sclpn

sclpn

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All Content by sclpn

  1. LPN's in hospice?

    sclpn posted a topic in Hospice, Palliative

    Does your hospice use LPN's? The hospice I work for doesn't. Im wondering how we could utilize them since they can't assess for death?? We have 2 fulltime RN case mgrs that work mon-fri and take call....

  2. LPN's in hospice?

    sclpn replied to sclpn's topic in Hospice, Palliative

    Since my original post we have hired an lpn and she has been a godsend. She helps with on call with an rn backup for deaths, she can work as the cna in the field and fill in as the aide or assist the...

  3. KPS & PPS

    sclpn replied to Zee_RN's topic in Hospice, Palliative

    PPS ECOG

  4. PO morphine tablets for SOA?

    sclpn replied to elimayrn's topic in Hospice, Palliative

    I agree with everything nutella said except be careful using fentanyl patches as they don't absorb well if there isn't enough subcutaneous fat...our MD will not use them on any patient that weighs 100...

  5. This isn't the hospice I used to know

    sclpn replied to jeannepaul's topic in Hospice, Palliative

    Same here....Hospices are under great pressure to turn a profit, whether they are for profit or not. In my area the hospice competition is very fierce and I see "patient seeking" so much. I also see...

  6. Thinking of leaving hospice

    sclpn replied to NurseStephy80's topic in Hospice, Palliative

    I feel your pain. I too, am leaving my hospice job of 6+ years. I've done case managing/on call, hospice house and clinical director/with 24/7 call during this time. Being a hospice nurse is my...

  7. Hello out there......anybody there?

    sclpn replied to qaqueen's topic in Hospice, Palliative

    The company I work for has a 12 bed IPU. We have had a difficult time keeping beds filled, particularly with GIP patients, at times de-staffing due to no patients. Our choice was to close or contract...

  8. anxiety vs. agitation; Ativan vs. Haldol

    sclpn replied to aging1's topic in Hospice, Palliative

    Most of the time if the haldol didn't work it's because the patient needed a bigger

  9. HOSPICE NURSES

    sclpn replied to Travise's topic in Hospice, Palliative

    I would imagine the op is asking regarding finding hospice nurses to work for that agency....and if that's the case, I don't know either. We have utilized ads in the local paper, online, job fairs etc...

  10. Charting in hospice IPU

    sclpn replied to gator mom's topic in Hospice, Palliative

    Hello I'm a inpatient manager and I've done homecare and inpatient nursing. I did not rewrite anything that was already some place else...I didn't rewrite the prn meds given in my narrative because...

  11. Order sets?

    sclpn replied to spainton's topic in Hospice, Palliative

    Our medical director will not sign for pts comfort kit (crisis meds) anymore. Said she must have a "pt relationship"to write for c2 meds. She will do it in the occasional emergency but then she must...

  12. new grad in hospice

    sclpn posted a topic in Hospice, Palliative

    Hi Would your hospice hire a new grad RN? We are a small nonprofit hospice with a hospice house facility. I'm considering hiring a new grad RN for the hospice

  13. Top 3 admitting terminal dx

    sclpn replied to NC29mom's topic in Hospice, Palliative

    My company hasn't allowed us to use debility in over a year. We were also told AFTT would have to stop being used over the next few

  14. fundraising

    sclpn posted a topic in Hospice, Palliative

    Hi Everyone I work for a not-for-profit hospice,and as most do, we struggle with funds/money. I was wondering what type of fundraisers your hospice does? We currently have an annual butterfly release...

  15. employee rewards/appreciation programs

    sclpn posted a topic in Hospice, Palliative

    Hi Im wanting to start some type of employee appreciation/reward program at my Hospice. Hospice can be very rewarding when dealing with our pts and families but I would like to find creative and...

  16. Pay Increase ATO PTO how does your company treat you? .

    sclpn replied to furballfarm05's topic in Hospice, Palliative

    Located in SC. no pay raises in 3 years not even a cost of living raise. Medical insurance has tripled over 3 years. I expect that it will increase again in March. (open enrollment). accrue PTO at 12...

  17. Help me here!

    sclpn replied to MomRN0913's topic in Hospice, Palliative

    Absolutely nothing wrong with perfering one kind of nursing over another! Some nurses dont think hospice nursing is "true" nursing (because you arent saving lives) but I say "its the absolute best...

  18. No dnr

    sclpn replied to aphillipi's topic in Hospice, Palliative

    Where I work pts in the home setting are not forced to be a DNR because pts/families know that 911 is a life line and they will call even if they have been told to call hospice first for anything. In...

  19. Guidance for a new case manager?

    sclpn replied to MarcyRN's topic in Hospice, Palliative

    Your welcome!! I actually went back to nursing school to do hospice. (Not a LPN anymore but a RN just cant figure out how to change that on here;) You sound like you already love hospice! Hospice is a...

  20. Guidance for a new case manager?

    sclpn replied to MarcyRN's topic in Hospice, Palliative

    1. Where I work we wear scrubs. Everyone doesnt keep a nice clean house. 2. Worst part is taking call especially after you have worked 8+ hours that day. Paperwork for the visit isnt too bad. Usually...

  21. LPN's in hospice?

    sclpn replied to sclpn's topic in Hospice, Palliative

    Im mostly wondering about LPNs working in the field. (seeing pts in their home) giving meds is usually done by pts or family members.....was considering if they could be used for on call or seeing pts...

  22. Do all hospice patients now have IV's?

    sclpn replied to Blackcat99's topic in Hospice, Palliative

    been in hospice for lil over a year and none of our pts have had iv's. im in south

  23. Some advice on morphine admin

    sclpn replied to pharmgirl's topic in Hospice, Palliative

    i agree!!! bone cancer can be one of the most painful cancers there is. you sound like a hospice nurse in the making. thank you for being there for this man. appropriate orders totally. and yes, in my...

  24. social worker visit?

    sclpn replied to mschelee's topic in Hospice, Palliative

    in our facility social workers have 5 days to do initial

  25. Did everyone flunk their college writing courses?

    sclpn replied to AZO49008's topic in General Nursing

    sorry....no writing courses were required at my