doodlemom

doodlemom

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All Content by doodlemom

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

    doodlemom replied to BigB's topic in Geriatric, LTC

    How is it possible to give meds to all of these pt's in a 2 hour window?!! What about tube feeders? What about all of the patients that need their meds crushed? What if you have 20 insulin dependent...

  2. Nursing shortage

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    Thanks for the info. I haven't though about posting in the hospital. I'll check to see if the hospitals around here will let us post there (we are not affiliated with a

  3. A changing mind

    doodlemom replied to jennyga's topic in Hospice, Palliative

    Jenny, while I would agree that woking in the hospital is a good idea, I have been surprised by the number of new nurses that have done well in Hospice. The key is to have the support - so wherever...

  4. Medication aides taking nursing jobs?

    doodlemom replied to infoseeker's topic in Geriatric, LTC

    Yeah, I've seen Assisted Living facilities doing this for years. God only knows what kind of medication errors there are in those

  5. in home emergency packs

    doodlemom replied to Al Stephens's topic in Hospice, Palliative

    All states require an Rx for Roxanol and other scheduled narcotics - some states have triplicate Rx's that doctor's must use for the scheduled narcotics. Some states require that the original Rx be...

  6. in home emergency packs

    doodlemom replied to Al Stephens's topic in Hospice, Palliative

    The doc has to sign a prescription for us to have an E-Kit in the home because it does have Roxanol in it. Most of the time it is the primary physician. It would be illegal for the pharmacy to...

  7. in home emergency packs

    doodlemom replied to Al Stephens's topic in Hospice, Palliative

    We've been able to get scope patches again, yay! We use the patches when someone has some time left. For imminent death, we use levsin or atropine

  8. in home emergency packs

    doodlemom replied to Al Stephens's topic in Hospice, Palliative

    Our kit has single doses of Roxanol and ABH drawn up in syringes, so they shouldn't be able to make that mistake. We also have a note on the package not to open without a nurses

  9. Medication aides taking nursing jobs?

    doodlemom replied to infoseeker's topic in Geriatric, LTC

    No, they will not - as I have seen in the state that I work in. The LVN's do wound treatments and any injections and documentation. They may have 2 aides working under them passing meds to all of...

  10. How's your pressure ulcer prevention care on your residents like?

    doodlemom replied to Jubei's topic in Geriatric, LTC

    I am a hospice nurse and I recently had to give a whole bunch of information on this subject to a facility because the DON was all upset and scolding the staff for not having noticed it before it...

  11. Medication aides taking nursing jobs?

    doodlemom replied to infoseeker's topic in Geriatric, LTC

    Unfortunately this has become standard practice in most states. Here, the SNF's are staffed with LVNs as the charge nurses and med aides are giving out the meds. The RN's are usually the DON, ADON,...

  12. Case Manager caseloads

    doodlemom replied to ray2512's topic in Hospice, Palliative

    Thanks

  13. calling all hospice nurses!

    doodlemom replied to lesrn2005's topic in Hospice, Palliative

    I work M-F 8-5. I set up my own visits with my patients. Some days I work 8 hr, some days I work 10...and some days I work 2 or 3. It depends on my caseload. I try to cram most of my visits in the...

  14. treating fever

    doodlemom replied to ktwlpn's topic in Hospice, Palliative

    We do treat fever with tylenol PR when someone is actively dying and feverish. I don't know about you, but when I've had fevers in my life, I felt absolutely horrible. I'd rather someone give me a...

  15. Who's Doing Palliative Care?

    doodlemom replied to Katillac's topic in Hospice, Palliative

    We have a PC program. It is run by our Medical Director and he has a secretary, nurse and NP that work with him. While it is part of our agency, it is run seperately and not under the hospice license....

  16. Special training to be involved in hospice care?

    doodlemom replied to rward12's topic in Hospice, Palliative

    Every hospice has their own orientation and training. There are also many inservices available that most hospices bring in. NHPCO and other organizations also offer a great deal of teleconferences...

  17. I accepted hospice position.

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    I agree with andyg. We use LVN's, but only for prn work and at our inpatient facility. The salary difference is worth the extra time and energy. I hear from a lot of LVN's that they wish they had an...

  18. I accepted hospice position.

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    At every visit I look at the medicine bottles and do a count. Our hospice only fills for 2 weeks at a time. If they don't have at least enough to get them well past my next visit then I order for...

  19. Case Manager caseloads

    doodlemom replied to ray2512's topic in Hospice, Palliative

    Andyg, Could you point me to the exact place of this recommendation? I would like to show it to our new DON so that she can have a better understanding. She has a great deal of nursing management...

  20. I accepted hospice position.

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    Sensitive nurses make great hospice nurses!! You will do fine and don't worry about the pain and symptom management. You will learn as you go - hopefully you have good support and a good Medical...

  21. Alzheimer's: Terminal DX?

    doodlemom replied to BabyRN2Be's topic in Hospice, Palliative

    Yes, Alzheimers or End Stage Dementia are both appropriate terminal diagnoses. At the end stages of dementia, pt's become increasingly unable to swallow. Frequent aspiration pneumonia and/or UTI's...

  22. Where can I purchase a microchip for Mom?

    doodlemom replied to Blackcat99's topic in Geriatric, LTC

    While it might be OK'd for human use, there are probably not any scanners in use. What about a tatoo? Just a

  23. Case Manager caseloads

    doodlemom replied to ray2512's topic in Hospice, Palliative

    Ouch! I am truly sorry for you and your patients. I can't imagine the stress you must be

  24. Marinol/marijuana use

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    And you know this because...?? Honestly, I think this is a scare tactic used by the

  25. Hospice patient receiving TPN ?

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    You should tell your boss to check Medicare regs. BTW, this was a question on the test for CHPN and was in the study guide that I studied