NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. The Death Knell Of Hospices Everywhere

    Hmmm...what do you mean? Example: hospice pt with cops dx; comorbidities HTN, DM. Meds: -Albuterol (hospice covered) -Ambien (not hospice formulary, been long term therapy not r/t dx anyway....
  2. The Death Knell Of Hospices Everywhere

    As far as pts already getting notices about meds not being covered. ....this, in my opinion, is due to obamacare and the individual drug plans. Yes, I've had pts get notices about non-coverage of...
  3. The Death Knell Of Hospices Everywhere

    I didn't interpret the article to say Medicare part D will no longer cover unrelated medications. If I were to believe such is true, then does that also mean Medicare will no longer cover Dr visits...
  4. SNF who provides supplies?

    Actually we still do provide aide services in our snf/ALFs. But several months back we went through a thing where we weren't supplying ALF's with aides or supplies if they were Medicaid bc supposedly...
  5. SNF who provides supplies?

    Toomuchbalogny: It makes perfect sense to provide supplies to snf pts. I've been in hospice for about 6-7y and I've always done it like that. However, the company I currently work for made us stop...
  6. Gentiva nursing test@ hiring

    help!!! anybody ever taken the test (computer) for gentiva during hiring process? i've done face to face interview, and they say this is the next step. apparantely its a test about nursing...
  7. Gentiva nursing test@ hiring

    I worked for them a few years ago and was shocked to find out they don't drug screen (pre-employment or during employment unless you have an accident). They do a background check though, because it's...
  8. Hospice failure

  9. Med Error.

    Not if the nurse administered..... I wish you the best and hope your manager is understanding. We are human, not perfect by any stretch of the imagination. Errors happen....its just life. If she does...
  10. Medical Pedicure?

  11. Just wondering, is it a common practice for NPO orders to be written when a dementia patient aspirates? (Example: pt likely aspirates during meal, order written for NPO status x 48°, then normal...
  12. I would like to be an addiction nurse

    Thank you......your statements are EXACTLY the way it should
  13. I got this loan yrs ago in nursing school. Unfortunately, I ended up having to pay it back because I was only "prn" at the job I accepted. Even though I worked 40+ hours a week, my PRN status was not...
  14. Revoking and Hospitalization

    We have one of our nurses on stand by at hospital so when decisions are made r/t tests/treatment a decision regarding revocation can be made
  15. Revoking and Hospitalization

    BACKDATING a revocation form is MEDICARE
  16. NC doesn't. ..I contacted my BON. our nursing license IS our business license (Dr, dentists, pt don't have business licenses either) However, each state is different. To be absolutely sure, contact...
  17. Hospice! My experience with Home health was slightly different. Yes, pts needed lots of education, but we were paid on the QUANTITY of visits, not the quality. I was expected to see a minimum of 6...
  18. Obesity, diarrhea and skin care

    Interdry is an excellent product for skin folds. Go to their website and u can sign up for a free
  19. Obesity, diarrhea and skin care

    DIFLUCAN STAT! will also help with yeast. Never been huge fan if nystatin
  20. Google "Dr Julia overstreet" she's a podiatrist in Seattle who trains nurses to become CFCN. awesome awesome lady. I also took the class at Emory, which was exceptional. Trained with Dr overstreet...
  21. Hospice House - What to expect?

    Our company used to have 2 hospice houses. Closed both because wasn't able to break even on costs. They were strict about admitting appropriate pts though. The pts they did take did not stay...
  22. Hospice House - What to expect?

  23. Hospice House - What to expect?

    I didn't think Medicare would pay gip rate just bc a pt was actively dying. I thought there had to be an unmanaged
  24. can gangrene be a hospice diagnosis

    The hospice diagnosis is whatever the medical director/ attending physician agree is the terminal diagnosis which has a prognosis of 6m or less. At the same time there are terminal diagnoses such as...