Meliss214

Meliss214

Oncall Hospice RN

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All Content by Meliss214

  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 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...

  3. HIPAA and wrongful termination

    Meliss214 replied to Meliss214's topic in HIPAA Challenges

    duplicate

  4. 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...

  5. 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...

  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 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...

  9. 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

  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 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

  13. 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...

  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...

  16. Weekend on-call shift

    Meliss214 posted a topic in Hospice, Palliative

    I've just been hired to work the weekend on-call shift which begins at 5 pm Friday and ends 8 am Mon. I'm wondering if anyone has any tips on how to survive this type of shift. My area spans 100 miles...

  17. Weekend on-call shift

    Meliss214 replied to Meliss214's topic in Hospice, Palliative

    Thank you Lotlie for your response. I've read that being on-call involves less paperwork than being a CM. My main challenge will be finding time to sleep. I've been told by my manager that if I get a...

  18. Time frame for job hopping???

    Meliss214 replied to Pooh Bear RN's topic in General Nursing

    I too have quit 2 nursing jobs in my 1st year. Both places have a high turnover rate so I'm trying not to take the experiences too personally. Do I have to list both jobs on my

  19. How did you find a job as a new grad?

    Meliss214 replied to rn_yogi's topic in Job Search, Interview, Resume

    I got hired at a hospital today by bypassing HR to meet the nurse manager on the unit. The hospital that hired me has a reputation for hiring new nurses and my friends told me that you have to meet...

  20. Why cant I get an interview or at least a job?

    Meliss214 replied to ilove's topic in Nursing Career

    Only if your license was suspended. A former employer is restricted from sharing any info regarding your job

  21. Getting stuck with the blame

    Meliss214 replied to 3fins's topic in First Year After Licensure

    At least you weren't suspended like I was for failing to notify the attending. I left that toxic work environment since my supervisor believed the nursing is an autonomous job even though my charge...

  22. written up

    Meliss214 replied to Ms.RN's topic in General Nursing

    I just resigned as a psych nurse after 4 mons because the NM suspended me for failing to call the attending regarding a patient's bp that was not responding to the meds that the medical dr was...

  23. Why cant I get an interview or at least a job?

    Meliss214 replied to ilove's topic in Nursing Career

    Some of my friends took the initiative to meet the nurse manager and ask if they could schedule an interview for the posted position. I recently resigned from my position as a psychiatric nurse, and...

  24. Pay, benefits, etc @ UHS facilities

    Meliss214 replied to TheNurseIsIn's topic in Psychiatric

    I'm working at a facility that was recently purchased by UHS. So far nothing has changed except the incidence

  25. My manager went off on me!

    Meliss214 replied to mh356's topic in Patient, Colleague Relations

    I so needed this thread. I too have been accused of being difficult to work with. So now I'm going to ask for specific examples. I would love to quit and start off fresh somewhere else since I feel...