dosamigos76 RN

Hospice

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All Content by dosamigos76

  1. dosamigos76

    What exactly does hospice nursing consist of?

    dosamigos76 replied to mycatmax's topic in Hospice, Palliative

    Hospice nursing IS awesome, but please don't think that you'll be able to be everything to patients, cause you can't. I do a lot of symptom management and making the most of the time I have with the...
  2. dosamigos76

    Discipline Frequencies

    dosamigos76 replied to shrinky's topic in Hospice, Palliative

    We weren't allowed to have a range of more than one, such as 2-3x wk and PRN. This was for all discplines and if you went over that, it was an unscheduled POC to cover yourself..... HTH
  3. dosamigos76

    Advice please!

    dosamigos76 replied to Scarlette's topic in Hospice, Palliative

    I work in hospice and I still would present the information to an attending as you presented it. Some nurses have a different style and will tell the MD what they want and it works for them, but that...
  4. dosamigos76

    CHPN test results??

    dosamigos76 replied to nrcnurse's topic in Hospice, Palliative

    I'm not expecting the results until about Halloween..........urgh. I knew that this was the last time of pencil and paper testing, but you say they'll have instant results with the new computer...
  5. dosamigos76

    Hospice Charting and Recertifications

    dosamigos76 replied to abcwood's topic in Hospice, Palliative

    I would agree with everyone else. If your hospice is wanting you to be creative with your recertifications, I'd be looking for another job. If they're wanting you to create a total picture regarding...
  6. dosamigos76

    No ativan for hospice patients

    dosamigos76 replied to Blackcat99's topic in Hospice, Palliative

    I had never heard of applying it over the carotid, only rubbed into the palmar aspect of the wrist for approximately one minute. I goggled it and couldn't find any information on it. Interesting......
  7. dosamigos76

    Pain tool for nonverbal, dementia, alzheimers, and terminal patients

    dosamigos76 replied to jyhn's topic in Hospice, Palliative

    Here is the scale we use for patients with dementia or are nonverbal. It's the PAINAD Scale. http://www.hartfordign.org/publications/trythis/assessingPain.pdf Assessing Pain in Older Adults with...
  8. dosamigos76

    RN supervisory visit Frequency?

    dosamigos76 replied to new2hospiceRN's topic in Hospice, Palliative

    Once every two weeks is my understanding here in TX. I don't know if it is q 14 days or q 2 weeks. HTH.
  9. dosamigos76

    Greenville, TX

    dosamigos76 posted a topic in Texas Nursing

    I am moving next week to Greenville, TX. We need services for our special needs children that aren't available here in Alabama. I am transferring with the company I work for. I have never been to...
  10. dosamigos76

    Greenville, TX

    dosamigos76 replied to dosamigos76's topic in Texas Nursing

    Respite, possible homemaker services and most importantly assisted living for the kids in the next couple of years. They are 16 and 17. Thanks for taking the time to reply. April 13th was my last day...
  11. dosamigos76

    Pain scale for pts w/dementia?

    dosamigos76 replied to NurseBean's topic in General Nursing

    We use PAINAD Scale http://www.whocancerpain.wisc.edu/eng/17_1-2/Tools.html
  12. dosamigos76

    Montgomery anyone???

    dosamigos76 posted a topic in Alabama Nursing

    I live in Prattville and work in Montgomery. Any other nurses in the area?
  13. dosamigos76

    Hospice On Call Compensation Structure

    dosamigos76 replied to Katillac's topic in Hospice, Palliative

    We have two on-call RN CM's that work 7 on and 7 off. We got the second RN when we hit 40. Before that we took call one night a week every other week for $2 an hour and $60 a visit unless it took over...
  14. dosamigos76

    help with psyche med

    dosamigos76 replied to melanie1126's topic in General Nursing

    ANY time you have concerns regarding an order, I would question it. Depending on where you are practicing, ask the MD or the pharmacist. Good for you for looking it up instead of just giving it....
  15. dosamigos76

    West Texas Hospice???

    dosamigos76 replied to purplesdk's topic in Hospice, Palliative

    I don't know about the specific office there in Littlefield, but Vista Care has offices there in West Texas. I work for them in Montgomery, Alabama. I moved from Clovis, New Mexico not long after they...
  16. dosamigos76

    Montgomery anyone???

    dosamigos76 replied to dosamigos76's topic in Alabama Nursing

    I worked on the Surgical/Ortho floor....well for two shifts. I had worked in New Mexico on our Surgical/Ortho floor and LOVED it, but the ratio's were too much for me. They wanted me to start out at...
  17. dosamigos76

    Montgomery anyone???

    dosamigos76 replied to dosamigos76's topic in Alabama Nursing

    I'm a Hospice RN Case Manager for Vista Care and absolutely LOVE it. Funny thing is when we moved to Alabama from New Mexico, we moved to Dothan because that is where my Mom lives. I worked at SEAMC...
  18. dosamigos76

    Kinda Worried!!! Advice Please!

    dosamigos76 replied to WanaBaNurse's topic in General Nursing

    Follow your heart!!!! I LOVE being a nurse. It is such a priviledge and an honor. I have been a nurse for only three years, but I'm 48 years old. Nursing School was absolutely awful in so many ways,...
  19. dosamigos76

    does this every worry you?

    dosamigos76 replied to clemmm78's topic in General Nursing

    I like the idea of a fund. I work in Hospice and we usually have developed a relationship with the family and have a plan. For example, one patient lives in an Assisted Living Facility. If/when she...
  20. dosamigos76

    Elderly patient does not want fluids, what do you do as a SN?

    dosamigos76 replied to SummerGarden's topic in Nursing Student Assistance

    I agree with the posts, but question how DNR fits into the situation. I mean, a DNR only applies is the person needs CPR, right? I am a Hospice RN Case Manager and it seems that all too often, people...
  21. dosamigos76

    CHPN exam

    dosamigos76 replied to Mandee's topic in Hospice, Palliative

    Bumping this to see if anyone has information regarding study guides. Most everyone at our office is taking this in Atlanta this Spring........I have only been with hospice for 6 months and very, very...
  22. dosamigos76

    medical marijuana

    dosamigos76 replied to blueberrybon's topic in General Nursing

    I have a hospice patient that "unofficially" uses it. This person was concerned when I saw the papers, but I told them I wasn't there to judge, and I know how well it works for the nausea. This person...
  23. dosamigos76

    What I love about nursing

    dosamigos76 replied to clemmm78's topic in General Nursing

    Hyptogram, you are NOT the lowest of the low! We all appreciate what you do!!! I absolutely LOVE being a nurse!!! I work hospice and I feel like it is a perfect match for me. I work with people that I...
  24. dosamigos76

    Have you ever felt threatened?

    dosamigos76 replied to CHPN in So Cal's topic in Hospice, Palliative

    I've only been a hospice RN CM for 5 months, but our agency would have not supported the "sticking it out" mindset. We are told that if something doesn't feel right to go "with our gut" and they will...
  25. dosamigos76

    Imput please: change of shift and admits.

    dosamigos76 replied to annmariern's topic in General Nursing

    Where I worked at, if the pt was in ER and orders included an IV or Foley, they HAD to have one BEFORE they were sent to the floor. Antibiotics HAD to be given within four hours of being seen in ER,...