doodlemom

doodlemom

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All Content by doodlemom

  1. IVs and catheters

    doodlemom replied to linfull's topic in Hospice, Palliative

    The hospitals here don't remove central lines and if the patient is going to the ICF then we'll ask them to leave the heplock in - they usually do because we are the ones that are in the hospital...

  2. Inpatient for Symptom Management

    doodlemom replied to silverwillow's topic in Hospice, Palliative

    Are you talking about using the hospital for GIP or an inpatient care facility? We use our ICF for sx mgmt and caregiver breakdown. If a pt is not insured then we have problems placing them - it's...

  3. Hospice Care Experience

    doodlemom replied to danniela's topic in Hospice, Palliative

    Very good

  4. IVs and catheters

    doodlemom replied to linfull's topic in Hospice, Palliative

    There are several types of central lines: 1. Portocath 2. Hickman or Broviac catheter 3. Groshong 4. PICC line I'm sure you can find plenty of info on them by

  5. IVs and catheters

    doodlemom replied to linfull's topic in Hospice, Palliative

    Peripheral IV's are difficult to main in the home setting, therefore we do not maintain them at home - we do have many pt's who have central lines and we do maintain those. If a pt has no central...

  6. frustrated and overwhelmed

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    It makes me sorry to hear that you all are going through this. There really are some good hospices out there. Are the hospices you work for older, established agencies that have a name in the...

  7. Rx for comfort measures?

    doodlemom replied to Just wondering's topic in Hospice, Palliative

    Our standing orders have Roxanol .25-1 ml sl q 1-2 hrs prn and ativan .5-2 mg q 4 hr prn, among numerous other meds - Roxanol and ativan are the ones we use the

  8. Dsitinguishing Breath Sounds

    doodlemom replied to TennRN2004's topic in Pulmonary

    Wow, do you know of other files so that we can listen to all the breath

  9. Vital Signs

    doodlemom replied to RNinRubySlippers's topic in Hospice, Palliative

    In the nursing home that we serve, we usually get orders to d/c vital signs and accuchecks when a pt stops eating. Our inpatient facility does not do vitals if the pt is actively

  10. Chpn

    doodlemom replied to rubynrse's topic in Hospice, Palliative

    It is self study. Many people use tapes and I found them helpful. You can buy them on the HPNA website, I think. Our hospice had the tapes and study guide for us to use - you may want to check with...

  11. Anyone been through a state survey (hospice) lately

    doodlemom replied to ATLRN's topic in Hospice, Palliative

    Unfortunately each surveyor has their own agenda and every time the state comes, they tend to focus on a different thing - similar to when they came into the hospital. Everytime I've ever goneout on a...

  12. End stage CHF symptoms?

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    dyspnea at rest - increasing on mnimal

  13. How much sleep do you get?

    doodlemom replied to jessnurse05's topic in General Nursing

    Do you have to work night shift? It seems like you would be able to sleep at the same time your kids are asleep and you would probably get more sleep. Just a

  14. Hospice in LTC

    doodlemom replied to suebird3's topic in Hospice, Palliative

    From a marketing standpoint, for-profits generally market only to the funded markets - ie:nursing homes, assisted livings. This guarantees that they will get a very low percentage of non funded...

  15. Possible career change to hospice

    doodlemom replied to cydney7's topic in Hospice, Palliative

    10-12 is a good caseload - so that sounds good. Some people on this forum have in the upper teens which is not manageable. I wish you the best of

  16. Possible career change to hospice

    doodlemom replied to cydney7's topic in Hospice, Palliative

    The government reimbursement rate for mileage is 41 cents - it was 48 for a few months at the end of last year. This does not mean that your agency has to pay that rate, it just means that if they pay...

  17. Hospice in LTC

    doodlemom replied to suebird3's topic in Hospice, Palliative

    Just out of curiosity, was this a non profit or for profit agency that came in? I realize that both will see unfunded patients but it would surprise me if a for profit announced

  18. Hospice in LTC

    doodlemom replied to suebird3's topic in Hospice, Palliative

    i believe that hospice in ltc is a great opportunity for us. the facility should be treated like part of thefamily and our team should be an extenuation of their team (and visa versa.) if we get to a...

  19. End-stage renal failure

    doodlemom replied to faithkeeper's topic in Hospice, Palliative

  20. 6 weeks and going strong

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    I think you will do fine and your heart is in the right place. That's important. I would try to stay in orientation as long as it takes for you to feel

  21. Question about Hospice nursing.

    doodlemom replied to ShayRN's topic in Hospice, Palliative

    I think that all hospices have different staffing needs. We are so large that we take whatever prn time people are able to give us. I love getting to know people - spending time with people, and...

  22. What if CNA won't work?

    doodlemom replied to Josifek's topic in Geriatric, LTC

    I think that it is terrible when someone doesn't do their work, but I can only imagine that I wouldn't feel very enthusiastic about my job if I was underpaid and had to do the work that the CNA's do....

  23. Marinol/marijuana use

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    I think Marinol is legal in every state. I'm not aware of any pharmaceutical drug that is legal in some states but not legal in

  24. Umm...I will have 47 residence to care for !!!!!

    doodlemom replied to BigB's topic in Geriatric, LTC

    How many residents are the med aides passing meds to? Who does the

  25. Nursing shortage

    doodlemom posted a topic in Hospice, Palliative

    We are having a difficult time recruiting nurses for our rapidly growing census. Any ideas out there? We don't care if they have hospice experience or