Meliss214

Meliss214 has 14 years experience and specializes in Oncall Hospice RN.

Latest Activity

1. Criteria for GIP

   Meliss214 posted a topic in Hospice, Palliative

   Does a pt automatically qualify for GIP when lopressors are

2. HIPAA and wrongful termination

   Meliss214 replied to Meliss214's topic in HIPAA Challenges

   duplicate

3. HIPAA and wrongful termination

   Meliss214 replied to Meliss214's topic in HIPAA Challenges

   Yes, the doctor that I consulted with is employed with the hospice company. The other reason that they are using to justify my termination is that I called in an order for lorazepam which is part of...

4. HIPAA and wrongful termination

   Meliss214 replied to Meliss214's topic in HIPAA Challenges

   Thank you! This was the first time in 4 yrs as a hospice nurse where the hospice doctor refused to let me send out a comfort kit. I know the company was desperate for referrals, but I didn't think...

5. HIPAA and wrongful termination

   Meliss214 posted a topic in HIPAA Challenges

   I was terminated yesterday for calling another hospice doctor at our company for advice on how to handle a pt's unmanaged symptoms. I disclosed the pt's age and her dx of ES Parkinson's and the...

6. very confused about my hospice job- need advice

   Meliss214 replied to maybug's topic in Hospice, Palliative

   I commend you for surviving so long in those conditions. I love hospice, but have not been impressed by the business side of it. I tried case management after starting out as the weekend oncall nurse...

7. Couple of questions....

   Meliss214 replied to Morganalefey's topic in Hospice, Palliative

   I currently work that shift. Definitely prefer these hrs compared to the m-f schedule. I'm responsible for doing admissions also so I usually work Mon and Tues doing paperwork. The worst part of this...

8. oxygen orders vs nursing perceptions

   Meliss214 replied to Meliss214's topic in Hospice, Palliative

   Thanks for responding. The pt and his wife prefer increasing the oxygen instead of increasing the morphine

9. oxygen orders vs nursing perceptions

   Meliss214 posted a topic in Hospice, Palliative

   I received orders from the Dr to give a pt with COPD and lung ca 15 L of oxygen because the pt is experiencing respiratory distress and the ativan and morphine were insufficient. The pt was previously...

10. How fussy are you about O2?

    Meliss214 replied to Vtachy1's topic in Hospice, Palliative

    What if the pt has lung cancer along with COPD, and prefers hi flow oxygen instead of high doses of

11. New Grad RN wanting to be a Hospice Nurse-Advice?

    Meliss214 replied to jacq929's topic in Hospice, Palliative

    I had 6 mos of nursing experience when I was hired to work as a hospice RN. I spent 1 mo shadowing the case managers and assisting when possible. Fortunately I had a supervisor who was just a phone...

12. Aggressive treatment?

    Meliss214 replied to Meliss214's topic in Hospice, Palliative

    Yes, the patient is on hospice and since I am new to hospice and this company, I didn't no that I could order cipro without the DON's permission, although she would like me to think that I need her...

13. Aggressive treatment?

    Meliss214 posted a topic in Hospice, Palliative

    I'm beside myself right now because my DON won't let me call in an order for cipro to treat a UTI in a pt with bladder cancer because she considers it to be an aggressive treatment. Am I

14. What's up with veteran nurses hating on new grads?

    Meliss214 replied to jennilynn's topic in General Nursing

    I left the hospital scene after enduring "bullying" behavior from the veteran nurses. I now have to drive all over Houston to care for hospice patients, but it's worth not having to watch your back...

15. thinking about quitting.. please help..

    Meliss214 replied to luvemmaboo's topic in First Year After Licensure

    Congratulations on making it this far! I only lasted 4 mos at my first job as a psych nurse and 2 mos as a day surgery nurse. I couldn't stand the nastiness of the other nurses. I'm 44 so I'm ready to...