doodlemom

doodlemom

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All Content by doodlemom

  1. Transportation of narcotics and other drugs

    doodlemom replied to susanerl's topic in Hospice, Palliative

    Why would the Chaplain or a SW be any different than a nurse as far as liability? Any member of our staff is allowed to pick up medications and deliver to the patient - even office staff. We even have...

  2. mileage reimbursement question

    doodlemom replied to Squeaky44's topic in Hospice, Palliative

    ditto

  3. Roxanol being pulled from the market by FDA

    doodlemom posted a topic in Hospice, Palliative

    Also MSIR, Oxyfast.... Please notify your administrators. Get in touch with your legislators and start a campaign. If this happens, this will have a huge impact on our patients care. The only way to...

  4. Roxanol being pulled from the market by FDA

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    I take that back...it doesn't list oxyfast in the approved or unapproved column List of Approved Narcotics Drug Products: Morphine Sulfate Tablets and Solutions...

  5. Roxanol being pulled from the market by FDA

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    MSIR and oxyfast are being pulled, as

  6. Question on code status and hospice

    doodlemom replied to moeluvrn's topic in Hospice, Palliative

    Actually anything that is related to comfort is covered under the hospice benefit so if the patient ends up being treated for their symptoms the hospice is require to cover it. It is discouraged...

  7. How are hospice Medicare cuts affecting you?

    doodlemom replied to mc3's topic in Hospice, Palliative

    The medicare rates have not been cut

  8. Standing orders/protocols

    doodlemom replied to RNWithAHeart's topic in Hospice, Palliative

    We have a ton of so's that include meds for just about every symptom imaginable. I can't imagine being able to manage care very well without them and it sure does make the doctors happy to not have to...

  9. Hospice Nursing - How much experience do I need

    doodlemom replied to RedhairedNurse's topic in Hospice, Palliative

    It would be good to have about a year of experience in the hospital so that you will feel more confident with you nursing skills out in the field. As a case manager, your major responsibilities are to...

  10. new nurse- hospice case manager

    doodlemom replied to weavrvirgorising's topic in Hospice, Palliative

    Or she should be calling the administrator if she

  11. LTC Question

    doodlemom replied to RNWithAHeart's topic in Hospice, Palliative

    My recommendation is to start small; pick one person (preferably one of the nurses) to get to know more and more with each visit. It is hard on the first one or two visits, but after you go 2-3 times,...

  12. LTC Question

    doodlemom replied to RNWithAHeart's topic in Hospice, Palliative

    Our role in facilities can be very different than in the home. These patients probably need us equally if not more than those being cared for by their families in their homes. With our care, we can...

  13. Aboriginal communities

    doodlemom replied to thevicarofblue's topic in Hospice, Palliative

    Accessing federal and state money = rules and regs. If you are running completely as a charitable organization and not billing insurance (Medicare/Medicaid) you do not have to follow Medicare regs....

  14. Hospice Nurse Transporting Patient Medications

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    We don't make it a frequent thing, but we will deliver medications if there is no way a family member can pick up. We contract with a pharmacy that delivers but not in the middle of the

  15. 1 week older as a new Hospice nurse, and three deaths later

    doodlemom replied to weavrvirgorising's topic in Hospice, Palliative

    YOU SHOULD NOT PUT YOUR PATIENTS BEFORE YOURSELF...PERIOD. End of story! Patients will be dying all of the time. If it is your time off, you should not come in to take care of a dying patient - let...

  16. hospice burn out

    doodlemom replied to bewell2's topic in Hospice, Palliative

    Everyone else has said it: boundaries. Use the other members of your team and don't try to do it all. I think that is probably one of the biggest mistakes I see nurses do - they don't call the SW and...

  17. Hiv-aids

    doodlemom replied to thevicarofblue's topic in Hospice, Palliative

    Yes - it is a not-for-profit. Our only policy is that there has to be a safe place for the staff to be. Otherwise, the patient's "home" is anywhere they live - so that might be in a tent or under a...

  18. Low Census

    doodlemom replied to saribeth's topic in Hospice, Palliative

    we are in a growth spurt right

  19. Hospice nursing

    doodlemom replied to nurse2btracy's topic in Hospice, Palliative

    We do hire new grads at our IPF and there is a lot of

  20. Hospice nursing

    doodlemom replied to nurse2btracy's topic in Hospice, Palliative

    Some hospices have hired right out of nursing school or soon after - but this is not the norm or recommended. Hospice nursing takes a great deal of autonomy. You are out there with only phone support,...

  21. Medical Supplies Question

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    I have seen some hospices that have similar ethical/questionable admission practices. Some of the large chains can get away with this most of the time because they can afford to pay a huge fine (one...

  22. Hiv-aids

    doodlemom replied to thevicarofblue's topic in Hospice, Palliative

    I do not post where I am for privacy reasons. I know there are hospices that have similar missions all over the US. I am very fortunate to work for an agency that has the needs of the community at...

  23. Hiv-aids

    doodlemom replied to thevicarofblue's topic in Hospice, Palliative

    We follow our patients wherever they are - so yes, if they are on the streets, we will arrange a time to meet with them under a bridge or wherever they are. We see some in the homeless shelter. Some...

  24. Medical Supplies Question

    doodlemom replied to AtlantaRN's topic in Hospice, Palliative

    I would have to ask why the patient is requiring pleuryx kits. Why does he have fluid in his lungs? Does he have lung or liver mets? If you can find a reason that is directly unrelated, then you would...

  25. Hiv-aids

    doodlemom replied to thevicarofblue's topic in Hospice, Palliative

    We have seen a recent (in the last 2 years) influx of HIV patients that are no longer responding to the newest drugs available...but the majority of our HIV patients are those who have been out on the...