doodlemom

doodlemom

Member

  • Content

    474

  • Visitors

    4,523

  • Followers

    0

  • Likes

    3

All Content by doodlemom

  1. SON HAS STOLEN MY MEDS

    doodlemom replied to edna wood's topic in Pain Management

    Number one, I would discuss this with your physician and hopefully you will get a new prescription. I would get a lock box or safe for your future meds. Number two, I would consider finding a...

  2. Hospice patient receiving TPN ?

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    We've had very few patients on TPN and it is always with the intent on readying the patient or the family to d/c the treatment. We've mostly had babies, children and young parents - an example is a...

  3. Hospice patient receiving TPN ?

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    It is against medicare regs to require your patients to be DNR. If this is truly how your hospice runs, then you could lose your funding from

  4. Marinol/marijuana use

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    What does CS stand

  5. Marinol/marijuana use

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    I work in a state where pot is not legal for medicinal use. I can tell you that my patients' experience over the years with marijuana has mostly been a positive one - using it for nausea, appetite...

  6. Hospice Interview Questions

    doodlemom replied to Nuna's topic in Hospice, Palliative

    I disagree. Some hospices do have a great deal of support for their case managers and have reasonable workloads - ours does. I would ask what the maximum case load would be. Our hospice does not make...

  7. in home emergency packs

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

    I forgot, ours have ABH gel in them...none of the pharmacies here are able to get scop patches anymore. When their current supply runs out, their being told that they're not available. Has anyone else...

  8. in home emergency packs

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

    I forgot, ours have ABH gel in them...none of the pharmacies here are able to get scop patches anymore. When their current supply runs out, their being told taht their not available. Has anyone else...

  9. Misys in hospice care

    doodlemom replied to mab19's topic in Hospice, Palliative

    Our agency used to use Misys but we did not use it for documenting visits. It was used for meds and care plans that HIM entered in the computer for us. We now use Suncoast Solutions and all of the...

  10. in home emergency packs

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

    whoops, forgot to mention...our on-call nurses do not carry E-kits with them. Our admissions nurses will carry one out if it looks like it is needed while they get orders from the primary

  11. in home emergency packs

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

    Our e-kit contains Roxanol, compazine suppositories, ativan, levsin, tylenol

  12. Medication Question

    doodlemom replied to BurnBaby06's topic in Geriatric, LTC

    Many patients that have heart history are on multiple heart and BP meds. It would not even be surprising to see a couple more added in there. Good

  13. Thinking of career change to hospice - HELP!

    doodlemom replied to Genista's topic in Hospice, Palliative

    Hi Caroline, Ditto on a lot of the answers you have already received! I usually work directly from my home, so I don't go into the office except to get supplies and for team meetings. Most of the time...

  14. Hospice work difficult during holidays

    doodlemom replied to mlynn's topic in Hospice, Palliative

    I find that my work is terribly stressful this time of the year. I don't notice a whole lot of people hoping for healing and miracles, but what I have experienced is that the hospitals dump a bunch...

  15. Do I need a Year of med/surg before going into oncology

    doodlemom replied to gn04's topic in Oncology

    I'm not in Oncology now but Oncology was my first hospital job. My experience in Oncology was varied and a great deal of our oncology patients were surgical patients - so it was like working on med...

  16. Pay for Hospice Case Managers

    doodlemom replied to ray2512's topic in Hospice, Palliative

    I also work non profit and my salary is quite a bit less than what Vistacare or the other for profits pay. I've been doing Hospice for nearly 10 years as a case manager and I make just under 25/hr....

  17. Documenting MS04

    doodlemom replied to xmaxiex's topic in Hospice, Palliative

    I document just what I see. I would state that the pt is non verbal but is exhibiting non verbal signs of pain, such as moaning or grimacing on movement, etc...Much of the time we are using morphine...

  18. Good Houston hospice?

    doodlemom replied to katie'sangel's topic in Texas Nursing

    I don't live in Houston but I met a couple of nurses at a conference about 3-4 years ago that work for Houston Hospice and liked it. But that was 3-4 years ago and a lot could happen in that amount of...

  19. switching from oxycontin to methadone

    doodlemom replied to flea's topic in Hospice, Palliative

    we start it at the same time the next dose of oxycontin or ms contin is due. it may be inserted rectally. we use the 10 mg/ml liquid and give it sl. if they are needing a much larger dose than say 20...

  20. methadone

    doodlemom replied to flea's topic in Hospice, Palliative

    we use a lot of methadone, but our medical director is extremely well trained in it's use. it can cause confusion and respiratory depression just as other narcotics can. as aimee said, because of it's...

  21. Shadowing a hospice RN

    doodlemom replied to manna's topic in Hospice, Palliative

    You could experience just about anything and I'm sure that it will be a wonderful experience for you. We've had nursing students shadow with us and have had really positive feedback. You'll probably...

  22. Can non-profit hospice survive high cost of palliative care?

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    Non profit hospices have to hire all of their administrative staff, HR, payroll, supportive staff, Executive director, Financial officer, etc...to work in their local office. For profit hospices have...

  23. Considering Job Change To Hospice. Need Information!

    doodlemom replied to purplesdk's topic in Hospice, Palliative

    I think that the starting pay depends on the city and state you live in. Hospices in large cities with a higher cost of living receive a higher rate of reimbursement from Medicare for their services -...

  24. Considering Job Change To Hospice. Need Information!

    doodlemom replied to purplesdk's topic in Hospice, Palliative

    15 patients!!!? Our hospice rarely has us see more than 12-14 unless we have a bunch of patients at one nursing home. The nurses on the home team see no more than 10-12. Even 10 patients can be...

  25. HI! I'm new! Couple questions/Nurses

    doodlemom replied to JennieIrene's topic in Hospice, Palliative

    Jennie, I would have to agree with Aimeee. You will have a great deal more opportunity and the salary difference is worth it. If you go into hospice, then as an LVN you would not be able to be a case...