NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. Anything new in the foot care business? Updates on your business?

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

    I visited our local SCORE office for some free business counseling. ....I bet my counselor said TAXES >50 times......very obvious she was a government employee.....she did say a few things I hadnt...

  2. Computers, Home Charting and Internet Access

    NC29mom replied to Kabin's topic in Hospice, Palliative

    Used to use McKesson. On laptop Connected to internet if at home or office but still had to "transfer" to send or receive updated data No internet in the field Now use Homecare Homebase...

  3. Top 3 admitting terminal dx

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    We are only allowed to use debility if the patient doesn't fit criteria for any other dx, and has life expectancy of Our average stay of care is probably 6months. After a year on services, we...

  4. On call calls

    NC29mom replied to HillieRN's topic in Hospice, Palliative

    One more thing...we use pt education handouts r/t foley care, nausea, constipation, pain, etc. Ive learned you can teach and teach, but some just dont remember in the heat of the moment. If families...

  5. On call calls

    NC29mom replied to HillieRN's topic in Hospice, Palliative

    Do your case managers do tuck in calls? We have a volunteer who calls our families every Thursday to check on supplies. Its helped a

  6. On call calls

    NC29mom replied to HillieRN's topic in Hospice, Palliative

    I know what you mean about long distances. ...i generally have to drive a minimum of 30min, which is not ideal....but i live outside of town. Start by talking to your case managers regarding those...

  7. Lets talk about $$$

    NC29mom replied to russki1313's topic in Home Health

    The month i did work home health, I felt the number of visits were more important than quality of care. This is thee exact reason I came back to hospice. Home health expected me to see a minimum of 6...

  8. On call calls

    NC29mom replied to HillieRN's topic in Hospice, Palliative

    Luckily I work with an excellent group of nurses, that do a fabulous job case managing. If you are gettinga lot of "nonsense" calls, it could be related to poor case management. There's always going...

  9. Lets talk about $$$

    NC29mom replied to russki1313's topic in Home Health

    .45 a mile ~$30/month phone

  10. Lets talk about $$$

    NC29mom replied to russki1313's topic in Home Health

    HOSPICE (worked hh x month, pay so poor, moved on) NC $30\hr with on-call pay usually falling into overtime (only if visits made) $2/h on-call to "hold pager" NO BENEFITS, but dont want them I pay...

  11. Pressure ulcer staging

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

    I'm sorry, but I am going to have to disagree with the majority.....I would document it just as the discharge paperwork referred to it as, "L Ischial Stage IV pressure ulcer s/p surgical flap surgical...

  12. homecare homebase

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    One other thing.....whats up with all the numerical scales????!!!!?? Pain, depression, nausea, restlessness, anxiety, well being etc ...omg they are never ending! We are assuming they all work like...

  13. homecare homebase

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    Omg im looking a new job right away...I have always loved hospice just bc of the patient/nurse relationship. ..i cant live like that...This job is emotionally draining/stressful enough...i dont need...

  14. homecare homebase

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    We were a small, state wide hospice company who was recently bought out by the giant CURO. Even before we were bought out, the upper managment were talking about switching to HCHB because "McKesson...

  15. homecare homebase

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I was the first one from our office to do an admit. Well, due to the lack of training i chose about 15 goals. Huge mistake. ...i know what you mean about redundant.. ...it rook me >10 h to complete...

  16. Question

    NC29mom replied to dialysisnurseLC's topic in Hospice, Palliative

    I agree, continuous care doesn't sound appropriate.

  17. hourly paid hospice job

    NC29mom replied to mabbott19179's topic in Hospice, Palliative

    I wouldn't, couldn't do this job for anything but HOURLY. ..good

  18. What meds to keep

    NC29mom replied to laderalis's topic in Hospice, Palliative

    Do you have a hospice pharmacy you can consult with for recommendations? We generally get rid of namenda\aricept for our dementia pts (amazing how long drs keep pts on these), supplements. I...

  19. NAWC taking forever with wcc results

    NC29mom posted a topic in Wound, Ostomy, Continence

    I'm getting so impatient waiting to find out if I passed NAWC exam!!! Took class last week(2/18-22), test on Friday. Goodness, it's a SCANTRON. ..and only 9 in my class. How long did it take for you...

  20. NAWC taking forever with wcc results

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

    I finally got my results yesterday. ..and I am officially a WCC! Ive always had an interest in wound care, so have done a lot of reading online. I think it would be a fair comment to say I probably...

  21. NAWC taking forever with wcc results

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

    I learned a lot....very interesting and informative. The class I attended was taught by a PT...would have preferred a nursing perspective. The most frustrating part is waiting for the test results....

  22. fungating facial wound

    NC29mom posted a topic in Hospice, Palliative

    I have a pt with a large, deep fungating wound which basically encompasses the entire right side of her face (eye swollen shut for months now). There is an area of tunneling which extends from beside...

  23. management of bone ca pain

    NC29mom replied to aging1's topic in Hospice, Palliative

    Crazy as this sounds decadron and ibuprofen 800mg tid has worked for some of our patients.....with an opioid also, of course.

  24. fungating facial wound

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I did look into the Mepiel drsg..... I was just unsure if it would work....I will order and try.... I try to work as fast as possible but I end up stopping numerous times bc pt raises her hand. Today,...

  25. fungating facial wound

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I did consider a topical opioid.....however, my patient is a resident of an ALF, so keeping up with a gel or spray opioid would be difficult (narcotic count). Of course, they wouldn't be able to use...