Mazzi

Mazzi

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All Content by Mazzi

  1. Faxed signatures of physician orders

    Mazzi posted a topic in Legal

    If you (LNC) were reviewing a chart and found only faxed signed orders and no originals, would this be questionable? The organization I work for has started this practice. I really have a hard time...

  2. Sexual dysfuntion in ALS

    Mazzi posted a topic in Rehabilitation

    This may not fit this forum but here goes. A pt with ALS, still able to use slide board to get into w/c, is having (how do I put this delicately) finishing what his wife can start. Is there some...

  3. Disposing of medications at time of death

    Mazzi replied to RubyRN,CHPN's topic in Hospice, Palliative

    Federal guidelines state to place narcotics in cat litter or coffee grounds to dispose

  4. Hospice Nurse Transporting Patient Medications

    Mazzi posted a topic in Hospice, Palliative

    We have a disscusion at work regarding the Hospice nurse picking up the patients medications (some narcotics). Some feel this goes against Federal Regulation, some State regulations, some that its...

  5. Faxed signatures of physician orders

    Mazzi replied to Mazzi's topic in Legal

    Unsigned is the hand written copy of the order that the RN writes per telephone order and then sends this to the Dr. for signature per fax. Then he signs the faxed copy, faxes it back to our office...

  6. COP's

    Mazzi replied to Sabby_NC's topic in Hospice, Palliative

    The hospice I work for have been working on updating the way we do things for the past few months. Things are really going to change. Some are good and some will be very difficult to comply with....

  7. IDG meetings

    Mazzi replied to Jost930's topic in Hospice, Palliative

    When you find a way to shorten IDG let me know. We average 40-50 pts and takes 2-3 hours and that is keeping to just the basics. Medicare is really starting to look to see that EVERYYHING is passed...

  8. number of visits per day

    Mazzi replied to Passion for the Job's topic in Hospice, Palliative

    My day sounds like yours. I work three days a week and have had up to eight pt. I felt like I was drowning. Right now I have six and only two at the time are actively dying, so I am OK yet still...

  9. Medicare Nuts and Bolts

    Mazzi posted a topic in Hospice, Palliative

    Here in Indiana we are being preped for the Medicare changes coming up for Hospices. Have any of you been through the Nuts and Bolts? One of the things it talks about is going back to the SOAP...

  10. Copies of original Orders

    Mazzi replied to AtlantaRN's topic in Hospice, Palliative

    All my orders are written in triplicate. Original to DR, Yellow to chart/MAR, pink for me to remind me to place on IDG note. Works

  11. Some questions about Hospice Case Mananagement

    Mazzi replied to shewalke's topic in Hospice, Palliative

    I would recommend being a field nurse first in order to grasp the whole realm of issues dealt with by patient and family. There is also the area of payment that you would need to understand. Example...

  12. Use of an Oxymetor

    Mazzi posted a topic in Hospice, Palliative

    What are the guidelines for taking an 02 saturation? Is it no longer considered a nursing measure? The hospice I work for is now saying it must be a doctor's order in order to take it. They do not...

  13. Tags??What are they?

    Mazzi posted a topic in Geriatric, LTC

    I am a Hospice nurse and have pt in LTC. I hear about TAGS, but do not know what these are or where to find how to get information of them. Are they from state or federal. Please help?? This is what I...

  14. Help How to keep pts IN Bed

    Mazzi posted a topic in Geriatric, LTC

    When State Board of Health sets such strict guidlines on safty issues, how do LTC facilities keep the resident safe? I work for a hospice and have pts in a LTC facility, I have three pts for various...

  15. National average for pt caseload

    Mazzi replied to Em1995's topic in Hospice, Palliative

    The LTC I work in as a hospice nurse expects our IDG to do most of the work. Of course, we are in the building maybe a total of 6hr a week. That leaves a lot of hours that the LTC staff must care...

  16. Need positive reason for palliative radiation

    Mazzi posted a topic in Oncology

    I am a Hospice nurse and see horrible things happening to my patients that believe radiation is going to help with the pain. I have yet to see this....Why do Doctors even suggest this. It seems like...

  17. Employer Investigative consumer report

    Mazzi posted a topic in General Nursing

    I work for a company that recently requested all the employees to sign a concent for Consumer and Investigative Consumer Reports. If you sign this consent you are consenting for them to obtain...

  18. Marinol/marijuana use

    Mazzi posted a topic in Hospice, Palliative

    Patient is asking about marijuana use for his cancer/brain mets pain. His asked me for dronabinol/Marinol and how many he can smoke in a day? How would you persue this if it was you

  19. Vitamin B17

    Mazzi posted a topic in International Nursing

    I have a patient asking about Vitamin B17. She states the only place she knows about that she can buy it is in the UK. I do not know much about this vitamin and its use for cancer. Please, does any...

  20. Hospice patient receiving TPN ?

    Mazzi replied to Blackcat99's topic in Hospice, Palliative

    Picked up a hospice pt 5 days ago that stopped TPN that day. Guess what?? He ate po (few bites) of potatoes and green beans yesterday and had two eggs and toast for breakfast today and is feeling...

  21. 1st signs of passing.

    Mazzi replied to Just wondering's topic in Hospice, Palliative

    It is very hard to change the mind set that Nursing School teaches you about how to take care of the patient. While in school, all thought is about keeping the patient alive. But with hospice it is...

  22. in home emergency packs

    Mazzi replied to Al Stephens's topic in Hospice, Palliative

    Our hospice uses Hospice Pharmacia based out of Philidelphia. They over night meds. Our Comfort Kit has phenergan (tab and supp), Tylenal ( supp), ABHR (supp), Roxinal liquid, Haldol liquid,...

  23. Can non-profit hospice survive high cost of palliative care?

    Mazzi posted a topic in Hospice, Palliative

    I am finding oncology departments offering chemo and radiation as a form of palliative care for pain, n/v, ect. This is very high cost. With what the govenment alots for Hospice Medicare Benefit to be...

  24. Can non-profit hospice survive high cost of palliative care?

    Mazzi replied to Mazzi's topic in Hospice, Palliative

    Great question!!!! The non-profit hospices end up taking the uninsured, non medicare, non medicaid pt. You would not believe how many people fit into that catagory. Persons that are hard working,...

  25. Hospice and LTC... Who provides the care?

    Mazzi replied to GLORIAmunchkin72's topic in Hospice, Palliative

    As a hospice nurse going into the LTC facility, I try very hard not to "take over" the care from the staff. My duty is to be the second pair of hands, if needed, give my expert advise or...