LMTRN

LMTRN

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All Content by LMTRN

  1. Symptoms of end-stage Parkinson's? When should hospice step in?

    LMTRN replied to zelda2012's topic in Hospice, Palliative

    It sounds like her PPS would be below a 40, my hospice would be able to make that work. I would just keep working on the husband r/t quality of life. Some hospices have special volunteers,...

  2. Seeking hospice experiences from nurses/aides

    LMTRN replied to amarilla's topic in Hospice, Palliative

    I'll help. Please PM

  3. Average RN Case Manager Pay in PA??

    LMTRN replied to kakrn5's topic in Hospice, Palliative

    However, your case load is light, compared to what is expected in my organization. I'm in Florida, and I was hired as a new grad, with basically the same type of patients, about 48K. I maxed out at...

  4. Every visit, pain is 7?

    LMTRN replied to AtlantaRN's topic in Hospice, Palliative

    What kind of pain is she complaining about? mets to bone? My organization uses a ketamine gel that works great for that. And as above, document your education, especially to family. Good luck, don't...

  5. NEW Hospice RN Case Manager Question!!

    LMTRN replied to ShimmaShimma0304's topic in Home Health

    Ultimately, you're playing in their sandbox. When I was doing facilities, I would ask staff what THEIR schedule was, and see the patients with them when they were getting personal care done. If you...

  6. Role of a Hospice RN in the SNF?

    LMTRN replied to brenrn06's topic in Hospice, Palliative

    Your clinical manager needs to speak to the DON about what role you are expected to

  7. Allscript

    LMTRN replied to ShayRN's topic in Hospice, Palliative

    @ babybee, I agree, it's really not set up for IPU. I have worked on home and facility teams, though, and it is good for them. The trick is trusting the n/e and n/a

  8. When should hospice discussion begin?

    LMTRN replied to bsnanat2's topic in Hospice, Palliative

    I am a hospice nurse that works in a local hospital, doing admissions and followups on current patients that come in. The hospital system I work with has a "Quality of life" team. They have patients...

  9. When should hospice discussion begin?

    LMTRN replied to bsnanat2's topic in Hospice, Palliative

    That New Yorker article was

  10. What is your response to lay people?

    LMTRN replied to Vtachy1's topic in Hospice, Palliative

    We will all have to die at sometime and when it is someone I love I am saddened by it, but as a nurse I see death as a transition, just like birth, it is something we all must experience. Just as...

  11. appetite stimulants in hospice

    LMTRN replied to dalmos's topic in Hospice, Palliative

    My hospice does NOT cover Megace. If people are hungry, they'll eat, even if it's just a bite or two. Educating the family is the most important thing at this

  12. Anger or violence from a patient or family?

    LMTRN replied to hrn1's topic in Hospice, Palliative

    I've been in homes in neighborhoods that I wouldn't want to visit at night, but I've never had an individual patient or family member that I was afraid of. People are usually pretty glad to see

  13. Non-Hospice appropriate patients admitted or kept on Hospice

    LMTRN replied to Mamanurse62's topic in Hospice, Palliative

    I work for a non-profit, and I would guess one third of the people we admit are not truly

  14. Volunteering leading to prospective employment?

    LMTRN replied to xyra's topic in Hospice, Palliative

    Same here, they hired me straight out of

  15. mileage reimbursement question

    LMTRN replied to Squeaky44's topic in Hospice, Palliative

    Same for my hospice, except on weekends, when the office is closed. Then, it starts from my driveway, the thinking being my home is the

  16. May be forced into change of specialty

    LMTRN replied to Cthulhu's topic in Hospice, Palliative

    I would stress the fact the you are also open to new things, because the hospice you apply to might need you initially in a different setting, i.e. home health. Another thing, if you're close to any...

  17. pt. load for case managers

    LMTRN replied to holiday2525's topic in Hospice, Palliative

    I would take any of the jobs that are posted above! I'm currently working at my hospice's inpatient facility, but have worked on facility and home teams in the not to distant past. I've had as many as...

  18. Does anyone NOT use a PIXYS?

    LMTRN posted a topic in Hospice, Palliative

    I work for a small hospice. We recently had an incident, 2 nurses sign narcotics in from the pharmacy, but only one signiture is required to sign them out to give to patients. Our medication room is...

  19. Why IVF for stomach cancer patient on 2 diuretics

    LMTRN replied to AtlantaRN's topic in Hospice, Palliative

    If the spouse has talked her out of a DNR, she probably doesn't have an Advanced Directives either. Does he spend time in the room with her? Let him listen to her lungs! I'm sorry for her and