sclpn

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. Also have 1 RN that only takes call a couple days...

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 nurse in the inpatient unit

PPS ECOG FAST

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 lbs or less and shows signs of muscle wasting.

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 doctors sending referrals when patient/family keeps...

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 identity. I don't know how to change that and wonder if ...

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 with other hospices that does not have an IPU. We ...

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

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 and still find it difficult to secure application...

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 they were already on the MAR etc. I didn't rewrite m...

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 make a face to face visit to establish that relati...

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 house...thoughts??

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 months.

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 and a bike ride that is very popular. Both, usual...

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 inexpensive ways to show the employees that management ...

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 hours a month depending if you work 12 hr shifts o...

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 kinda nursing for me" I make a difference for my pts,...

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 our Hospice House it is our policy that the DNR ha...

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 passion not just a job! The best advice I can giv...

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 just one page but IDG/IDT paperwork is terrible an...

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 when one of the case mgrs needed to be off

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

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 experience, when pain is relieved the disease pro...

in our facility social workers have 5 days to do initial assessment

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