jeannepaul

jeannepaul BSN

hospice

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All Content by jeannepaul

  1. hourly paid hospice job

    jeannepaul replied to mabbott19179's topic in Hospice, Palliative

    I would take hourly. It seems with salary, they take advantage and the nurses always work more than 40 hours. At least you will be getting paid for the work you do. However with hourly, they can...

  2. Safe patient handling/transfers in homecare

    jeannepaul replied to Iphonenurse13's topic in Home Health

    it sounds like this company is not standing up for their employees. I do Home Hospice and when I am doing an admission, I flat out tell the family if the patient cannot bear weight, or help in any...

  3. Discontinue tube feeding

    jeannepaul replied to aphillipi's topic in Hospice, Palliative

    We let the patients body tell us what to to. If there are no bowel sounds or pt is congested, that is telling us she cannot process the feeding and it has to stop, not taper. Usually by checking the...

  4. Continuous subcutaneous infusions

    jeannepaul replied to tewdles's topic in Hospice, Palliative

    We do not do these I don't know if it is the region I am in, but in 12 years and 3 companies I have seen it done 1-2 times and only in an impatient

  5. no provision for continuous home care

    jeannepaul replied to nurseebol's topic in Hospice, Palliative

    you are writing exactly how I feel. We used to have crisis care, but when we were bought out by a corporation, the team we had died. We then started using agency for cc, then we got a new director...

  6. Does anyone carry a Care Kit/emergency meds?

    jeannepaul replied to NativeNewEnglandah's topic in Hospice, Palliative

    Sometimes when we know there is a pain issue, the nurse that does the eval will call the physician and get an order so it is at the house when they get there. If we call in a stat order, they have 2...

  7. employee rewards/appreciation programs

    jeannepaul replied to sclpn's topic in Hospice, Palliative

    Just make sure it is not always office staff recieving the rewards. Maybe it is because the field staff do not get a chance to vote, but it seems everywhere I have worked, the office gets rewarded...

  8. Does anyone carry a Care Kit/emergency meds?

    jeannepaul replied to NativeNewEnglandah's topic in Hospice, Palliative

    we have a pharmacy on call 24/7 and they will deliver all meds anytime. We are not allowed to carry medications with us in our cars, for

  9. Which states do not cover hospice under medicaid?

    jeannepaul replied to crunchytaco's topic in Hospice, Palliative

    Jean Marie.....really? this is when I wish there was a "do not like"

  10. Forced wearing of nursing cap.

    jeannepaul replied to onetiredstudent's topic in General Students

    I would not wear it, I would not go. Luckily, we did not have a pinning ceremony. I wore a cap and gown to my graduation, walked across the stage, received my BSN and that was enough. I don't...

  11. Patient Picking At Clothing/Bed Linens

    jeannepaul replied to 84RN's topic in Home Health

    We see it all the time in Hospice, sometimes they will just put their hands in the air, pretend they are eating something, or other things with the hands. Also talking to and about people who have...

  12. Do you like your long commute?

    jeannepaul replied to Brian's topic in Nurses Rock

    I am working as an On call hospice nurse, live an hour away from the office and have approx. 50mile radius. On the average day I will drive 100-200+ miles. I dont mind, I love my job and I listen to...

  13. How much do nurses make?

    jeannepaul replied to firefly101's topic in General Nursing

    2001- new BSN RN- San Antonio hospital= 14.75 an hour.2012- Home Hospice -San Antonio= 32.00 an hour + mileage @ 43 cents a

  14. Sending MD pictures of wounds on cell phone?

    jeannepaul replied to maddock26's topic in Wound, Ostomy, Continence

    I have done it, with the pt/family permission, sent it and then deleted the pic. sometimes, you just cannot describe what you are seeing to the doc. I have not taken any pics of sensitive areas, no...

  15. leaving my job gave a 2 weeks manager very rude.

    jeannepaul replied to purpleRN6163's topic in Patient, Colleague Relations

    I worked for a home hospice company for 6 years. Rarely called in, worked almost every day and many months was working 24/7 both as case manager and on call. I gave at least 3 weeks notice. The day...

  16. Does your Hospice cover ABT for UTI's and URI's?

    jeannepaul posted a topic in Hospice, Palliative

    Recently my hospice company decided to stop covering antibiotics for these infections. I am just livid as I feel they are for comfort. We don't pay for OTC including tylenol, dulcolax, cough meds....

  17. New LPN Seeking Info On How To Become Hospice Nurse

    jeannepaul replied to nowdistracted's topic in Hospice, Palliative

    Most hospice companies where I live will only hire lvn's to do crisis care where you stay at a pt's bedside for 8-12 hours. We have a few that work in the office. Only Rn's are hired as case managers....

  18. Nurses, how are you going to vote? 2012 US Presidential Election

    jeannepaul replied to Brian's topic in General Nursing

    Romney/Ryan!!!!!!!!

  19. Part time weekend Hospice job in addition to regular job... Am I crazy?

    jeannepaul replied to nurseart's topic in Hospice, Palliative

    I don't really think you have to have a "calling" to go into hospice. I actually had to be talked into it when I applied for a home health position, I agreed with the understanding that I could go to...

  20. Expiratory vocalizations at the end of life

    jeannepaul replied to bargainsmarts's topic in Hospice, Palliative

    This is the way I explain it to my pt's. as long as it is rhythmic each time they breath out, it is usually not pain. I usually tell them it is coming from the throat constricting, and usually with...

  21. d/c'ing routine meds,insulin

    jeannepaul replied to ktwlpn's topic in Hospice, Palliative

    I do not ask to dc any meds upon admission. for one, I don't know this pt. and to just dc them to me is unethical. To me that's like stopping the feedings just because they are on hospice.. Now,...

  22. Confused and scared...I need advice...

    jeannepaul replied to lssrd7's topic in Hospice, Palliative

    I hate to say it, but you are getting screwed!!!! I am an on call nurse and there is no in H@ll I would to that schedule. Not to mention at 150 pt's you should have at least 2 on call nurses at all...

  23. Yet Another Pre-Employment Drug Screen Thread

    jeannepaul replied to YouSmellLikeCDiff's topic in First Year After Licensure

    I also thought it was a great post. I once applied for a position, took the test and the testing company called me when I came up positive. She asked for the pharmacy I got the med from and did a...

  24. Getting time in when far from office

    jeannepaul replied to military spouse's topic in Hospice, Palliative

    That is the way most hospices work. I live an hour away from the office and I don't get paid anything to that 1st or last pt's house either when I work during the week. The weekend is different,...

  25. Did i really do anything wrong?

    jeannepaul replied to lizzyreg's topic in General Nursing

    Man, you people are brutal. I'ts funny how at times I read about something, and it's all love, and then other times, you rip into the OP. Personally, I don't see anything she did wrong, it sounds...