NC29mom ASN, LPN, RN

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 laptops with McKesson and use tablets with HCHB. Ho...

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 consultuting; however, after reading more about f...

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 (students) or a picture of the class. i want to do somethi...

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 (eg, 24-hour scheduled morphine totals 150 mg, th...

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 have liked and it has really bothered me. Part of th...

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 depth...

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 chemo/radiation only lasted a days to weeks. I kn...

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 of pocket, unfortunately. Please tell me a littl...

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 education offered by medicool. they are just for nail...

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 proficient in performing that skill....the ANYBODY can lega...

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 CANNOT decide for a patient to revocate. Now, a hospic...

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 scripts down the road.

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

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 (didactic), and day two is all clinical experience ...

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 a snf with hospice?????? I've been told its bribe...

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 supplies. Our company sends our aides to our facility pts...

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 agree to be responsible for anything not on the plan ...

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 that were the case, all hospices would be broke. A lo...

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 alternative, then the pt has the right to pay out o...

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 Medicare states, for part D to cover any meds it mus...

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 PA for an antidepressant. Insulin, probably.

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. The ONLY option is for pt to pay out of pocket or...

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 GOOD CARE. Its absurd to me there are actually hospi...

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 hospice, or the Pt pays out of pocket. I spoke with a ...

Oh my....I stand corrected. OP was correct. Effective may 1st. The hospice action network has great information regarding this topic. http://Http://hospiceactionnetwork.org/get-informed/issues/part-d/ I'm really nervous how this will affect our pt...