dosamigos76 RN

Hospice

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All Content by dosamigos76

  1. dosamigos76

    Home hospice CM questions

    Ask about on call and admissions
  2. dosamigos76

    Inpatient center patient load

    Always have two nurses minimum-one is RN. 9-12 patients 3 nurses except at
  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...
  4. 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...
  5. dosamigos76

    Which states do not cover hospice under medicaid?

    Just the other day, Lousiana decided to drop the hospice benefit for
  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
  7. I am in hospice so my philosophy is more directed toward that... My philosophy: Educate and support the patient and family of their choices and options. Return control to the patient-can't do that...
  8. dosamigos76

    Seeking hospice experiences from nurses/aides

    Feel free to pm or e-mail
  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...
  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...
  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...
  12. dosamigos76

    What is the best temporal thermometer

    I like the temporal one you can get at WalMart. Works
  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
  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...
  15. Just got an a-mail saying "For those of you who are not aware - the one day nursing strike in the twin cities is set for June 10th. We are looking for nurses to work June 10th and train June 9th....
  16. dosamigos76

    Potential MN Nurses Strike?

    I live in outstate MN and just received an e-mail stating" For those of you who are not aware - the one day nursing strike in the twin cities is set for June 10th. We are looking for nurses to work...
  17. dosamigos76

    Having a hard time finding a job

    It sure is not just you! I am up in MN and I can't hardly buy a job. I moved here from TX and was used to being recruited all the time. I am an ADN nurse and the employers have so many wonderfully...
  18. dosamigos76

    House Dr. doesn't allow hospice in facility

    Pancreatic CA is painful!!! I have actually seen palliative sedation have to be used for a case because of the pain. Please, oh please advocate for your patient. Is there family available? Hospice is...
  19. dosamigos76

    Confusion About Morphine - Not Available?

    Roxanol was difficult to get for a bit and still is in some spots in the market. In hospice, we live and breathe with Roxanol, so we had to scramble there for a bit. You should be able to get it....
  20. dosamigos76

    Narcotic management in the home

    When I worked in states where I could deliver medications, I always had the family sign stating what they had received. It protects me and verifies what is or should be in the
  21. dosamigos76

    Follow up to Narcotic question

    I counted the narcs every visit. I only had the family keep a log of when it was given if there was a question of diversion or if there were a lot of caregivers in the home so that everyone would know...
  22. dosamigos76

    needing some advise

    You can also treat the wound once it opens with Flagyl...open the capsule and spread it over the wound. It will not smell and attract the flies. HTH
  23. dosamigos76

    Asera care anyone?

    http://hospice.aseracare.com/home.aspx AseraCare Hospice is owned by the same company that owns Aegis Therapies, AseraCare Home Health, and Golden Living Centers along with a couple of other...
  24. dosamigos76

    hospice care plans

    We are switching over to blank care plans and the idea is to forgo the "Nursing Diagnosis" type care plans, we are using real language and real interventions and outcomes. I think that the thinking...
  25. dosamigos76

    home care vs. hospice house

    Welcome to hospice!!! I have never worked in a hospice house, but I can tell you that there is nothing like providing hospice care for people in their own homes. It is the most wonderful experience...