doodlemom

doodlemom

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All Content by doodlemom

  1. My grandmother in hospice??

    doodlemom replied to HMP83's topic in Hospice, Palliative

    I am SO sorry for your loss. We take patients like your grandmother home all of the time with hospice care at home and they do fine with sublingual morphine and ativan. Our hospice does not maintain a...

  2. new grad straight to hospice

    doodlemom replied to bsngrad2be's topic in Hospice, Palliative

  3. How far can a hospice nurse go, spiritually-speaking?

    doodlemom replied to GardenerGirl's topic in Hospice, Palliative

    I definitely could not have said it better myself!

  4. How far can a hospice nurse go, spiritually-speaking?

    doodlemom replied to GardenerGirl's topic in Hospice, Palliative

    If a patient is terrified of dying, exploring that with them would be appropriate but telling them you have good news for them would be totally inappropriate. If a patient asks you to pray with them,...

  5. drug diversion

    doodlemom replied to onangelswings's topic in Hospice, Palliative

    I've experienced this with many different patients. Depending on the situation, we have done different things such as only dispensing 2 days worth of medication at a time or asking that the family...

  6. How far can a hospice nurse go, spiritually-speaking?

    doodlemom replied to GardenerGirl's topic in Hospice, Palliative

    perfect answer

  7. What Diagnosis would you say this patient is?

    doodlemom replied to CANRN's topic in Hospice, Palliative

    We use debility unspecified interchangeably with general

  8. What Diagnosis would you say this patient is?

    doodlemom replied to CANRN's topic in Hospice, Palliative

    Your medical director sounds like a piece of work! Good

  9. What Diagnosis would you say this patient is?

    doodlemom replied to CANRN's topic in Hospice, Palliative

    How stupid! Respiratory failure does not have to be associated with COPD! Oh well, if they'd rather you use the debility unspecified diagnosis, then that is what I would do. We try not to use this...

  10. What Diagnosis would you say this patient is?

    doodlemom replied to CANRN's topic in Hospice, Palliative

    I would use respiratory failure as a

  11. Post mortem care

    doodlemom replied to mc3's topic in Hospice, Palliative

    For patients that are already pretty clean, I might just clean their bottom, pull foley, wash their face and brush their hair. I don't think it is necessary to wash the whole

  12. Cr 5567

    doodlemom replied to rockchalkjayhawk's topic in Hospice, Palliative

    Same here - we are already computerized so it is pretty easy to count our

  13. Amount of paperwork and hours for paperwork

    doodlemom replied to NurseFeelGood2005's topic in Hospice, Palliative

    If half of your patients are on service for a year or more, I would question their appropriateness for hospice

  14. Hospice VS Home Health

    doodlemom replied to NurseFeelGood2005's topic in Hospice, Palliative

    Hospice - 24 hr on call, Home health, you can call 24 hrs a day, but they will tell you to go to the ER for almost everything. Hospice - the nurse does not have to have a skilled reason for coming....

  15. Request for deceased to stay in home overnight

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    Oh --- and I forgot to mention..We had a patient last year who wanted his family to act as his funeral home. They had researched this extensively and it is perfectly legal in most states to claim the...

  16. Request for deceased to stay in home overnight

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    We've done it before...just did not notify the funeral home until the body was ready to be picked up. We kept the house really cool and put ice packs nearby so the body would not smell. I've had other...

  17. Request for deceased to stay in home overnight

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    I've never heard of the part about the planets being aligned. I have had buddhist patients that requested not to be moved for 72 hours. Before the body was moved, they tapped the top of the head. I...

  18. Amount of paperwork and hours for paperwork

    doodlemom replied to NurseFeelGood2005's topic in Hospice, Palliative

    Frankly, you will probably get paid a lot more if you are paid by the hour. There is a reason that businesses pay f/t staff in salary - it saves them $$$. It makes better business sense. I wish that I...

  19. Mileage reimburssment

    doodlemom replied to curiousauntie's topic in Hospice, Palliative

    ditto - we go up everytime the gov't goes

  20. Pace of hospice care?

    doodlemom replied to nurturer's topic in Hospice, Palliative

    My experience is that there are politics in any nursing job you do...it's all in how you handle it. You can choose to not get involved. We have a great deal of politics going on where I work - I hear...

  21. Hospice Electronic Documentation

    doodlemom replied to jyhn's topic in Hospice, Palliative

    I've heard the McKesson product is good. We use Suncoast and hate it. It has made documentation at least 3 x as long - very inefficient. I will be interested how you all like

  22. Use of gloves

    doodlemom replied to CaPsychLVN's topic in Hospice, Palliative

    I would explain to her that you have never heard of this and ask her if you could see the agency's policy on it. I feel certain there is not one. If she gives you any problem, I would go to her...

  23. Feeling Frustrated with LPN on my team!

    doodlemom replied to Brightonrn1's topic in Hospice, Palliative

    I would talk to your supervisor about her and see if there is another person that can be assigned to your patients. CHances are that your supervisor is aware that there have been problems with this...

  24. Medical Supplies question

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    We "sort of" have a formulary. We stock certain things in our office but will order off formulary if we see a valid need for it (a supervisor must make this decision.) We generally do not pay for pull...

  25. Use of an Oxymetor

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    No - it is not - not under hospice but maybe in home health it