doodlemom

doodlemom

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All Content by doodlemom

  1. Constipation Relief...

    doodlemom replied to SCgirl1962's topic in Hospice, Palliative

    Unfortunately sometimes when people lose their ability evacuate their stool, routine enemas can be part of their routine - unless you get it to the point where it is very loose. I have taken care of...

  2. Caseloads

    doodlemom replied to SCgirl1962's topic in Hospice, Palliative

    Our nursing home nurses carry caseloads up to 16 and the home care nurses -on occasion up to 14 but we like to keep it no more than 12. We are located in a city but have outlying areas that are...

  3. Palliative Care...what is the referring criteria?

    doodlemom replied to minneRN's topic in Hospice, Palliative

    It should be noted that palliative care and hospice do not mean the same thing. The guidelines for hospice care refer to hospice care - not palliative care. Hospice falls within within the realm of...

  4. Palliative Care...what is the referring criteria?

    doodlemom replied to minneRN's topic in Hospice, Palliative

    The only criteria is that the patient have a need for symptom management. Pt's do not necessarily have to have a "terminal" diagnosis, although most of the time this is what is seen in palliative...

  5. We Open Tomarrow!!!!

    doodlemom replied to ShayRN's topic in Hospice, Palliative

    Zoe, I can tell you that doing this work is not the least bit depressing. I, myself tend towards depression and this work is very uplifting to me. People that I meet always say "oh that must be a very...

  6. Medical Director taking new patients?

    doodlemom replied to tahijajan's topic in Hospice, Palliative

    In addition to our medical directors taking patients, we also have been working with some house call doctors in the area - we refer to them and they refer to us. It's a win-win situation. If you have...

  7. We Open Tomarrow!!!!

    doodlemom replied to ShayRN's topic in Hospice, Palliative

    Wow, it sounds like a beautiful inpatient facility! Good

  8. Medical Director taking new patients?

    doodlemom replied to tahijajan's topic in Hospice, Palliative

    We have several Medical DIrectors that wil take patients with no physician - or if the primary MD does not wish to

  9. Questions for non-novice hospice nurses!

    doodlemom replied to nosonew's topic in Hospice, Palliative

    I agree with Leslie. Roxanol is just a brand name for a 20 mg/ml morphine sulfate concentrate. Morphine Sulfate is the generic name. MS can come in many forms - tablets, extended release ( MS Contin,...

  10. I want to be a hospice nurse.....

    doodlemom replied to laurel38's topic in Hospice, Palliative

    I agree. You will never make in hospice what you do at the top of the pay scale at the hospital - but you are also not as stressed out and standing on your feet all day. Hospice nursing is much easier...

  11. Concerned about new widow... she is VERY angry

    doodlemom replied to nosonew's topic in Hospice, Palliative

    I agree with the last 2 replies. She is not going to hear anything and calling her children is stepping over professional boundaries - not to mention HIPAA. It's too much of a

  12. Help!!! My team member isn't being a team player!!!

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    It's good to be a team player but everyone should be accountable for their own actions. I don't think your agency should make you accountable for her - are

  13. Are all hospices like this??

    doodlemom replied to RN4ustat's topic in Hospice, Palliative

    I think staffing is an issue that most hospices are dealing with. The hospice that I work for has a number of prn nurses that fill in for us so the case loads are not so bad. Most of our home care...

  14. MSWs doing admissions

    doodlemom replied to river1951's topic in Hospice, Palliative

    We use them if we need somone right away for a referral visit at the hospital. The downfall of it is that alot of these patients require major discharge planning that needs a nurse so we end up having...

  15. Hospice patients with Bi-paps and C-paps

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    We have been getting a lot of these patients recently, as well. Most of them hate to wear them and get

  16. Fentanyl patch & witnessing

    doodlemom replied to gtmoore's topic in General Nursing

    I've worked in several different places and have not ever seen any policy of wasting the patches. There is little to no medication left in the patch when it is taken off so I've never seen a

  17. Positive PPD with history of BCG

    doodlemom replied to TiffyRN's topic in General Nursing

    The last 2 jobs that I've had just asked me for the last CXR report and as long as I am asymptomatic, I don't take any more CXR's. Once a year they ask me a series of questions and I sign a form....

  18. is re charting legal

    doodlemom replied to capability's topic in Patient Safety Issues

    your boss sounds pretty anal. While it is not legal to do this, it goes on all of the time and there is no way to tell if it was the original or not when it is looked over

  19. Question on pancreatic ca

    doodlemom replied to mc3's topic in Hospice, Palliative

    This may sound stupid, but what does BTP

  20. Question on pancreatic ca

    doodlemom replied to mc3's topic in Hospice, Palliative

    I disagree with this doc - it is always better to KEEP the patient comfortable instead of waiting for the pain to escalate and have to take frequent bolus doses. Unfortunately I don't have much of a...

  21. Is anyone an admission nurse?

    doodlemom replied to brainnurse's topic in Hospice, Palliative

    23? Good grief! And you staff the continuous care cases yourself? What is the census of the agency? As far as admissions nursing goes, I did admissions for a while. There are definitely pros and...

  22. How does this sound?

    doodlemom replied to photorn's topic in Hospice, Palliative

    It sounds like a supportive work environment. Since you already know how much on call is required, I would ask the nurse how many patients she has and what has been the most. 12 is a good number but...

  23. So, pick one already!

    doodlemom replied to brainnurse's topic in Hospice, Palliative

    I agree with BeExellent. A start up hospice equals a LOT of hours, on call, and a lot of turnover and burnout. I have never worked for a hospice that pays per visit - only per hour or salaried. Our...

  24. What's the difference?

    doodlemom replied to req_read's topic in Hospice, Palliative

    That is my belief - I was really trying to see what chelli73

  25. What's the difference?

    doodlemom replied to req_read's topic in Hospice, Palliative

    Agreed, but do you have to believe in God to be able to experience