NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. homecare homebase

    NC29mom posted a topic in Hospice, Palliative

    We are in the process of transitioning from McKesson to HCHB. I had the impression HCHB was going to be sooooooo simple and less time consuming. ...well, im not seeing it...or not yet anyway. We had...

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

    NC29mom posted a topic in Nurse Entrepreneurs, Innovators

    I just happened to come across this speciality thread while reading the wound threads. My dream has always been to become an entrepreneur. My original thought was to branch out into independent wound...

  3. Ideas for Gift for nursing instructors??

    NC29mom posted a topic in General Students

    just wondering if anybody had any "unique & creative" ideas about what our class can give our nursing instructors?? in the past, i know some of the classes gave a plaque with their names...

  4. Morphine and comfort care.

    NC29mom replied to Alnitak7's topic in Hospice, Palliative

    Can you explain why this patient's PRN dose is TWICE the strength of the scheduled? Just wondering....Usually "Short-acting opioid doses are approximately 10-20% of total 24-hour scheduled opioid dose...

  5. bad bad deaths

    NC29mom posted a topic in Hospice, Palliative

    As hospice nurses our ultimate goal is definitely for our pts/families to experience a peaceful death. Sadly, that doesn't always happen. I recently had a pt who didn't die as peacefully as I would...

  6. seeking sources for education in pain mgmt

    NC29mom posted a topic in Pain Management

    Can anyone recommend any good sources for education in pain management? For nurses? Online sources preferred but open to all. Don't necessarily need educational credit. Anything from basics to in...

  7. The Future of Hospice: Concurrent Curative Care?

    NC29mom replied to KMRN81's topic in Hospice, Palliative

    just my two cents.....I have noticed patients who refuse chemo and radiation live longer. much longer....I've had some last 1-2 years, while another pt with comparable metastasis who chose to undergo...

  8. Recommended Reading for Hospice Nurses

    NC29mom replied to introspectiveRN's topic in Hospice, Palliative

    How was the conference? You are referring to the train the trainer classes, right? I'm going in Oct to the one in Orlando and cannot wait!! Was it worth the travel & class costs? I'm paying out...

  9. Vac File vs Dremmel

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

    Check out medicool drills. It was recommended to me, and I love it. Have two because they are very inexpensive. Portable, lightweight, battery powered (or can plug in) and lots of drill bits and...

  10. CFCN Foot Care Eligibility Changes

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

    Hotflashion: Its a little ridiculous that medical assistants will be your competition. ....however; a doctor can teach ANYBODY a skill, and as long as the Dr says that particular ANYBODY is...

  11. Revoking and Hospitalization

    NC29mom replied to Kabin's topic in Hospice, Palliative

    Its NEVER EVER EVER your" "Administrators responsibility to make the decision regarding whether to revoke the patient or not".......PLEASE PLEASE know...revocation is PATIENT GENERATED. A hospice...

  12. rescue meds...or not.

    NC29mom replied to johnys's topic in Hospice, Palliative

    i just use a local pharmacy to get the meds. This allows the pt to have immediate medication and saves the snf the step. We are paying for the meds anyway, so it's never been a problem just to run the...

  13. CWCN test

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

    Is that the same for the foot portion of the test? I'm trying to prepare to take the exam for

  14. Foot and Nail Care course

    NC29mom posted a topic in Nurse Entrepreneurs, Innovators

    I just finished the certified foot and nail care course at Emory University, and felt I needed to share my awesome experience. The class is a two day class. Day one focuses on the educational aspect...

  15. SNF who provides supplies?

    NC29mom posted a topic in Hospice, Palliative

    I've heard so many conflicting answers.. can anyone answer? And is the answer in anything written by Medicare? -----Whose responsibility is it to provide supplies (incontinence) for a pt residing in...

  16. SNF who provides supplies?

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    I know exactly what article you are referring to when speaking about SNF's using HHA services more than home patients. I wish there was something more definitive in writing about incontinence...

  17. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    It's a collaboration between the hospice and pharmacy. And yes, our hospice doesn't cover that particular medication, and neither will pts part D. When a pt elects hospice they sign consents, and...

  18. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    I can assure you there are numerous other medications, for pain or depression, which can be used in the place of cymbalta. Medicare doesn't require hospices to cover non-formulary medications. If...

  19. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    You misunderstood if you interpreted my post to mean the pt has to pay out of pocket for a HOSPICE FORMULARY EQUIVALENT. hospice covers ALL formulary meds 100%. If the Pt refuses to try a formulary...

  20. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    As I have stated in several responses......... Part D expects PART A to cover symptom related medications. Part D will no longer cover ANY meds for hospice pts without prior authorization. As...

  21. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    Yes, that's right. Now Part D won't be covering unrelated meds without prior authorization. So why do you feel cymbalta (or generic) would be covered under part D then? I don't see Medicare D giving...

  22. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    Because part D is not covering symptom mgmt medications bc they feel part A (hospice) should cover. Doesn't matter if it's formulary for Part D. In my case the brand/generic is NOT hospice formulary....

  23. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    It seems what started all of this was hospice companies not covering pain medicine. The company I work for ALWAYS covers symptom related medications, even if not related to terminal dx. Its called...

  24. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    Actually part D does NOT pay for ambien or cymbalta (brand or generic), as they expect part A (hospice) to cover (FOR HOSPICE PTS). Therefore, either a comparable is prescribed & covered by...

  25. The Death Knell Of Hospices Everywhere

    NC29mom replied to chordringer's topic in Hospice, Palliative

    Oh my....I stand corrected. OP was correct. Effective may 1st. The hospice action network has great information regarding this topic....