Alvindudley

Alvindudley

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All Content by Alvindudley

  1. resources for hospice medications?

    Joining hpna can be a huge
  2. Guidance for a new case manager?

    We use allscripts and as it was not designed for hospice use, we are getting a huge revamping of it. I haven't seen my boss for weeks because she is locked in with the software developers redoing it....
  3. Guidance for a new case manager?

    I am an rn case manager, home care only, no admissions. Last week was an aberration; I had 18 pts but lots of help from my colleagues. I wear business casual always, and I drive anywhere from 30-60...
  4. How many patients do you see each day?

    I see 4 sometimes 5 pts a day, I work m-f and rarely take or have to do on call. I work about 12 hours or more a day when you add in documentation time and I drive 40-60 miles a day. And I love my...
  5. Good or Bad Luck with Hospice Pharmacia?

    I loved hp when we used them! We switched to one point and they just stink. I know hp was more expensive but
  6. Hospice Care Plans

    Actually hpna has an awesome flip book that helps with care plans and recerts. Message me privately if this is Greek to you. I struggle with care plans every day. We mainly use alt. in resp status,...
  7. I saw a picture of all the new folks who participated in this program on facebook. Interestingly they were all young, pretty and white. Interesting,
  8. Hospice and Assisted Suicide

    This is really well put. As a hospice nurse, if I do my job well and teach effectively, not only am I able to mitigate the pain and suffering at EOL but also empower my patients to make the best...
  9. Lasix use in CHF?

    Here's what you need to remember about CHF and hospice. This comes from a colleague of mine who heard it a conference but it is wonderful. The goal is to have a metabolic death, not a congestive...
  10. Few questions on starting to apply

    Don't bother with lpn. You won't get a job. Get an associates RN at a
  11. Stay away from family lives agency. They will hire new grads and the next thing you know, you will be working with a little sick kid on a vent. Not the. Way you want to
  12. Best watch for clinicals?

    oh--can so totally put my 2 cents in on this one!! a timex expedition diving watch--has ordinal (regular) numbers, a lumiglo backlight, a sweep hand, a dial around the outside you can twist and time...
  13. Questions about hospice

    wow--that consideration of patient acuity is HUGE. I am a CM and I am on my way to having a full caseload of 10--now I have 7 and one patient in transition or a pain crisis can destroy your whole...
  14. new RN and new hospice nurse-need help!

    the throughlifeand death link seems to be
  15. What is your Hospice paying for mileage

    just went to 0.51/mile plus tolls parking
  16. Boston New Grads Who Got Hired...What Helped??

    working as a CNA during school totally helped me get work after I passed the NCLEX. I had a high GPA, Sigma Tau, etc. But I was able to work as a private duty nurse for the same agency that I did...
  17. I don't feel that I had nearly enough time in clinical or skills lab. I did an ABSN program. I think this also puts me at a distinct disadvantage to those who did 4 year BSN degrees. You guys have...
  18. hey, it's me, canary in a coal mine--haven't heard from MGH yet. I just read this globe article and it is giving me PTSD as I did my immersion on Ellison 4. And I know ALL the nurses including the...
  19. NG: Got a job after 3 months (experience & tips)

    congrats on your new position. Your tips are great and just by doing this, I can see you are a team player. That will be a wonderful asset to you in your new position. I am a new grad nurse but NOT...
  20. So here’s the deal. I am fortunate enough to be the canary in the coalmine for this debate. In fact I logged on to allnurses to see if the topic had come up (YES! And then some ;-) and read what...
  21. Nursing Diagnosis!!!

    knowledge deficit related to impaired airway clearance? Try focusing on teaching regarding cough and deep breathing, repositioning. I have a great exercise where you have a pt put their hands just...
  22. Finally got a job in a Boston Hospital!!!

    what a nice post!! Congrats to you! I agree, Craigslist is great--I check it every day and I have to say that I just got an offer from a posting I initially saw there. Please send me info about a...
  23. How to gain experience!!??

    I worked as a CNA (not certified) in my last semester of nursing school--I did an ABSN program. Smartest thing I ever did! The second I passed the NCLEX, I was transferred to their private duty...
  24. Rate of pay for home health nurse in mass?

    I get paid $55/visit for skilled and $32 and hour for private duty-goes to $34/hour on weekends. Another agency I work for is flat $33/hour. And they reimburse mileage at the hourly rate for travel...
  25. how to get hired

    this is great!! Nice job!! and I am a new grad in