jenkayaker

When using nebulized Morphine you have to ask the pharmacy if it is premixed, as our pharmacy compounds, it changes the metabolized effects.

My hospice uses the FLACC scale. It is very simple & concrete. You could educate your families on determinging their loved ones pain easily. Google it, you will find the criteria sheet. I will try & post ours later.

I believe its a federal regulation that states the facility may have emergent kits but once accessed the physician must be notified/thus yes needing an additional order.

I have 17 patients on my case load, no lpn. I feel guilty only seeing my stable patients 1x per week, but when I have patients on daily or watch visits (crossroads hospice watch program) I am forced to do so, so much can happen in a few days time, the most stable patient can decline and change rapidly. We still document on paper & have to update our careplans,mars, keeping up with facility orders/charts & office charts, IDG meeting notes/updates ongoing. I am constantly trying other ways to get organized better.