-
Sepsis as Hospice Diagnosis
Sepsis should be an allowable diagnosis for hospice. According to Medicare, they have guidelines for the more commonly used diagnosis, but no guidelines for specific illnesses. The diagnosis would be what the physician is stating gives the patient six months or less to live. In Illinois, you are allowed to still use Dementia as an admitting diagnosis; however, in the near future, Medicare will be making the criteria for a dementia diagnosis much more strict. Medicare does not dictate what can and cannot be used, just what criteria must be met for the hospice benefit to be elected.
-
Agency Nursing count towards ICU requirements?
I was curious about the requirements for CRNA school. MOST schools require a minimum of 1 year ICU experience. I have 1 year of MICU experience and 1 year ER experience. I am currently finding a new job in the ICU to prepare for school. Would contract agency count? I would sign a contract for 3 months and work full time. I want to do this primarly because I could work in an ICU for 3 months, then the next three months work in a different ICU. This way I would allow myself to be familiar with MICU, CCU, CVICU, SICU, etc. Any suggestions?
-
MY OPINION......
The issue here is not whether or not smoking is a right of an individual, rather how patients perceive a nurse who smokes. Let's take a patient who was just diagnosed with lung cancer and smokes 2 packs a day. Now, you have to give smoking cessation teaching to that patient. Do you think it looks good if the nurse giving the education goes in to the room with the smell of smoke on his/her hands? The issue hospitals have is with how patients will perceive the nurse. Smoking is a choice of someone, but a poor choice. Hospitals can make their property smoke-free. Is that a good idea? Who knows, but advocating positive choices is a good thing for a hospital. Why not let alcoholics drink on their break? Or why not going snort a line or smoke a joint? Those are all choices and rights too, correct? Well, maybe not the latter considering they are illegal, but you get the point. Smoking has adverse effects on someones health, why promote it? P.S. I smoke too, but let us be open-minded and see things from the public and the hospitals perspectives.
-
Nurse Assignments in your ER
I am looking to see how different hospitals set up their nurse assignments in the ER. Most ERs are assigning rooms to nurses. The ER I work in does not assign rooms, but lets nurses pick up patients when they want. I feel this is not a very good method... Any comments? Does anyone know of any literature on this topic? Id like to propose assigning rooms to my manager, but would like literature to back it up. Please help!
-
Nurse Practitioners who work in Acute Care, please respond..
]Hello all! I am currently looking at CRNA programs and NP programs. If I were to do the NP route, I would most likely want to work in a critical care setting, whether it be ER or ICU. My question is for those NPs who are currently working in the ER or ICU. I would like to know what your typical day consists of and what types of procedures you are frequently doing? A lot of people are telling me if I do ACNP to also do PNP, would you agree? Thanks in advance!