What is your company policy? Some companies don't...

  12. Which Hospice companies are Good to work for?

    rnboysmom replied to Raine08's topic in Hospice, Palliative

    A good place to start is by making a list of the things you think you could actually give to the hospice profession---and be honest. Can you work late if needed, can you get up in the middle of the...

  13. end of life care falling short in LTC

    rnboysmom replied to ktwlpn's topic in Hospice, Palliative

    Good luck to you on your endeavor to unite LTCF and hospice. I can tell you a little of our story. Our company was started three years ago when the president of a LTCF decided that hospice wasn't...

  14. Copies of original Orders

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Mazzi is right, your secretary is wrong. YOu should ALWAYS have at least one copy of the physiucian order--if the secretary has nothing to track on getting orders back in a timely manner (a copy that...

  15. Hospice On Call Compensation Structure

    rnboysmom replied to Katillac's topic in Hospice, Palliative

    I don't know that I agree with "leaving case managers alone." I don't think that it needs to be extensive, but there is something to be said for all case managers to have to do some on-call through...

  16. Use of an Oxymetor

    rnboysmom replied to Mazzi's topic in Hospice, Palliative

    Our LCD's require both: 1. dyspnea at rest or poor response to bronchodilators and/or increasing ER visits, pulmonary infections and/or respiratory failure and 2. Hypoxemia at rest on room air aeb...

  17. Name that part. Words patients use for their own anatomy.

    rnboysmom replied to JEHORAPHA's topic in General Nursing

    Was the nurse in the room one day with a 97 year old patient with lady partsl bleeding, the lady (in stirrups) waited until all 7 residents were in the room with the attending until she shouted at...

  18. Hospice On Call Compensation Structure

    rnboysmom replied to Katillac's topic in Hospice, Palliative

    I have been doing this for awhile, took three hospice companies in 8 years to find the right one for me. first company (huge for-profit national corporate company just bought by another huge...

  19. Charting guidelines

    rnboysmom replied to curiousauntie's topic in Hospice, Palliative

    The Corridor Group has a really nice, concise book that can be carried easily with your supplies that gives charting guidelines, frequency guidelines and a lot of general hospice knowledge that is...

  20. Hello to all and I have a very serious question...

    rnboysmom replied to hospicenurse MO LPN's topic in Hospice, Palliative

    Federal Regulations require the POC to be initiated by the RN (who must assess the patient to do so) Others are correct, you need to check your nurse practice act to ensure you are not acting out of...

  21. Use of an Oxymetor

    rnboysmom replied to Mazzi's topic in Hospice, Palliative

    nursegirl oxometers are not a requirement in hospice nursing for gauging symptom control. If your hospice "requires" you to take an o2 sat during visits, they should provide the oximeter, I have...

  22. What to do??????????secretions.....

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Atlanta RN I agree with all others, the essential goal is patient (and family) comfort. if your clinical coordinator is upset that you spent 4 hours on symptom control----shame on her!!!! She should...

  23. Home Health RN Switching to Hospice-I think.

    rnboysmom replied to CampbellSoupCan's topic in Hospice, Palliative

    Paperwork Yuck!!! I can't promise that the paperwork is any less, but I do believe it is more pertinent to the patient than HH which seems to deal with a lot of accounting to the government that...