dosamigos76 RN

Hospice

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All Content by dosamigos76

  1. dosamigos76

    Palliative Care - question

    dosamigos76 replied to mrsdannydyer's topic in Hospice, Palliative

    Without knowing the person, it is difficult to answer. You can usually ask why they are asking the question and what do they think? If they are the type of person that is direct, I would answer them...
  2. dosamigos76

    Greetings... Hospice Nurse Falling Apart

    dosamigos76 replied to grbrico's topic in Hospice, Palliative

    Run, don't walk away... Hospice doesn't have to be like that. That is not safe and it's not right. You can't be the kind of nurse you want to be with 12-14 visits a day, even without any call. There...
  3. dosamigos76

    Rant About On Call

    dosamigos76 replied to Sue Damonas's topic in Hospice, Palliative

    Our census is hovering at 80 and we have an every other weekend RN and our casemanagers do back up call. We are almost fully staffed so that the CM will only have to rotate back up call every 7th...
  4. dosamigos76

    Comp Update/CoPs

    dosamigos76 replied to indianahope's topic in Hospice, Palliative

    The comprehensive assessment must be completed every 15 days...same as your IDG/IDT, but theya re not the same thing. The company I am now with has their week starting on Sunday and IDG is Thursdays....
  5. dosamigos76

    New guy trying to fit in

    dosamigos76 replied to jaf0066's topic in Hospice, Palliative

    As others will tell you, your first year in nursing is wonderful, frustrating, brutal, and just about anything else you can think of. You sound like you have some good experience to build a foundation...
  6. dosamigos76

    New CoPs....

    dosamigos76 replied to andre's topic in Hospice, Palliative

    Mid Arm Circumference
  7. dosamigos76

    Hospice opportunities in Texas

    dosamigos76 replied to RKMARK's topic in Hospice, Palliative

    I just left the Dallas area and I can tell you that you can work all you want there. Vitas (for one) does a LOT of CC and uses their own LVN's as well as agency staff. There are several agencies...
  8. dosamigos76

    Low Census

    dosamigos76 replied to saribeth's topic in Hospice, Palliative

    Most every place got hit with the FMR's and lost quite a bit of money when payment was denied. It's quite an incentive to make sure everyone on service qualifies. We all know some that are "ify" and...
  9. dosamigos76

    Hospice Nurse Transporting Patient Medications

    dosamigos76 replied to Mazzi's topic in Hospice, Palliative

    I agree about options you have if you are concerned regarding diversion. We have a local pharmacy that will send out a pharmacist for us and fill any script. It is wonderful when you have a change in...
  10. dosamigos76

    Continuous Care Question

    dosamigos76 replied to AtlantaRN's topic in Hospice, Palliative

    I have found that different companies work CC differently. The company I am currently with doesn't use CC that often. I agree with the above poster, there shouldn't be a reason for the RN CM to assess...
  11. dosamigos76

    Low Census

    dosamigos76 replied to saribeth's topic in Hospice, Palliative

    We're on the low side and way down in facilities. Many of the NH's are skilling for Palliative Care so that leaves us out in the cold. We're working on building back up...seeing it all over the area...
  12. dosamigos76

    Hospice Nurse Transporting Patient Medications

    dosamigos76 replied to Mazzi's topic in Hospice, Palliative

    It can be a bit scary going into some neighborhoods at night... add that people are watching you and they identify you as a nurse and they know you can carry narcs... Or you have a family that claims...
  13. dosamigos76

    Hospice Nurse Transporting Patient Medications

    dosamigos76 replied to Mazzi's topic in Hospice, Palliative

    It all depends on the state you live in and their regulations. For example, in Alabama where I moved from, you DID NOT transport ANY medication. Here in Texas, you can transport ANYTHING. Personally,...
  14. dosamigos76

    Pain Medicine for a dying patient ...

    dosamigos76 replied to Tweety's topic in Pain Management

    I just wanted to point out something here, if this person has been in pain for months, they are not opiod naive and less likely to have a decrease in respirations. I agree with everyone else, I would...
  15. dosamigos76

    PLEASE read. I need help!

    dosamigos76 replied to heavenly14313's topic in General Nursing

    Hang in there if you can. Real life nursing is NOTHING like Nursing School--thank goodness. I had several nurses tell me this when I was going to school, and it helped me hang in there. Wishing you...
  16. dosamigos76

    Charting guidelines

    dosamigos76 replied to curiousauntie's topic in Hospice, Palliative

    I have used the diagnostic guidlines for the dx...some companies have a flip chart or a clipboard with the criteria on it. Check with your marketing dept to see if they have something similar. And...
  17. dosamigos76

    Where do I begin??

    dosamigos76 replied to MsShanRN's topic in Hospice, Palliative

    I would highly recommend Med/Surg experience and take it from there. In hospice, we cover a lot of different disease processes....not just the terminal dx. Also, when you are out in the field, the...
  18. dosamigos76

    Hospice and Palliative Nurse Cert. Exam

    dosamigos76 replied to LadyBugLass's topic in Hospice, Palliative

    It was a difficult test, as it should be. I took it with just over a year of experience, but like you, I am usually a "good tester". One agency here offers you a 5% raise when you pass. Good luck!!!!!...
  19. dosamigos76

    Help!! HR is going to call me in an HR to interview me by phone!!

    dosamigos76 replied to raindrop's topic in General Nursing

    Why do you want to work there? Why should they hire you? Tell me about a difficult situation you have handled. What are your strengths? What are your weaknesses? Where do you want to be in five years?...
  20. dosamigos76

    Nystatin vs Zinc Oxide vs A&D Ointment

    dosamigos76 replied to angelique777's topic in General Nursing

    TAO with Lanaseptic is awesome as well for redness with or without any breakdown.
  21. dosamigos76

    Need Advice

    dosamigos76 replied to akcarmean's topic in Hospice, Palliative

    My pleasure, that's what we're here for--to help one
  22. dosamigos76

    Bone Pain

    dosamigos76 replied to RNSUEIA's topic in Hospice, Palliative

    I've had really good consistent results with hydromorphone when you're dealing with bone pain/bone mets. Absolutely wonderful results. HTH
  23. dosamigos76

    Need Advice

    dosamigos76 replied to akcarmean's topic in Hospice, Palliative

    If you feel that the patient is declining rapidly, has anyone approached them about hospice or making a hospice referral/evaluation? Kudos to you for thinking about what could be up the road for this...
  24. dosamigos76

    CHPN test results??

    dosamigos76 replied to nrcnurse's topic in Hospice, Palliative

    Yeah!!!!!!!! I passed too!!! Phew, but that test was difficult, but it's over for the next four years!!!!!!!!!
  25. dosamigos76

    CHPN test results??

    dosamigos76 replied to nrcnurse's topic in Hospice, Palliative

    Congrats!!!!!!! Still waiting, but moved, so new addy may take a bit longer........