doodlemom

doodlemom

Member

  • Content

    474

  • Visitors

    4,523

  • Followers

    0

  • Likes

    3

All Content by doodlemom

  1. methadone therapy for cancer pain?

    doodlemom replied to ceelynncee's topic in Hospice, Palliative

    We have a great deal of success with methadone. We use it frequently and have many skilled nurses and physicians that know how to dose it correctly - which is the key to using it. It is a good idea to...

  2. hospital admissions

    doodlemom replied to hcan's topic in Hospice, Palliative

    Many of the patients that we admit have stayed in the hospital over and above their DRG days at the hospital so the hospital is no longer being paid by the insurance company or medicare. When we admit...

  3. hospital admissions

    doodlemom replied to hcan's topic in Hospice, Palliative

    Unfortunately they are doing it for their own stats to look good but at least the families might have some bereavement support. Our hospice has "scatter beds" in the local hospital so there is no...

  4. What does it mean...

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    Being a hospice nurse can mean many different things to different people. Emptytheboat's response shows her/his belief that it is about god almighty's will. I, on the other hand really believe it is...

  5. How Do I Know If I Can Handle Hospice?

    doodlemom replied to tencat's topic in Hospice, Palliative

    I totally disagree. 8 months might be plenty enough experience - depending on your life experience. If you're 22 years old and just 8 months out of nursing school - you may need more experience with...

  6. Should I be mad at Hospice? My mother...

    doodlemom replied to Roland's topic in Hospice, Palliative

    I concur with others have said but would like to add that most patients that are eligible for inpatient hospice care are too critically ill or symptomatic to leave their rooms. The reason why most are...

  7. Doing an admission with the social worker

    doodlemom replied to RNSUEIA's topic in Hospice, Palliative

    Agreed...we used to do admissions as a team in our agency until the administration figured out this was too expensive. There are usually a whole lot of psychosocial issues at admission time and who...

  8. End Stage Parkinsons Questions

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    It sounds to me like he is dying. Was this abrupt or has he been

  9. Patient doesn't tell she is getting cataract surgery

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    Is she a DNR? I didn't see that on the

  10. Question about dyspnea

    doodlemom replied to sukichaz's topic in Hospice, Palliative

    Your hospice should not be revoking the patient during this procedure. It is related to the patient's comfort and should be paid for by your hospice. The procedure is not that expensive and should not...

  11. Hospice On Call Compensation Structure

    doodlemom replied to Katillac's topic in Hospice, Palliative

    You only get 25.00 for an admission? Our admissions can take 3-4 hours for all of the paperwork and driving, etc. What are you doing for the

  12. How can I become a How can I become a/an Emergency, PACU, OR, MS or Hospice Nurse?

    doodlemom replied to rajotolentino's topic in International Nursing

    You do not have to have special training to get a job a a hospice nurse. It is generally on the job training and hopefully wherever you work will train you well. There are many opportunities for...

  13. Sitting for certification in March--anyone else?

    doodlemom replied to chris_at_lucas_RN's topic in Hospice, Palliative

    There were several of us in a study group who used books and tapes. We studied together once a week and then crammed the last

  14. Sitting for certification in March--anyone else?

    doodlemom replied to chris_at_lucas_RN's topic in Hospice, Palliative

    I'm recertifying in March. When I took it the last time, I thought it was kind of hard - maybe I'm not as smart as you all . I had a lot of medication equianalgesic questions. It's a lot of money to...

  15. Pancreatic Ca and Nausea

    doodlemom replied to SCgirl1962's topic in Hospice, Palliative

    My experience with zofran is that it only works if the patient's nausea is from taking some other medication (chemo, anesthesia, narcotics.) We have used sandostatin for this problem but it is...

  16. Should I take this job? Please help!

    doodlemom replied to RiaRN's topic in Hospice, Palliative

    I agree - that sounds like a quick burn out job. I would expect that you would have 2 nurses and an

  17. What do I do?

    doodlemom replied to dawn1rhino's topic in Hospice, Palliative

    I agree with Jessica - it sounds like this is a bad outfit. Hopefully there is another hospice in your

  18. Something I've never seen!

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    Thanks, I'm going to talk to the

  19. Something I've never seen!

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    Thanks

  20. Something I've never seen!

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    I would like to hear about the compounded silvadene/morphine mix. That's sounds like a good combo. Can you tell me what mediplex is? I thought it was a type of tape - or I'm thinking of

  21. Something I've never seen!

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    Thanks for the info. The next time I need to use flagyl on a wound, I'll ask our pharmacy. Do you use a local pharmacy or are you using hospice pharmacaeia? The wounds seem to be contained at this...

  22. Something I've never seen!

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    She's not able to lie on her back but she can lie on her side or stomach. The methadone and Roxanol seem to be working fairly well but we'll probably go up on the methadone today. The wounds are not...

  23. Does patient need to know the diagnosis?

    doodlemom replied to Ms.RN's topic in Hospice, Palliative

    I believe pt's have a right to know if they are alert and oriented to understand. Are you her nurse? This should have been covered from the start of her hospice admission - does she know she is on...

  24. Why can't I work for 2 hospices?

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    The Hospice market is very competitive. This is not unusual practice at all and is considered a conflict of

  25. Time spent at visits and other things!

    doodlemom replied to mc3's topic in Hospice, Palliative

    We try to use levsin or atropine instead of scope patches just because of the cost issue. I don't think they are outrageously expensive but the patches cost a lot more than the drops. If it's a...