MarciCRN

Reg Read, What term do you suggest?

Thanks tewdles, my sentiments exactly. I wish they would see the light.

I took a $5 /hr pay cut to go from hospital to Home care. NYS. I have 30+ yrs exp and 12 yrs of it Hospice. Not as much pay but a whole lot less physical stress, no nights and only a minimum w/e commitment. You being a new grad RN, I think your rate is fair.

Yes all the above DITTO :-):)

In my experience, people in their last day/hours can say things and mean another. Maybe she had strong feelings about pregnancy either pos or neg...and in her delerium she said pregnant and meant something else. Just a thought.

I do not case manage, I am an Evaluator and admissions ns. But the gals I work with are carrying a load of 23 more or less and they are all crying! 23 is too many, and have to travel the county to see them all. Its very difficult and they are stressed. We have had an active turnover of nurses in the last year, and I believe that is why. I think 12-14 is national average, and should be instituted. The agency I am at now is not huge on the numbers, as in you "have " to see 30 a week. But one I was working at in another state, was big on 30 a week or you do extra. be it on call or w/e. You girls work hard and should be compensated well.

In addition, Medicare has strict guidelines for who they will pay for Hospice care, medicare has been denying payment in the agencies in my area because they (medicare) didn't feel the pt's met requirements. We of course appealed as we know the pt's are appropriate. We have had to beef up documentation as we wern't reflecting a true pt picture. If you want to know eligibility, it is online ..http://www.ucop.edu/agrp/docs/la_hospice.pdf... is a good reference.

I'm not sure what your objection is. She is telling it the way it is.

My daughter just took it and was very nervous. She did very well. It wasn't bad. She too had a review book for the test, which I picked up at Barnes and Nobel for about $15. There is plenty of Math and little Bio. Study your math. Good Luck !!:):nurse:

I work in hospice, if a patch isn't holding for the 72 hrs then we assess that the pt needs a higher dose or something for break-thru if the patch is already a high dose. Over 200 mcg/hr we D/C the patch and we do a SQ dilaudid or MS PCA, but as I said that is Hospice.

Yes we piggyback, Mag first then K, K is painful , so we run it on separate pump, along with at least 50ml/hr of NS.