NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. Medicare Diagnosis Changes

    NC29mom replied to Stella1688's topic in Hospice, Palliative

  2. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    I've been a hospice nurse for quite a while.....never, ever heard of this...as i said in an earlier post...I think you are confusing HOSPICE ADMITTING DX with hospital referring dx... Where's the...

  3. Odourous wound

    NC29mom replied to nettie01's topic in Wound, Ostomy, Continence

    Flagyl Flagyl Flagyl. ....topically to wound bed. comes in a gel. Nothing works

  4. Hospice documentation compare to home health documentation

    NC29mom replied to PeacockMaiden's topic in Hospice, Palliative

    A hospice job that pays by visit?!? Yuck! Hospice should never ever be about QUANTITY. ...as a general rule, we spend more time with our pts as hospice encompasses the pt and their family. On...

  5. Medicare Diagnosis Changes

    NC29mom replied to Stella1688's topic in Hospice, Palliative

    I agree.... .overused and abused. And, I personally agree with the change. A local hospice used debility for >75% of its admissions, which makes it hard for the hospice companies who are legit. I'm...

  6. average pay for a hospice lvn?

    NC29mom replied to cawkazn's topic in Hospice, Palliative

    How much experience do you have (hospice)? Are you LPN or RN? how long have you been a nurse? And BTW there's A HUGE DIFFERENCE in being paid by hour or paid by visit....u need to clarify that...

  7. Medicare Diagnosis Changes

    NC29mom replied to Stella1688's topic in Hospice, Palliative

    Medicare requested all applicable comorbidities be listed several yrs ago. The LCD's do say pts with dementia should have comorbidities to be eligible. However, these are just guidelines. Wow. So...

  8. Cleansing a necrotic toe/ischemic toe(s)

    NC29mom replied to josephjohn87's topic in Wound, Ostomy, Continence

    The goal is to keep the toe as dry as possible bc the eschar serves as a barrier to bacteria, etc. DM causes delayed healing, and PVD results in poor circulation to the extremity. Our blood carries...

  9. Stooopid

    NC29mom replied to Ciale's topic in Emergency

    She didn't disclose any information which would breech confidentiality. ...and we all have bad

  10. Ripped into a million pieces

    NC29mom replied to Vtachy1's topic in Hospice, Palliative

    Please don't let this get you down!!!! Remember, you have entered a person's life at the most vulnerable, emotional, and depressing time.... I can promise you....they meant absolutely nothing by...

  11. Group Home Influence

    NC29mom replied to Kabin's topic in Hospice, Palliative

    Ok......so then as long as the pts are meeting criteria for Dementia, and their attending & your medical director has certified their life expectancy is 6m or I have been doing chart audits for...

  12. Group Home Influence

    NC29mom replied to Kabin's topic in Hospice, Palliative

    When you say" group home", are you referring to an assisted living facility? Or, an actual group home? Because I was under the impression the rules had changed for both (as far as the level of care...

  13. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    Wow!

  14. First 2 Certification Periods

    NC29mom replied to Kabin's topic in Hospice, Palliative

    Absolutely not. Regardless of benefit period, if they are not appropriate, they are discharged.....promptly. That's very shady, and will only raise red flags for auditors. It makes me wonder, why...

  15. squamous cell carcinoma wound pain

    NC29mom posted a topic in Hospice, Palliative

    Having a difficult time getting pain managed on a pt with a squamous cell carcinoma facial wound. Current regimen: oxycodone (tried morphine said made too foggy at lowest dose) neurontin, decadron,...

  16. Is there any granulation with a stage 1 pressure ulcer?

    NC29mom replied to babs1963's topic in Wound, Ostomy, Continence

    Exactly. ...stage I is non-blanching redness on intact skin Stage II III or IV can present with

  17. squamous cell carcinoma wound pain

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    What medications would you

  18. Antibiotics and gray area

    NC29mom replied to HillieRN's topic in Hospice, Palliative

    As far as what? If ABT are appropriate, or which ABT are used for this or that? We treat with abt...regularly. (PO) I think in the past a lot of hospice organizations didnt use. . But that changed...

  19. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    The terminal dx is whatever the attending & med director certify on admit as having a prognosis of 6m

  20. Hospice reading

    NC29mom replied to Mommy&RN's topic in Hospice, Palliative

  21. Words of wisdom/advice for new hospice nurse?

    NC29mom replied to mama2's topic in Hospice, Palliative

    Remember the dying are STILL

  22. Advice for dealing with addicts?

    NC29mom replied to garnetgirl29's topic in Addictions

    Just fyi addicts have addictive personalities and can become addicted to Tylenol. ...its addictive behavior of swallowing a pill...ANY PILL....whether they get high or not. So, yes in that respect...

  23. Advice for dealing with addicts?

    NC29mom replied to garnetgirl29's topic in Addictions

    Theres a DIFFERENCE between ABUSE and ADDICTION.. .. People dont go through physical withdrawals from not having phenergan. ...nor do people" drug seek" phenergan. (that ive ever

  24. wound clinic set up

    NC29mom replied to rdr1128's topic in Wound, Ostomy, Continence

    Little off topic...but.....if you have your BSN why in the world didn't you go the WOCN route? I also took the WCEI class, and am WCC. however, I didnt have a choice, I only have my ASN.... The WOCN...

  25. Live-in RN advice

    NC29mom replied to lauraline's topic in Home Health

    Great advice...i second