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dosamigos76

dosamigos76

Patient Care Manager-Hospice
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  1. dosamigos76

    DME

    I've used them with several different hospices, and I really like them. I agree about your contract and also have a good contact person you can reach 24/7 cause things do happen.
  2. dosamigos76

    Inpatient center patient load

    Always have two nurses minimum-one is RN. 9-12 patients 3 nurses except at night.
  3. dosamigos76

    Non Funded Patients

    I work for a not for profit hospice and we take regardless of payment method. That said-we have to pick and choose, cause there are way too many patients that need you and we couldn't keep the doors open. We do inpatient at our facility for charity patients even.
  4. dosamigos76

    How Not to Die - new article featured in The Atlantic

    I have worked for nonprofit and for profit. I currently work for a company that while we are aware of costs, we do not compromise care for the patient or family. I manage an IPU and we take charity patients there-that is one of the things I am very proud of. It all depends on the company and the Administrator. I love what I do, but I don't do it for free either... The company I work for is not in the top for pay, but they make up for it in the quality of care that is provided.
  5. dosamigos76

    Which states do not cover hospice under medicaid?

    Just the other day, Lousiana decided to drop the hospice benefit for Medicaid.
  6. dosamigos76

    Bowel regimen

    I agree, Senna-S is our staple. I am also a fan of Miralax or in a pinch with new onset constipation 30mL MOM in 6 oz warm prune juice. Works like a champ!
  7. dosamigos76

    What is your personal philosophy of nursing?

    My philosophy: I am in hospice so it is more directed toward that... Educate and support the patient and family of their choices and options, Return control to the patient-can't do that without knowing their choices and options, Do my best to support their decisions Walk them through the experience Remember this is their death, their family member, and their experiences-respect that at all times Support all the staff I have the opportunity to interact with. Each interaction we have with ANY individual will have either a positive or negative impact. I strive for a positive impact. I want to always try to leave (a family, a company, or my life) better than when I entered...
  8. dosamigos76

    Seeking hospice experiences from nurses/aides

    Feel free to pm or e-mail me.
  9. dosamigos76

    Heartland Hospice or Seasons hospice

    Ask around at some facilities... Heartland (if we're talking about the same company) is a for-profit company-nothing wrong with that. Here in the DFW area in Texas-I can give you info if you want to e-mail me. Good luck!
  10. 1. What drew you to this profession? Having the opportunity to be able to make a difference. 2. How much education did you complete and where? I have an Associate's Degree from Clovis Community College from Clovis, New Mexico. Graduated December2005 3. Please describe a typical day in your work week. what do you do on a daily basis? I am a hospice nurse, currently working as the Patient Care Manager and the Interim Executive Director. I arrive at the office by 0700, Find out what happened over night. Check in admissions, deaths, and prepare for referrals for that day. I often meet with families and explain how hospice will benefit them and their families. I have various meetings with peers and receive phone calls from families, facilities and staff. I update the physicians on pts they have referred to us and support our nurses. By 1630, I update our on call nurse and our president on any pertinent information. I usually leave the office by 1800 and am available for administrative call. 4. What are your favorite aspects of your job? I love that we make a difference. I love teaching staff and supporting the important work that they do. I love the autonomy, of working with people that I am so proud to know and the belief that we do make a difference. 5. What are your least favorite aspects of your job? The complaints from people that you can't do anything about, the game playing some people are stuck in. 6. What frustrates you the most on the job? Call ins and laziness 7. How many hours per week do you work? Do you control you schedule? 50+, am salaried, so it goes with the territory. 8. How stable is your job? Do you worry about losing your job? My job is stable, and I do not worry about losing my job. Am contacted by headhunters, if I wanted to move on, I could do so, but I have no desire to. 9. How much stress do you experience from your work? When you are not at work, how often do you think or worry about aspects of you work? 10. what's your advice to someone thinking of entering this field? I love hospice. It is an honor to be invited in to something so personal as dying. Advice-become comfortable in your own skin.
  11. dosamigos76

    Continuous Care for unMANAGED symptoms?

    i would do CC for education. Have SW or SCC been brought into the equation to assist the family? Also, you might talk with the HHA and see what insight they have into the family dynamics. Often their perspective is extremely valuable, and they often have the inside track... Good luck!
  12. dosamigos76

    What is the best temporal thermometer

    I like the temporal one you can get at WalMart. Works great!
  13. dosamigos76

    To Odyssey or not to Odyssey, that is the question.

    Vista Care used to start out at 6 weeks PTO...nothing to sneeze at.
  14. dosamigos76

    Who will care for the patients?

    Thank you and well said. Here in MN the nurses are probably gonna be striking in July. I follow the MNA on Facebook and some of the terms describing the replacement nurses are harsh. I WOULD consider working as a scab--I support what the nurses are striking for, but patients need care while the strike is going on and I need the money. Such is life.
  15. dosamigos76

    Hospice traveling?

    I am thinking of traveling and I am CHPN certified. Any suggestions would be welcomed and appreciated.
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