doodlemom

doodlemom

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All Content by doodlemom

  1. Use of an Oxymetor

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    I've never heard of needing an order to take an O2 sat but the only time we do is when we are recertifying a patient for

  2. Odyssey acquires VistaCare - official 1-16

    doodlemom posted a topic in Hospice, Palliative

    odyssey healthcare to acquire vistacare for about $147.1 millionwednesday, january 16, 2008; posted: 08:47 am [color=#002156]more breaking news about odsy...

  3. Patients with Debility diagnosis...

    doodlemom replied to Nurse4nursing's topic in Hospice, Palliative

    I would say that we have about 5% on our service for debility unspecified. We only use it if there is no other definitive diagnosis and we have documentation of decline. We watch these patients very...

  4. OIG releases report on a Medicare Hospice in Nursing Homes

    doodlemom posted a topic in Hospice, Palliative

    i thought this would be interesting to those who participated in the discussion about nursing facilities and hospice. there is a reason they are looking at this closely...medicare is looking for ways...

  5. Hospice Aide Work

    doodlemom replied to texasmommy's topic in Hospice, Palliative

    It really depends on where you work. I am not an aide so I cannot speak from experience, but I can tell you that our aides do similar work to what you would do in a nursing home or in the hospital,...

  6. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    Every once in a while we have an opening but not

  7. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    I think that many non profits are very concerned about their bottom line because they don't have as much to begin with as the for-profits. Because you see the top to the bottom in one place, the...

  8. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    I know that my director reads this forum but I don't know if she posts

  9. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    From a marketing standpoint it is probably still a good idea to continue to market to LTC facilities since the benefit (probably) will not decrease for several years. I think we can help this...

  10. Standing orders - wound care

    doodlemom replied to nurselearner's topic in Hospice, Palliative

    We have general standing orders for stage 1 and 2, but for stage 3 and 4, we write specific orders based o the needs of the patient. While it does require a physician's order, we rarely actually get...

  11. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    There are ramblings that the Medicare reimbursement for hospice patients in nursing homes is going to greatly decrease or go away completely at some point. If this happens, many of the for-profit...

  12. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    The amount of reimbursement is dependent on the area you live in and (supposedly)reflects the cost of living - for example, I think I remember the NYC reimbursement rate is around 190/day. Our...

  13. standing orders

    doodlemom replied to hospiceheart's topic in Hospice, Palliative

    We notify the doc that we initiated but do not require a signature. From a legal standpoint, the orders do not need to be signed

  14. ALS info

    doodlemom replied to saribeth's topic in Hospice, Palliative

    Oh - I totally agree - and the majority of them are young. I don't judge them; I just think that the neurologists that treat them could do a better job of

  15. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    It sounds like not such a great place to work anyway. I hope there is another hospice that you would be happy at. Good luck to

  16. ALS info

    doodlemom replied to saribeth's topic in Hospice, Palliative

    This has been my experience, as well. I've only had one ALS pt that decided against tube feeding and she is the only ALS pt I've had that did not die from acute respiratory distress. Her illness was...

  17. Medicare Probe

    doodlemom replied to PeacePisceRN's topic in Hospice, Palliative

    we all know what the criteria is...Many time the patients may be appropriate but there is no good documentation to justify continued service. Also, I think what happens a lot of the time is that...

  18. help with failure to thrive work sheet

    doodlemom replied to kerrioutlaw's topic in Hospice, Palliative

    The LCD for FTT states that arm measurements or other may be documented on recerts but for initial cert you should have a BMI. We only use FTT if we have a BMI (and of course it has to be less than...

  19. Interview questions and Red Flags for Hospice

    doodlemom replied to Fiesta Red's topic in Hospice, Palliative

    Quote from uahrn915 "1. The company's owners and management must be in the business for the right reason....and I feel the only right reason is to provide the best patient care (that will be the...

  20. Attending Physician Wouldn't Sign Death Certificate

    doodlemom replied to Sue Damonas's topic in Hospice, Palliative

    Are you sure it is the death certificate that the nurse signs? The death certificate is a legal document that the funeral home will prepare for signature which is then filed with Vital Statistics. I...

  21. Criteria for Hospice and palliative care provided

    doodlemom replied to kstec's topic in Hospice, Palliative

    Our hospice is similarly run in the way Aimeee's is. Our medical director makes the decision on a case by case basis. We have been having more requests for it and have been doing a lot more than we...

  22. hospice in las vegas

    doodlemom replied to ohmeowzer RN's topic in Hospice, Palliative

    Try Nathan Adelson Hospice. I met someone from there a few years back and they really liked it a

  23. California 12 mo exp req'd for LVN?

    doodlemom replied to tropicbound's topic in Hospice, Palliative

    I don't live in California so don't know the regs. I have never heard of any state having this kind of a reg and am doubtful of it's existence. While it would be a suggestion to have a year of...

  24. LPN job in Hospice entails not much, why?

    doodlemom replied to kstec's topic in Hospice, Palliative

    Medicare requires an RN to assess the pt at least every 14 days, do admissions, and initiate/update care plans. Calling a physician and writing orders is something that LPN's do all of the time. This...

  25. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    We frequently give steroids for bone mets - it helps with inflammation and pain. We usually use