NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. Live-in RN advice

    NC29mom replied to lauraline's topic in Home Health

    Wow....thinking someone is their husband's mistress is so typical of Alzheimer's/ dementia. So sad... HPOA is a good idea; however, it sounds like the aides\nurses are leaving because they are unable...

  2. doing duties I dont think I should be

    NC29mom replied to jess_v's topic in Home Health

    If you are being paid by a government agency to provide care for a pt who doesnt even sound dependent for any needs....you should alert your agency. Reason #353 why govt

  3. Live-in RN advice

    NC29mom replied to lauraline's topic in Home Health

    Are you hiring NURSES? or nurses AIDES? If nurses, why does your grandmother need that level of care? She doesn't sound end stage...if shes still talking in complete sentences... Does she need around...

  4. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    I think you are misunderstanding the question. ....im pretty positive the original poster was referring to HOSPICE ADMITTING TERMINAL DIAGNOSIS. This is totally different than a DRG for which a...

  5. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    According to who? It may be your employers decision not to use....but last I heard, not Medicares. They might not recommend using AFTT or Debility, but from what Ive read on medicares website...the...

  6. Question about the FAST scale

    NC29mom replied to amagicalmind's topic in Hospice, Palliative

    FAST scale scoring MUST BE SEQUENTIALLY (its not the lowest score for which the pt qualifies, its the lowest CONSECUTIVE score) They shouldn't be able to ambulate without personal assistance (someone...

  7. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    Ive been in hospice for several years,and always thought we were limited to a "group" of hospice dx's (ES dementia, CVA, ES renal, COPD, ES cardiac, ALS, AIDS, CA). However, today I was reading on...

  8. Sepsis as Hospice Diagnosis

    NC29mom replied to lpoore's topic in Hospice, Palliative

    What is sepsis from? Urosepsis r/t ES Dementia? Where was original source? The only way you could use "sepsis" would be to admit under debility, which the last I heard was not an appropriate Medicare...

  9. Part-Time Hospice Nurse?

    NC29mom replied to waxynurse3's topic in Hospice, Palliative

    In my opinion, continuity of care is SO IMPORTANT in hospice. One of my biggest complaints, and families too, is having different nurses visit (not on call, bc that cant be helped) for routine care....

  10. Morphine and comfort care.

    NC29mom replied to Alnitak7's topic in Hospice, Palliative

    Sometimes morphine can actually PROLONG a pts life.....allowing them to be more comfortable (for those suffering in pain, or gasping for breath). As with any medication, morphine has to be used...

  11. Hospice reading

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

  12. skin graft

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

    Thank you....I actually left the original order (silver alginate/foam bordered drsg). Our drs are a little more willing to do wound cultures here lately. ...great idea. I will definitely ask for...

  13. skin graft

    NC29mom posted a topic in Wound, Ostomy, Continence

    Need help please .......... Pt had skin graft to L hip >40 y ago. r/t deep, non-healing abscess. Area healed nicely s/p graft originally. Left area measuring approx 12 x 9 x 2cm scar tissue/graft...

  14. skin graft

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

    So, just apply the bactroban, then alginate and cover daily? Should i just use a hydrofiber, if Im just trying to manage drainage? Or...should I use a ca or silver alginate? Unfortunately, going to...

  15. skin graft

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

    Wow. I would love to know why you feel my choice of dressing would be inappropriate, or "curative". Im trying to cure infection. ..absolutely. we still use abt in hospice...and as I said this wound...

  16. Frustration with providing supplies

    NC29mom posted a topic in Hospice, Palliative

    Ever since our hospice company got bought out by a huge corporation, things have really gone downhill. I find myself, on a daily basis, frustrated with the type/quantity of supplies we are able to...

  17. Hospice and GIP admissions

    NC29mom posted a topic in Hospice, Palliative

    I have recently started working for a new hospice company. For whatever reason, they LOVE to admit patients already hospitalized (GIP). I just don't get it. I thought to admit under "GIP status", the...

  18. Independent private duty nurse?

    NC29mom replied to WhatamIdoing's topic in Nurse Entrepreneurs, Innovators

    Ummm.....dont you have to work under a doctor to do these tasks in the home? Shouldn't there be an order for wound care, injections, and

  19. Heat wave and home hospice nursing...

    NC29mom replied to DLS_PMHNP's topic in Hospice, Palliative

    Absolutely! !! I have several pts who dont even have air conditioning. ......i.make sure they are the very first ones i see...around 7:30-8am. Its definitely

  20. Low Census

    NC29mom replied to tsunade's topic in Hospice, Palliative

    Id suggest looking for another job if you can't afford to not have guaranteed hours. Medicare has/is making a lot of changes, reducing everyone's census Im sure. Or, maybe you could find another PRN...

  21. Pronouncing patients death

    NC29mom replied to ambrosial's topic in Hospice, Palliative

    In NC only a RN can pronounce death in our hospice setting. This is why we don't use LPNs to do our call. We, of course, have to have several things present (absent pulse, BP, etc). If there's a DNR...

  22. I need help finding information on how to follow my dads wishes

    NC29mom replied to SandyB's topic in Hospice, Palliative

    http://www.Agingwithdiginity.org Check out the "FIVE WISHES" Its a great start, very simple to understand, and legal in California. Hopefully your father is alert/oriented and able to participate in...

  23. Hospice and GIP admissions

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Well then use them and see dont you get an automatic

  24. Hospice and GIP admissions

    NC29mom replied to NC29mom's topic in Hospice, Palliative

  25. Fraud

    NC29mom posted a topic in Nurse Entrepreneurs, Innovators

    I wish I could open a business in which I investigated, and reported citizens for fraud. Medicare/Medicaid/SSI/Disability/ Food Stamps.....you name it. As a society, we have become dependant upon our...