RNWithAHeart

Hello, I am looking for any Core Measures Auditors out there or anyone that is familiar with this type of data collection. I am an RN ASN who has been performing WAH Core Measure Auditing for the past four years. Due to many different variables, th...

I am going to cut to the chase here. Working for a private hospice agency.....1 year old. Very good people/intentions, but very poor upper management skills. Think business plan was not well thought out......have been extremely short staffed.....beca...

Hi there, Patient does not qualify based on evaluation, however, I am told that she has advanced ESRD....with labs to back it up that should qualify her. But, I am not seeing that picture just by the visit without any documentation. Non compliant in...

Hi, Here I am again, begging for answers! New to Hospice for only a month. Is it standard for Hospices to have standing orders/protocols? I was told we have none and I think that is strange. If you have standing orders, could you tell me what type...

Hi, I am a RN Case Mgr who has a pt and wife in their early 50's, both with mild MR. His hospice diagnosis is pancreatic ca. He is independent at this time. He wants a "meeting" with his RN, MSW and the Chaplain and his family to "talk about cance...

Hi, Anyone have experience in working straight weekend call only....Fri at 5p until Mon at 8a? I am not sure if it is salary or per diem. They are offering this position at our office and was just wondering if other companies do this and what kind of...

Hi, I am a hospice nurse and have a 50 year old end stage renal patient. My question is, she has alot of pain (from other co-morbidities) and has prescribed pain meds for Q4 hrs. She is usually at dialysis for her runs for around 6 hours, and she i...

Hi there, I am sorry that no one responded to your post. You are not "only an LPN" you are a nurse no matter what initials follow your name! I agree that I do not understand why people need to hurt each other, some people are just malicious. I thin...

Hi, I took the position of RN Case Mgr. Can't talk alot right now, getting ready for work, but I have been there for a month. I think the company has their head on straight. My branch is growing like crazy and had a census of 27 in Dec....we are ...

Hi, I am a telemetry nurse who is interviewing with Hospice (my ultimate goal in life job) tomorrow. I have read some posts about a .doc file of questions to ask during the interview, but am unable to locate it. Can anyone direct me to it or give m...

This is Hospice (in home) call.

I have just entered into Hospice, came from a telemetry background. I have seen many occasions in tele where a pt is being discharged to Hospice and the ICD is turned off before they are discharged from the hospital.

Hi, I just started with hospice a few weeks ago. I am an RN who had 1 year of telemetry experience prior to this. You can get a job with no hospice experience. Hospice was my dream job.....I had a very specific plan.....I was very sure of my goals...

Hi, I am new to Hospice and went out on Fri on my own for the first time. I had 5 patient visits in one LTC. All 5 of these pts were non-verbal. I felt like I was really no help to these pts at all. When I spoke to the RN regarding each pt, ...

Thanks everyone for the responses. These pts were non verbal as in 1 has end stage MS and has not spoken a word in 10 years. 1 is Alzheimer's, 1 is post CVA, and 2 are dementia patients. As far as training, I have had 5 days of training with 3 diff...

I guess my main question is how to get the LTC staff to work WITH me in this situation, it just seemed like they did not want to have any input with me regarding the patient visits. I understand that maybe I need to gain their respect as a new nurse ...

Hi, Well, my first year is over and I am changing positions from telemetry to hospice. Anyone else leaving your floor?

Hi, Any tips/advice tools that you use to keep your car and day organized for home health? Thanks:heartbeat

This article was posted as the lead story on MSNBC.com today: Most cancer doctors avoid saying it's the end http://www.msnbc.msn.com/id/25176326/ One look at Eileen Mulligan lying soberly on the exam table and Dr. John Marshall knew the time for the ...

What "Pearls of Wisdom" could you offer a RN who is changing fields...I have cardiac experience and will start with Hospice later this month. Thanks! :heartbeat

Any advice on tools/ways to keep yourself and your car organized while going about your day as a hospice nurse? Thanks! :redbeathe

Hi, I am a tele nurse and just interviewed with Hospice this week and I got the position! I start in 2 weeks. I am so estatic, just had to share my joy. I am sure I will be coming here often to ask questions/advice. I love reading this thread. Ca...

Hi, Question....how much notice upon resignation is required for a regular staff nurse to give? I have heard 2 weeks, and then also 3 weeks. Thanks:heartbeat

So it seems there is no "professional standard" for RN's?