indianahope

indianahope

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All Content by indianahope

  1. Changes to On Call Job Description

    indianahope replied to pixiec11's topic in Hospice, Palliative

    I quit my job a little over a year ago for exactly the reasons you site in your post. I was with the company 10 years, and the last three were literally *#ll on earth. I kept thinking it would get...

  2. Changes to On Call Job Description

    indianahope replied to pixiec11's topic in Hospice, Palliative

    Wow. I read every thread and have come to the conclusion that I am working for one of the bad ones. The comments about how we are degraded/demoralized really hit home. This is truly sad. I've been...

  3. Dress code.....

    indianahope posted a topic in Hospice, Palliative

    Just wondering about what other RN's working out in the field are wearing.....Street clothes/Lab jackets?

  4. Hitting The Wall

    indianahope posted a topic in Hospice, Palliative

    We're now working about a 54 hour week, taking call 4-5 times in 6 weeks and doing admissions after hours on-call. It's getting rough. Been at this over 10 years and have never seen it like this....

  5. pt. load for case managers

    indianahope replied to holiday2525's topic in Hospice, Palliative

    They like us to cary 12, we've had as many as 14-16. We usually don't have to do our own admissions unless there is no other way. We also take call and sometimes do admissions

  6. Comp Update/CoPs

    indianahope posted a topic in Hospice, Palliative

    Does anybody know what the new regs require regarding the timing of the every 15 day Comp Updates related to reporting in IDG? i.e. the Comp Update must be completed no earlier or later than x amount...

  7. Rant About On Call

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

    This really gets me going..I've posted about this before. After almost 9 years, I think I've hit the wall. I work 40+ a week as case manager...take primary call 4 weekday nights and backup call 1...

  8. Loaded gun

    indianahope posted a topic in Hospice, Palliative

    Patient keeps loaded gun in holster at side. Would you refuse to

  9. New CoPs....

    indianahope replied to andre's topic in Hospice, Palliative

    I was talking to coworkers about the MAC requirement in the new COP's and was told there was no such requirement.... Does anybody know specifically where this is in the regs so I can quote it to them?...

  10. On Call pay???

    indianahope replied to horsepoor's topic in Home Health

    What if you don't actually go out but do the work from home on the telephone? Are you paid for the time you spent on the phone and the time you spend

  11. Pain Not Controlled With Dilaudid Pum

    indianahope replied to waterstarjen's topic in Hospice, Palliative

    In a similar case, we had good response with dilaudid/bupivicaine

  12. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    Well, we did ask about compensation above our beeper pay of $2.00/hr for any work we did on the telephone and received the response that any symptom management/triage/consultations...Anything done on...

  13. Burning out fast

    indianahope replied to CaringRN1234's topic in Hospice, Palliative

    OP: I'm so glad you brought up this topic....I've been at it 7 years now and have done poorly at setting limits and am now also facing burnout. It's kind of crazy...we have had inservices about...

  14. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    We have no on-call team but take turns. Weekdays on-call starts at 4:30pm to 8am. Sat or Sun call is 8-8 for 24 hours. We usually get 4 days through the week and 1 weekend day in a 6 week schedule...

  15. Fentora

    indianahope replied to saribeth's topic in Hospice, Palliative

    I had a patient on intrathecal hydromorphone who also had Fentora for BTP when she had maxed out her bolus doses. We used it to tide us through until she could get her implanted pump reprogrammed....

  16. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    Thanks, Aimee. I will go back to administration and request reconsideration of this policy.....all they can do is say

  17. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    What about this scenario? You are being paid let's say $2.00 hour for carryng the beeper. You are paged and take a phone call and then do charting but you do not go out. Are you compensated...

  18. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    Thanks for your responses....We are pretty bummed out by these new policies. Not only did our beeper pay get cut to $2/hr, we will no longer be compensated for phone work...and it can add up,...

  19. Hospice On Call Compensation Structure

    indianahope replied to Katillac's topic in Hospice, Palliative

    Found this old thread and have a question...We get a very minimal hourly rate to carry the beeper. We average 4-5 calls in 6 weeks including a sat or sun. We get no compensation above beeper pay...

  20. Treating constipation in active dying process?

    indianahope posted a topic in Hospice, Palliative

    What are your practices regarding constipation in the last days/hours of life? I am referring to a person who is minimally or unresponsive, mottled, cheyne-stoking, etc. Are you continuing with...