Kabin

Kabin

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All Content by Kabin

  1. Hospice EMR

    Kabin replied to Nascar nurse's topic in Hospice, Palliative

    Avoid Cerner. The company will initially lift your hopes and then disappoint daily thereafter. Lots of server crashes, miserably slow operating software, inability to resolve problems, and slow to...

  2. Start of Care/Admission Process Ideas

    Kabin replied to tbroz1229's topic in Hospice, Palliative

    I'm not involved with admissions so take this with a grain of salt. Admit process needs to begin before the service starts. Whenever possible initial contact is made in the hospital, rehab center,...

  3. Case scenario for determining dx

    Kabin replied to Ellen Abad's topic in Hospice, Palliative

    Maybe it's the VA's Alternative Dispute Resolution? Not much you can do if the pt isn't hospice appropriate per FAST,

  4. Hospice...hostile and toxic work environment!

    Kabin replied to RENnurse4/17's topic in Hospice, Palliative

    Hospice is getting more and more challenging these day. There's more layoffs, more employee turn over, and likely more cost-driven Medicare changes. I long for the good old days when Medicare was more...

  5. Hospice/Palliative care nursing certification

    Kabin replied to Melnee's topic in Hospice, Palliative

    For those already holding CHPN status, there's another option. Complete ~24 continuing education credits per year plus extra requirements like presentations, community education. It might be less...

  6. Some facts about the West Coast BSN program

    Kabin replied to X620's topic in California Nursing

    And I should add several years back the law changed. You no longer can default on student loans. The banks legally can and will garnish wages for the rest of your life. Choose

  7. Some facts about the West Coast BSN program

    Kabin replied to X620's topic in California Nursing

    The student loan rule of thumb is the total student loan amount should be less than one year's anticipated salary. Owing 3.5years is nuts! Don't forget you have to pay taxes and social security on...

  8. Discharge from hospice

    Kabin replied to curiousinCA's topic in Hospice, Palliative

    It all depends on the reason for discharge. In general, the hospice team assesses and charts a pt's appropriateness for hospice. Different scales like PPS, MMSE, and FAST are used to measure decline....

  9. Scottsdale Healthcare And J. C. Lincoln Merging

    Kabin posted a topic in Arizona Nursing

    The two non-profit health systems will merge by July 31. Reportedly, it will help them be more competitive. Hopefully it works out better than another large hospital chain entering the picture....

  10. On Call

    Kabin replied to heartnurse2012's topic in Hospice, Palliative

    Of course call depends heavily on how big your company is. Obviously, the main issue is smaller companies needing to cover 24/7 with minimal staff. But even then, there's not much savings with larger...

  11. Bag barrier paper

    Kabin replied to ttouslee's topic in Home Health

    I have a rolling bag. Should I roll/carry the bag in and set it on a liner? Or is that only intended for carry in

  12. Switching jobs/pay in Arizona

    Kabin replied to Jelly19's topic in Arizona Nursing

    Plus, while you were away there's been big healthcare changes. Medicare has been reducing reimbursements. Hospitals have been losing patients, money, and downsizing

  13. Patients still wanting a lot of treaments

    Kabin replied to JennNJ83's topic in Hospice, Palliative

    We almost always let patients have treatments and office visits for non-terminal diagnosis related items. We don't d/c for ER visits or those rare hospital/clinic peritoneal taps for instance. It's a...

  14. PCU C-Diff

    Kabin replied to Kabin's topic in Hospice, Palliative

    Jargon for a GIP in patient care setting. Darn, there's no way to edit anything on this site. I agree. I think it doesn't quite warrant reimbursement for the next level of

  15. PCU C-Diff

    Kabin posted a topic in Hospice, Palliative

    How would you handle this c-diff case? A patient resides at an assisted living facility that's worried about other residents becoming infected from c-diff. The assisted living facility asks for a PCU...

  16. Medicare Diagnosis Changes

    Kabin replied to Stella1688's topic in Hospice, Palliative

    For sure. Depending on the admission nurse, sometimes our company admits PPS 70 dementia patients. It never makes sense to

  17. Group Home Influence

    Kabin posted a topic in Hospice, Palliative

    For those that have group homes in your territories. Do they provide an increased number of dementia and, in the past, debility terminal diagnoses? We're seeing caseloads with these diagnoses 3x the...

  18. Group Home Influence

    Kabin replied to Kabin's topic in Hospice, Palliative

    Good point. Group home have different meanings. Group homes could be rehabilitation, mental health, etc. I was thinking more along the lines of smaller, mom and pop owned. converted home, assisted...

  19. So disgusted

    Kabin replied to MomRN0913's topic in Hospice, Palliative

    Yes, for me those last few minutes can be crazy depending on the city fire and police dept personnel and policy. If the family calls 911, one city near me scrambles both the FD and police. Depending...

  20. First 2 Certification Periods

    Kabin posted a topic in Hospice, Palliative

    Does your company consider the first 2 certification periods (6 months) to be a freebie? In other words, do patients stay on service for the full 6 months even when the team questions the pt's...

  21. Nursing Informatics...once there, no going back?

    Kabin replied to OldITgeek's topic in Nursing Informatics

    True enough, but new projects become low priority when the budget hits the

  22. Sepsis as Hospice Diagnosis

    Kabin replied to lpoore's topic in Hospice, Palliative

    I've seen asystole as a terminal diagnosis and the patient was alive and on service.

  23. First 2 Certification Periods

    Kabin replied to Kabin's topic in Hospice, Palliative

    That's good to hear. I'm in full

  24. Nursing Informatics...once there, no going back?

    Kabin replied to OldITgeek's topic in Nursing Informatics

    It might be good to keep your clinical experience fresh. In the not too distant future the electronic medical record boom will slow and there could be a bunch of excess NI folks playing musical...

  25. Nursing Unions

    Kabin replied to Guest296136's topic in Arizona Nursing

    I've heard the AZ Board of Nursing is more harsh and less forgiving than the AZ Medical Board. It would be interesting to know how our board compares to other