saribeth

saribeth

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All Content by saribeth

  1. Revocation

    saribeth replied to silverwillow's topic in Hospice, Palliative

    I never realized that pt/family had to revoke to be compliant with medicare...when a pt is no longer appropriate for hospice care we have them sign the revocation form...if a pt had to go to the ER...

  2. DH dying-need prayers

    saribeth replied to nursejoey05's topic in Hospice, Palliative

    You and Dan and your little one are now on my prayer

  3. What makes you love hospice?

    saribeth replied to Jo Dirt's topic in Hospice, Palliative

    In NJ LPN's cannot do pronouncements...I agree too with the others...Hospice can be calm at times but it can get really wild and crazy too...there is a lot of nursing besides pain management,...

  4. Can a patient do chemo or radiation?

    saribeth replied to nosonew's topic in Hospice, Palliative

    Notsonew...I would love to hear about your hospice thrift shop...how does it work? thanks

  5. Can a patient do chemo or radiation?

    saribeth replied to nosonew's topic in Hospice, Palliative

    As far as I know Medicare pays a daily rate of $140???...there is no way our hospice could afford to have a pt on radiation or chemo, however, when we do have a pt that wants radiation for palliative...

  6. Haunted

    saribeth posted a topic in Hospice, Palliative

    Hi all need help with this one...had a 95 y o pt with a FTT dx...she was doing ok, pleasantly confused...facility called yesterday to say she was coughing up a lot of frothy sputum...I made a visit...

  7. Haunted

    saribeth replied to saribeth's topic in Hospice, Palliative

    We rarely send pts to the ER unless it is a possible fx or some other situation ie g tube falling out...thanks for your input and yes I did tell the Doc all of her sx...she is resting in peace and I...

  8. Guys, I'm scared and new to Hospice

    saribeth replied to dosamigos76's topic in Hospice, Palliative

    you will be super...the learning curve is never ending...I have been doing this for almost 5 years and there are always new situations that arise...the team is wonderful for brainstorming! Glad you...

  9. I feel like just giving up...

    saribeth replied to mc3's topic in Hospice, Palliative

    I agree, we all come into situations like that but poor you...hang in there. When we have pts that are poor but chronic, we draw blood to see what the serum albumin is...less than 2.5 gm/dl is...

  10. Defibrillators...

    saribeth replied to CANRN's topic in Hospice, Palliative

    We had a pt a few years ago with the defib and the pt did expire and there were no "adverse" effects that we noticed anyway???? Very interesting topic of which I was pretty clueless...thanks...

  11. What do they do in NYC?

    saribeth replied to doodlemom's topic in Hospice, Palliative

    When you are on call, how long does it take to get to the pts apt and what about pronouncing someone???? I never even gave it a thought..yes visiting nurses in cities do have some challenges but I am...

  12. iso hospice/pc audio tapes

    saribeth replied to lifeizgood7's topic in Hospice, Palliative

    Here is the address for the tapes with a study guide included... Bell Tower Publishing PO Box 321 West Chester, Ohio 45071 0321 513-777-2772 It is written by Debra Hendrich cost was $157 in '04 Good...

  13. Giving pain meds thru a colostomy?

    saribeth replied to Blackcat99's topic in Wound, Ostomy, Continence

    hi...our medical director says it is difficult to know how much is actually being absorbed when given in the stoma of the colostomy, but we are giving a pt a 3mg dilaudid suppository and it is really...

  14. morphine pump

    saribeth posted a topic in Hospice, Palliative

    need your help once again...can you tell me how you use a morphine pump? is it sub q...what dose etc...also do many of you use nebulized morphine for severe dyspnea??

  15. Combating Hospice Burnout and ethical dilemmas concerning TS

    saribeth replied to SharonK's topic in Hospice, Palliative

    Just one thing to remember...we can only follow the Drs orders, we are not doing it on our own...the 1st pt I "TS'd" haunted me and I had to really do some real live soul searching...but I came to a...

  16. pediatric palliative care

    saribeth replied to mozartthebear's topic in Hospice, Palliative

    Bless your sweet bones for doing the incredible work that you do...I had a little 18 m o last spring and well... I will never forget him or their situation...so special that you are able to do what...

  17. Can non-profit hospice survive high cost of palliative care?

    saribeth replied to Mazzi's topic in Hospice, Palliative

    We are also a non profit, small hospice and we certainly can see that palliative txs are an up and coming thing, but we would never be able to support any type of radiation or chemo...medicare better...

  18. Abd cramping

    saribeth posted a topic in Hospice, Palliative

    Hi all...I have a 60 y o pt with colon ca...she has an ileostomy and is taking 100mcg Duragesic, 2 Ultracet 37.5/325 q 2-3h, Dilaudid 4mg q 6h Methadone 7.5mg q 8...she takes all of these rtc and...

  19. Abd cramping

    saribeth replied to saribeth's topic in Hospice, Palliative

    I will absolutely look into using the methadone more than the Duragesic...have any of you noticed that the Fentanyl does not seem to have the same effect as the Duragesic? Thanks for your help

  20. Abd cramping

    saribeth replied to saribeth's topic in Hospice, Palliative

    Thanks Aimeee...no sorry she is not getting that much Ultracet...but what a good idea... work on the short acting meds 1st and then the longer one... the doc actually admitted her the next day...

  21. PVC's

    saribeth posted a topic in Cardiac

    Hi all...I am a hospice nurse and have very limited cardiac b/g I would be interested in knowing if 100+ pvc's almost daily is an "OK" thing...some cardiologist say not a big deal but what do you all...

  22. pay for hospice nurses

    saribeth replied to angie1982's topic in Hospice, Palliative

    I am actually the only per diem RN on my hospice team and I never rush a visit unless there is some type of emergency...we usually see 4 pts a day and the great part is that once I am finished my...

  23. pay for hospice nurses

    saribeth replied to angie1982's topic in Hospice, Palliative

    I am a per diem Hospice RN working for a non profit VNA in NJ and we make $42 per visit...which can be anywhere from 30 minutes to 3+hours!!!! However, if we do have an extended visit over 2 hours we...

  24. IDT meetings

    saribeth posted a topic in Hospice, Palliative

    Hello all...our IDT's are getting out of control...do any of you have a specific agenda that you follow, or time limit etc? :rotfl: thanks

  25. pain relief in pancreatic cancer

    saribeth replied to Limegreen's topic in Hospice, Palliative

    Hi Cheryl this sounds really interesting...is it very expensive???? Wish we could get into the componding but it just ends up in the black hole! Thanks