hospicenurse

hospicenurse

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All Content by hospicenurse

  1. trying to find a video - need help

    hospicenurse posted a topic in Hospice, Palliative

    I'm trying to locate a video I saw years ago. I believe it was used for training our hospice volunteers, but I'm not sure it was developed for that purpose. It was basically a one man routine. He...

  2. Over sedated? Grrrrrrrr

    hospicenurse replied to ShayRN's topic in Hospice, Palliative

    Go to the nurse manager, explain the situation. Is this LPN new to hospice? Perhaps some teaching is needed for the nurse, and perhaps the whole team. This would be an excellent opportunity for the...

  3. Which Hospice companies are Good to work for?

    hospicenurse replied to Raine08's topic in Hospice, Palliative

    Look into Delaware Hospice - they are nonprofit and have an excellent reputation.

  4. Use of an Oxymetor

    hospicenurse replied to Mazzi's topic in Hospice, Palliative

    The hospice I work for has it's own DME and they say they must have an 02 sat below 90 before they can provide 02. There is nothing in the regs that says this, so I suspect it is either a leftover...

  5. Considering Hospice job-- HELP!!

    hospicenurse replied to pixiec11's topic in Hospice, Palliative

    Lisa, You got 5k more than their original offer - that's great! I've never done 7days on and 7 days off - it sounds like a great gig - at least every other week :-) It may turn out fine - every...

  6. Considering Hospice job-- HELP!!

    hospicenurse replied to pixiec11's topic in Hospice, Palliative

    I have worked for two different hospices who had a FT oncall RN - both positions were Fri 4:30p to Monday 8am and that is it. Both positions required the nurse to do admits if needed - and it is...

  7. Home health to hospice?

    hospicenurse replied to peace_solace's topic in Hospice, Palliative

    I agree that the hospice charting is probably a little less than homecare - I've worked both. Some things I would ask about this position are what is the geographical area you would be responsible...

  8. St. Pete College/Micro Lecture Online

    hospicenurse replied to Kellacan's topic in Florida Nursing

    I haven't taken micro, but I am currently taking Pathophysiology online at St. Pete and I am going to drop it after two weeks in. The course work is unbelievable - I'm spending 20 hrs/week and not...

  9. Guess the mispronounced medical term

    hospicenurse replied to EricJRN's topic in General Nursing

    I can't tell you how many times over the years patients have asked me for a depository. Kinda makes sense when you think about it, I do deposit something in there.... and every time they ask for the...

  10. Does patient need to know the diagnosis?

    hospicenurse replied to Ms.RN's topic in Hospice, Palliative

    You are so right. I learned this lesson from a patient whose daughters kept insisting that we couldn't tell her her dx or px, and that she would not want to know. They wouldn't let me in to her room...

  11. Question about Respite at an Inpt Facility

    hospicenurse replied to AtlantaRN's topic in Hospice, Palliative

    Respite by Medicare regs can only be up to 5 days - no more. However, they could, if they chose, switch him back to the regular homecare rate for the remaining three days. It's not much difference...

  12. Hospice Calls when I'm NOT on Call

    hospicenurse replied to AtlantaRN's topic in Hospice, Palliative

    Welcome to the world of homecare/hospice! You will find this behavior in varying degrees just about anywhere you go. As everyone else has told you - set your boundaries. And then stick to them. I...

  13. trying to find a video - need help

    hospicenurse replied to hospicenurse's topic in Hospice, Palliative

    just a followup - I finally found someone in my old office who remembered this video and located it. It is wonderful and I highly recommend the video and/or seeing his live show if you ever have the...

  14. How do you handle meals for the familys? (Inpatient hospice)

    hospicenurse replied to ShayRN's topic in Hospice, Palliative

    Our 16 bed inpatient unit provides meals to families for $4. We seldom get more than a couple of extra meals/wk to make - so it does not overburden our kitchen staff. We also have a dining area with...

  15. RN to BSN online

    hospicenurse replied to mona b RN's topic in Online Distance Learning

    Tweety - I am thinking about spc online - is there a lot of clinical and can it be done in my area? (I'm actually about 2 hours north of Tampa and could go there if I really had to... $78 credit hour...

  16. Ever had a family overdramatic with dying patient?

    hospicenurse replied to rn-jane's topic in General Nursing

    I agree that there is probably some guilt about not visiting when she needed them. And family dynamics are so complex - you often never know all the little things that make families seem...

  17. Anyone else think this is unsafe?

    hospicenurse posted a topic in Hospice, Palliative

    Hi all- Here in NJ we have residential facilities (not SNF's) where clients have their own apartments but have communal meals and a nurse who manages meds. The nurses are not there 24 hours, there...

  18. The "Bath Wars"

    hospicenurse replied to skd1019's topic in Hospice, Palliative

    You do have a difficult task. I've never worked inpatient hospice so I don't have that experience to share, but my suggestion is to find a way to empower the NA's, who arguably are some of the most...

  19. Suggestions for Coping with Pt. Death

    hospicenurse replied to amj10rn's topic in Hospice, Palliative

    I may not have understood the questions either. On rereading it seems it's more about how the nurses cope, and my responses are more about what I do for families, not for myself. On a personal level...

  20. Does your hospice cover feeding pumps/nutrition...ever?

    hospicenurse posted a topic in Hospice, Palliative

    Recently our director has told us we will not cover feedings under any circumstances. Apparently this is something that she picked up from other agencies' policies. In the past we have covered it...

  21. Suggestions for Coping with Pt. Death

    hospicenurse replied to amj10rn's topic in Hospice, Palliative

    At my hospice we are given the freedom to attend the funeral if we wish. I find that there are select patient's whose funerals I want to attend - usually those who I feel especially close to. Also,...

  22. Pt: Young man with lung cancer

    hospicenurse replied to JellyBean1's topic in Hospice, Palliative

    It would be helpful to have a little more info about this situation. Is he at home? Hospital? Is he on hospice? In general, you should get him Roxanol for air hunger/pain and an order to use as...

  23. Organization tips needed for FT case mgr

    hospicenurse replied to hospicenurse's topic in Hospice, Palliative

    Thanks Txrn1966! Most of these things I try to do, but, as Lowell George of Little Feat said, it's so easy to slip! I keep a weekly grid sheet on a clipboard, it gets penciled in each Monday...

  24. Organization tips needed for FT case mgr

    hospicenurse posted a topic in Hospice, Palliative

    I am one month away from moving to Florida and my new job. I haven't done FT case mgt for a while and I'm trying to get myself organized now before the chaos of the move. I will be expected to...

  25. As a Pal.Care Nurse you do that bit extra.

    hospicenurse replied to Mister Chris's topic in Hospice, Palliative

    Thank you Mister