jeannepaul

jeannepaul BSN

hospice

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All Content by jeannepaul

  1. When the company I work for was owned locally, our per visit rate was 50.00 if it went over 2 hours it would be an additional 30. per hour. admissions were paid 200-250. When the company was sold,...
  2. When I worked there, I was at first a case manager for 2 years, they did the same thing back then about 8 yrs ago. I was driving over 1000 miles a week over an hour away from the office, I had 3...
  3. I am looking to find out if there are any on call or triage nurses that work for or have worked for odyssey in the last 2-3 years that actually worked over 40 hours but did not get paid
  4. doubting yourself as a nurse

    I used to feel that way, I felt the hospital set us up to fail, and I almost quit nursing. Then I remembered going through rotations with home health so I went to that company. They were looking for...
  5. Coherent Speech with massive stroke and end of life

    Yes, it does happen, not all of the time but to the blessed few it does. Cannot explain why, but I have seen often after days/weeks of confusion or unresponsiveness, all of a sudden the pt becomes...
  6. Average RN Case Manager Pay in PA??

    I'm not in PA, but that sure seems low to me. Here in Texas it can be anywhere from 63.000 to 66,000 plus mileage pay and extra for on call. I can usually make up to 80.000 + depending on how many...
  7. Pay rate for visiting nurses

    the hospice I work for pays 50. for a visit and death, if it lasts more than 2 hours, you add 30. an hour. for after hour admits it is 250.00. We also get mileage after hours door to door, .50 a...
  8. Send a nurse now or we will call 911.

    or how about, if you don't do so and so, or give me this or that, Im going to change to a different hospice. I hear that alot esp. from nursing home employees.......if you don't start cc, we are...
  9. With the gas prices increasing, what is your Hospice paying for mileage, has anyones gone up? I live in San Antonio and gas is around 3.65-375 and I am getting .50 a mile. There has not been any...
  10. Question about breathing at end of life

    when they start to decline, the apnea will come and go. Sometimes it just depends on the way they are positioned. They can also switch between breathing fast, then slow with apnea. This can go back...
  11. Things that nobody tells you - what was your first

    oh how I relate to that one, but my pt actually came up off the bed like he was going to sit up. I had never had this happen either and I was also explaining to family how this was normal but on the...
  12. What is your response to lay people?

    If I am with a family I have a good relationship with, and they have a good sense of humor, I tell them I am networking....when it's my turn, I want to have a lot of people already up there saying...
  13. Calling a Patient 'Sugar': Abuse?

    I have to laugh because when I was younger I would cringe when I heard someone being called honey or sugar. It was also before I was a nurse. Now I find myself saying it all the time along with...
  14. dang, what state are you in, that's alot higher than what they are paying in
  15. Odessey Hospice

    I just spent 20 min. typing up relpy and lost it when I decided to read comment policy because I didn't want to get banned. I have a lot to say about the way they treat their employee's so if you...
  16. Nurses with Rheumatoid Arthritis

    I actually went to apply for a home health position and was talked into hospice, I had asked if I didn't like it could I go to home health, but I never asked! It seems there are always positions open...
  17. Nurses with Rheumatoid Arthritis

    I have RA and take methotrexate and enbral, it helps just enough for me to keep working but I live with the pain everyday. I also take hydrocodone and ms contin when needed. I work in home hospice...
  18. question about visits

    I've worked with 3 hospices in the past 9years, and the physician does not usually make home visits. They will visit if there is a problem but we usually try to do visit with physician. Now the new...
  19. Discharge a patient because they go to er?

    if the pt is a cardiac pt. and he goes to hosp. for cardiac, we do not discharge, but they have to revoke or they will get a bill. Medicare will only pay for either hospital or hospice but not both....
  20. Did I make the biggest mistake of my career?

    wow, sounds like
  21. How Much Does a Hospice Nurse Make?

    Im in the San Antonio Area, base salary 30+ an hour, .50 a mile. i am on call so if i work mon-thurs it is time and 1\2. it depends on the company, one company i worked for paid hourly and anything...
  22. Changes to On Call Job Description

    I work for a large for profit hospice as an on call nurse weekends. I am sick today or I would be already out. I used to love my job, but it has gotten so bad, I sometimes fear one of these weekends...
  23. be aware that according to the department of labor, unless you are an exempt employee and most cast managers are not, you should be getting time and a half for anything worked over 40 hours. also...
  24. Narcotic management in the home

    We never carry meds to patients homes, the pharmacy delivers them. No, we do not count each med at the visits. the only time a count is done is if the pt is on crisis care or at the
  25. Odyssey Healthcare on call and triage nurses

    BandEmom I sent you an email, thanks for