jeannepaul BSN

I disagree

I am on call weekends also. I have had large families gang up around me throwing questions at me, thinking I was going to kill the pt. with medicine.in 15 years of hospice, only once did I call the police. They were gang members talking about drive b...

I'm in San Antonio and we call in emergency mesds to pharmacy, then the pharmacist calls the doctor if they know them and have filled for them before and the c2 is faxed the next day. If it is a new doctor, the doctor does have to fax it. You may no...

I've been an on call nurse for about 10 years, case manager 4years. I used to be called out for sob, pain, dying patients. Lot of teaching about end of life, I loved it. Now, I get called because someone has a blister, constipated on day 2' itch, co...

Except when they do not meet criteria. I used to work with a marketer that was in cahoots with a certain physician. He would call her from the hospital and half of them didn't meet criteria. They seem to think if they can get an order for eval, the...

I always make sure up I have lots of pens, note pads and anything else I can get my hands on. I also thank them for their help before I go. I know it's sucking up, but it works! There are still some facilities that will totally ignore me, but I just ...

I usually take out pens, sticky notes, they tend to be a bit friendlier in answering questions. electronic records are a big problem for me. The understaffed nurses are usually busy so they have to stop everything to help me. I usually try to find th...

When I get demanding families like that I explain that we are a support service, not a caregiving service. We support the families and teach them how to care for their loved one, but we do not take over. I had one marketer tell the family we were jus...

I used to work on call when they were odyssey. Depending on how many pt's. And how many on call/backup nurses will also make a difference. Currently I work the weekend 5p to mon. 8a. We have a small hospice but I still at times get little sleep. T...

When I started in hospice 13 years ago, we had certain diagnosis we could use: ALS, dementia, renal, cardiac, et al. There was specific criteria which had to be met. They could see their attending but could not see any specialists for the diagnosis...

Is there a rule about giving wages? Competitive doesn't mean much when you don't know the baseline. I work in San Antonio, hospice for about 13 years, I make over $30.00 an hour plus mileage is .52 a mile. On call visits over 60. Per visit so if you ...

You can fill out the revocation paperwork on a different date. There is a line that says revocation effective.... And you insert that date, however when signed, the date is when the form is filled out. On occ. we have had pt go without informing us,...

I haven't had any problems emptying them, but my very first foley on a woman was not so easy........I was a GN, had only put in a foley on a man, but I knew how in theory....thank goodness I asked the CNA to come in to help. I had everything set u...

Does your hospice take non funded patients? I have worked for 3 in my 11 years in hospice, 1 non profit and 2 for profit. All 3 took non funded patients, but I am ashamed to say, that one discharged a patient because their insurance ran out. Do you...

Industry standard for case load for full time case management is 12-13, not 18pt, so they are already overloading the regular full time case managers. It all depends on where these pt's are located. If you have mostly nursing home pt's, then 7-8 is...

I don't go to mandatory meetings. I work the weekend and they don't pay me to show up during the week, so I don't go. No pay, no play. If it is that important, they will give me a print out on friday afternoon when I show up for report. Even If I...

I think they are wanting you to work 2 jobs and paying you for one. A normal on call position, at least where I come from, is either Monday thru Thursday 5p-8a. OR Fri-5p-Mon 8a. not both. When do they want you to see this case load, in the mi...

Yes I do see hospice care be "all about the money". In recent years, I have seen services cut, supplies decreased, medications covered decreased. We used to do the right thing for the patients and meet the patients and the family's needs. Now, as a...

as a new grad, I started out at 14.75 an hour, but that was in 2000, so I'm sure the amount is much higher now. What I do not understand is why home health is going to give morphine?? If he is on hospice, and too sick/demented to take it himself, wh...

Sorry, my last post is in reference to this question.

I have no idea, He was the charge nurse, I was the only other RN or actually I may have been GN at the time on the floor at night. I knew nothing about it until morning shift came in and everything hit the fan. I do remember seeing him acting funny...

RN Texas= 67,600 visit=60.00 admit=100.00 mileage=44 cents $2.00an hour to be on call.

If they actually say "i want a nurse visit" I have to go, which I don't always agree with, because like everything else, people learn the system and some abuse it. I got a call this weekend "I dont feel right, I need a nurse" nothing in particular, ...

during my first and only hospital job, my charge nurse hung blood on the wrong patient. He didn't follow protocol, or it wouldn't have happened, but when he did realize what he did, he took it down and hung the same unit of blood on the correct pt. ...

I am not one, but ours is pretty stressed out, it is a very fast paced job, but so is nursing home work most of the time. I would still take it and once your inside the door, you can always ask to move to another position if one comes up.