doodlemom

doodlemom

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All Content by doodlemom

  1. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    I could not disagree with you more. I used to question Hospice's role in the nursing home and a very wise hospice nurse once said to me "There is no patient that needs you more than the patient in a...

  2. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    I definitely believe that patients and staff at LTC facilities benefit from hospice services IF it's done well. The key for the staff at the facilities is to be able to help them in any way that they...

  3. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    I know that there is a way to bill a secondary insurance for a small co-pay but the hospices that I've worked for have never thought it was worth the effort. Medicare is a aware that a patient has...

  4. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    I never knew that. We've never turned any patients away based on how imminent they were. We just want to make sure that the family has our support and breavement services. The mega corporate hospices...

  5. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    If you would explain the cap that you are speaking of that would be helpful. Are you speaking of capitation as in how hospitals are paid by insurance companies? Hospitals get paid a lump sum of money...

  6. Has anyone read this?

    doodlemom replied to aimeee's topic in Hospice, Palliative

    I've enjoyed everyones posts on this thread. I, too have been in hospice work a long time. Most of my work has been in non-profit. There is a new hospice opening up on every corner and it is becoming...

  7. How long are your IDT mtgs? And content?

    doodlemom replied to Cing_angels's topic in Hospice, Palliative

    Ours are too long! If we have a great deal of new admits, it's really long. 30 - 40 people, 3

  8. I feel like just giving up...

    doodlemom replied to mc3's topic in Hospice, Palliative

    Me

  9. LPN doesn't want dying patient to go to hospice.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    It's no wonder they're going bankrupt. I've never heard of such a program. We have a program that will give CNA services for a few hours a day - and this is cheaper than paying for nursing home care...

  10. LPN doesn't want dying patient to go to hospice.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    Oh well. You really tried to help the patient. It sounds like the people around her are running the show. If the family ends up wanting hospice, the request would have to come from

  11. LPN doesn't want dying patient to go to hospice.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    Someone would need to check with Medicaid. If Medicaid is paying for the private duty, then there may be a problem - but the hospice business office can check on that. I'm not sure how the medicaid...

  12. LPN doesn't want dying patient to go to hospice.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    There's no reason why the patient cannot have hospice and around the clock nursing care unless her health insurance is paying for the nurses (which is unusual.) The private duty nurses can continue to...

  13. Haunted

    doodlemom replied to saribeth's topic in Hospice, Palliative

    It will not work on pulmonary

  14. Signs of impending death.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    While they are not generally covered by hospice services, why wouldn't you want your pt to have diabetic

  15. Signs of impending death.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    Motorcycle Mama, Is she on hospice services? If not, it sounds like she would be an appropriate referral to hospice services. I know that you are giving her excellent care but she and her family...

  16. What is the ideal caseload?

    doodlemom replied to Hospice4me's topic in Hospice, Palliative

    It is ridiculous that this information is not readily available. I would paste it if this board would allow me to do that, but for some reason I can't get that to work. For RN's 8-12 SW 20-30 Chaplain...

  17. Have questions about Hospice Nursing

    doodlemom replied to photorn's topic in Hospice, Palliative

    We do 8-5 M-F, no call, no weekends or holidays. We have full time on-call nurses that only do nights and weekends - and holidays. Our inpatient facility has 8 and 12 hour shifts available. We have a...

  18. Anyone do INPATIENT Hospice nursing?

    doodlemom replied to ShayRN's topic in Hospice, Palliative

    Definitely if the patients are general inpatient 1:8 is way too high. Do you know how many of the beds will be

  19. Guys, I'm scared and new to Hospice

    doodlemom replied to dosamigos76's topic in Hospice, Palliative

    Wow, give yourself a break! Let's say that you had been working in long term care for several years and got a job in a step down unit. I think it would certainly take you a good 6 months to feel...

  20. What is the ideal caseload?

    doodlemom replied to Hospice4me's topic in Hospice, Palliative

    So basically you have 13 or 14 patients to case manage - is that

  21. What is the ideal caseload?

    doodlemom replied to Hospice4me's topic in Hospice, Palliative

    I don't really understand how this works. So if you decide that you don't want to be on call, who would see the extra 9 patients during the weekend? And who would see them during the week when they...

  22. Wanting to make a change

    doodlemom replied to photorn's topic in Hospice, Palliative

    It is by Linda Wrede-Seaman, MD. ISBN

  23. Wanting to make a change

    doodlemom replied to photorn's topic in Hospice, Palliative

    Welcome to Hospice nursing! Surprisingly enough, a great deal of old L and D nurses come into hospice. In a way, it is a related experience. We are saying good bye on this side while someone else is...

  24. subcutaneous IV fluids?

    doodlemom replied to Cing_angels's topic in Hospice, Palliative

    I had never heard of it until a few months ago. We had a pt that wanted intermittent hydration but had no IV access. I don't know who recommended that we do sq, but this guy would do it himself in his...

  25. IV fluids in hospice

    doodlemom replied to lsyorke's topic in Hospice, Palliative

    We've had many that have come home from the hospital with IV fluids. We then try to do teaching with families about the detrimental effects. Most times the teaching is effective but some times it is...