NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. Fraud

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

    So did she work for a particular office in Medicare? Can you elaborate? Thanks for all the feedback. I was hoping I could be self employed, investigate, and report those who do commit fraud. The...

  2. Medicare Diagnosis Changes

    NC29mom replied to Stella1688's topic in Hospice, Palliative

    I forsee several hospice companies "going under" if they aren't able to use Debility/ AFTT. sadly, these are diagnosises used far too many times, and for inappropriate patients. I worked for a...

  3. Charity wound vac option

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

    Please realize there are other manufacturers who have a "wound vac". Most are dramatically cheaper than KCI (KCI brand, where as others are generic). If cost is a factor, you should explore the...

  4. Attending Dr not on board with hospice meds...

    NC29mom replied to smalltownLVN's topic in Hospice, Palliative

    Esquertrian: WOW!!! What an awesome chick you are to have the privilege of working beside such an incredibly intelligent/dedicated doctor. Ours is pretty awesome too, does a lot of research and...

  5. Attending Dr not on board with hospice meds...

    NC29mom replied to smalltownLVN's topic in Hospice, Palliative

    Yep....we have a few like that too. UNBELIEVABLE. Absolutely no quality of life, yet continues to receive chemo/radiation. I feel like its GREED. The dr doesnt care they are giving false hope to the...

  6. Anyone going to WCEI for certification ? Your thoughts?

    NC29mom replied to SeaH20RN's topic in Wound, Ostomy, Continence

    I took the class (paid for myself as i am in hospice and cmpy definitely wouldnt cover) just a few months ago. I would do it again....it was well worth the expense. Passed the exam with no problems...

  7. Desperate for help with Gastroparesis pain mgmt

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Yes, he is able to speak for himself. Hes still very functional, except when in a crisis. The nurses in my office all feel like he is manipulative, and suffers from emotional problems just bc of...

  8. Desperate for help with Gastroparesis pain mgmt

    NC29mom posted a topic in Hospice, Palliative

    I have a hospice patient, admitted with ES Cardiac, and co-morbity of Gastroparesis. I am having a nigtmare of a time trying to get his ABD pain managed. Attempted to resort to using a Morphine PCA,...

  9. Desperate for help with Gastroparesis pain mgmt

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Thanks so much for the awesome information. I am going to talk to our medical director about switching to methadone. And, possibly add neurontin. I am scared to stop all narcotics, as he is getting...

  10. Desperate for help with Gastroparesis pain mgmt

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Im desperate for some help with managing a patient's pain/nausea symptoms. This is an ES cardiac hospice patient, but has zero quality of life r/t gastroparesis. What do you do for your patient's to...

  11. Desperate for help with Gastroparesis pain mgmt

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    We tried a fentanyl patch.....wife ripped off bc she thought it was causing chest palpitations. ...she's bad for administering meds how she feels appropriate. ..its nothing for her to crush the...

  12. A word to the wise about CEU's

    NC29mom replied to Isabelle49's topic in Home Health

    My comment referred to finding free ceu's all geared toward a particular topic. For examples, wounds. As I am sure you know, if from NC, all of our ceu's must be r/t a particular topic/goal. You cant...

  13. Top 3 admitting terminal dx

    NC29mom posted a topic in Hospice, Palliative

    Just curious....what are your top 3 admitting hospice terminal diagnoses? I will start. .. 1. CANCER 2. AFTT 3. ES Dementia/Alzheimers or COPD. (both generally run close in numbers) I can...

  14. A word to the wise about CEU's

    NC29mom replied to Isabelle49's topic in Home Health

    I don't know girls..........I feel like it's so important to keep up with changes in our industry. If we want to be taken seriously as a "profession", we really need to continue to educate ourselves....

  15. Top 3 admitting terminal dx

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I find it EXTREMELY interesting to hear you say "CMS has now disallowed AFTT and debility" . Could you please reference your comment? Hospice is not just for pain, or pain related diagnosises. A lot...

  16. Attending Dr not on board with hospice meds...

    NC29mom replied to smalltownLVN's topic in Hospice, Palliative

    Might I add.....Do you have a nurse in your office who does community education? Maybe the person who markets? They can also be good resources for teaching primary doctors......ours does "lunch &...

  17. G-tube-How to stop it from unplugging itself

    NC29mom replied to Blackcat99's topic in Gastroenterology

    Most of the time, it's #3

  18. New Business for RN

    NC29mom replied to sonia211's topic in Nurse Entrepreneurs, Innovators

    Ever thought about doing foot care? Im basically in the same boat as you, except my goal is to be totally self employed. Check out the foot care thread under nursing specialities on this site. Ive...

  19. Good deaths versus bad

    NC29mom replied to missingmydad's topic in Hospice, Palliative

    Okay, so as a hospice nurse, I would love to tell you of my experiences.... Someone told me many years ago "people die like they live". I never quite grasped its full meaning until after working in...

  20. Good deaths versus bad

    NC29mom replied to missingmydad's topic in Hospice, Palliative

    Please please please read HEAVEN IS FOR REAL...a little boys astounding story of his trip to heaven and back. Ive been a hospice nurse for several yeara and will be back to post more when i can get...

  21. End stage Alzheimer's

    NC29mom replied to tnguy31's topic in Hospice, Palliative

    Personally, I would not admit an ES Alzheimer's patient if the family was considering a g-tube. I would consider it "aggressive trmt". I have seen Alzheimer's pts who "stopped eating" or "eating...

  22. Can you become a wound care specialist right out of school?

    NC29mom replied to Leonardo Del Toro's topic in Wound, Ostomy, Continence

    In my experience, i too have seen many nurses" promoted" to a treatment nurse/wound nurse status. This concerns me also, as I am a wound certified nurse (WCC wishing to someday advance to WOCN)....

  23. Preceptor letter...Can i get your feedback?

    NC29mom replied to pnkgirl25's topic in Wound, Ostomy, Continence

    WOW!!!! Nothing short of awesome! Put a stamp on that envelope chick and mail it. If I was the recipient, I would definitely be interested in meeting you. Best

  24. Wound Care

    NC29mom replied to Momofzra's topic in Nursing Student Assistance

    Certain wound care is sterile....for example post op

  25. End stage Alzheimer's

    NC29mom replied to tnguy31's topic in Hospice, Palliative

    A true ES Alzheimer's pt should not be able to walk, talk, maintain an independent sitting posture, or smile. Speech should be limited to a few words. Should have comorbities, and a secondary...