andre

andre

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All Content by andre

  1. Dream job offer--pediatric burns!!!

    andre posted a topic in Burn

    I'm a new grad and I've been offered a job in a Shriners hospital....anyone have any experiences to share about Shriners' new grad program? Goodness, I feel so honored and excited....and, well,...

  2. 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...

  3. 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...

  4. 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...

  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. 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...

  7. 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...

  8. 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...

  9. 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.

  10. 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...

  11. 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

  12. 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...

  13. 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....

  14. 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

  15. 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...

  16. 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...

  17. Paper or computer documentation???

    andre posted a topic in Hospice, Palliative

    I am curious, is your hospice using computer documentation, and if so, what program are you using? do you like it? If you have done both paper and computer documentation in the hospice setting, which...

  18. Paper or computer documentation???

    andre replied to andre's topic in Hospice, Palliative

    Road Notes is what we'll be using! I asked the question because so many of the RNs in my hospice are sooooooooooo negative about the change over--and I am personally looking forward to it! I came to...

  19. Insightful answers please. . . . .

    andre replied to kcalohagirl's topic in Hospice, Palliative

    I agree with this response as well.....my hospice job is much more flexible and family friendly than my 12 hour shift work in the hospital

  20. Having a hard time with boundaries

    andre replied to wonderbee's topic in Hospice, Palliative

    I refuse to believe that hospice requires us to be "on" 24/7. In fact, in my hospice I am encouraged not to even think of checking my email on my day off, or on the weekend. I am salaried at 32 hours...

  21. How often are you on-call; scheduled weekend visits?

    andre replied to Caffeinated's topic in Hospice, Palliative

    We have a dedicated on-call team. I am currently obligated for one weekend of scheduled visits (8-430) per month, but our manager is in process of hiring weekend only nurses...which means my weekend...

  22. Accepted into RT & Nursing program...I don't know what I want to do! HELP!

    andre replied to jollyjenny's topic in General Nursing

    That's tough. The main reason I chose nursing over another medical field I had been considering was that flexibility. I started out in telemetry, transferred briefly to oncology, and am now starting...

  23. Wait Listed!

    andre replied to GottaGetIn's topic in Pre-Nursing Students

    Hang in there! I went to NHCTC-Stratham, and the first year I applied I was wait-listed. I was #8 of 8. Although I never made it off the wait list that fall, I hadn't yet finished my pre-reqs...

  24. Is this a med error?

    andre replied to nessa77's topic in First Year After Licensure

    I realize this doesn't directly address your situation, but on our floor we give po meds in the am before a dobutamine stress...with the exception, of course, of beta blockers. Yes they are otherwise...

  25. Telemetry Tech position VS. Nursing Assistant

    andre replied to mom2three's topic in Cardiac

    I worked on a tele floor as a unit secretary/monitor tech while in nursing school. Never worked as an LNA. And guess where I started as a new grad RN? On my tele floor! If your interest is in...