andre

Latest Activity

1. In the Field: Turning In paperwork question

   andre replied to AtlantaRN's topic in Hospice, Palliative

   Our agency is on an EMR so it's really only consents, port DNRs/copies of advance directives and pharmacy auths to turn in. The expectation is to turn everything in within 24 hours of the admit. Or 24...

2. New CoPs....

   andre posted a topic in Hospice, Palliative

   arggggggggggggggggggggggggggggggggggggh.:banghead::banghead::banghead::banghead: I can't possibly be the only one trying to figure out how we're supposed to have any time left to see patients with all...

3. Readmission of patient whose family calls 911

   andre replied to AtlantaRN's topic in Hospice, Palliative

   What we have done in these scenarios is explain to the pt and family that if they call 911 or go to ER without calling us first, they are revoking their hospice benefit as that is outside our plan of...

4. A rant: sick time use and policies

   andre replied to andre's topic in General Nursing

   I had this same experience when I had the flu a few years back....missed two consecutive days of work and was required to get a doctor's note. I went to my MD's office but saw a covering MD who, when...

5. A rant: sick time use and policies

   andre posted a topic in General Nursing

   Ok. I totally understand that nursing is a 24/7/365 operation. Really. And I knew when I went to nursing school that I'd be working weekends and holidays, and planning my vacations six month in...

6. number of visits per day

   andre replied to Passion for the Job's topic in Hospice, Palliative

   I'm not case managing any longer, but when I did I carried a caseload of 12 and generally did 4 visits and several phone calls per day. Five visits was BUSY and happened sometimes, but I never did...

7. Hospice Electronic Documentation

   andre replied to jyhn's topic in Hospice, Palliative

   Our agency is now on Road Notes, which is fine but is not terribly intuitive. I hear GREAT things about HealthWyse (have a friend who is a project manager for that company). I've heard very mixed...

8. Catch 22 making me take a year off between ADN and BSN!

   andre replied to kukukajoo's topic in General Nursing

   I graduated in NH (NHCTC Stratham) in May of 2005. Took my boards June 7th, 2005. Could have tested sooner but I wanted a few more days to study. It is do-able, IMHO.

9. High Blood Pressure At End Of Life?????

   andre replied to tencat's topic in General Nursing

   Clearly I didn't read your first post very closely! Somehow I thought you had said she was moaning with care.... Your other post about not being able to auscultate heart sounds, along with the wet...

10. High Blood Pressure At End Of Life?????

    andre replied to tencat's topic in General Nursing

    I'd rather suspect she is either in pain or anxious--anxiety may be r/t dyspnea. Is she on any morphine? I think she needs to be

11. Experience required for Hospice RN

    andre replied to IDidIt2007's topic in Hospice, Palliative

    I went to hospice directly from tele! Well, unless you want to count the 8 weeks of misery in outpatient oncology before I ran screaming to hospice (oh I loved onc--the patients, the work itself--it...

12. Handling On Call

    andre replied to CaringRN1234's topic in Hospice, Palliative

    I am going to respectfully disagree with that statement. Pain crises happen at all hours of the day and night. This is not a reflection on how well case managers are taking care of their patients....

13. Should I return to the ER?

    andre replied to HealthyRN's topic in Nursing Career

    Can you ask to shadow for a shift before accepting the position? This would give you a better "feel" for the

14. Is a hospice program needed in LTC?

    andre replied to clevelandrocksgirl38's topic in Hospice, Palliative

    I could not agree more with this post! It isn't that LTC nursing staff don't want to provide excellent end of life care...and obviously in many cases, they do. But given the LTC nurses' patient...

15. New Hospice Nurse says HI!

    andre replied to CRNAorBust's topic in Hospice, Palliative

    Welcome to hospice! I've only been in this specialty for five months, but I can't imagine going back to tele/stepdown now, at least not full time (I'm still per diem at the hospital). I do home...