CANRN

CANRN MSN, RN

Hospice and Palliative Care, Family NP

Member

  • Content

    238

  • Visitors

    6,014

  • Followers

    0

  • Likes

    2

All Content by CANRN

  1. AANP failed

    CANRN replied to lcharris's topic in Student Nurse Practitioner

    I am sorry to hear this. I took the exam and used Barkley review to study, I had his CDs and workbook, (please do not solicit to buy/sell items per TOS) and I took his review course. Barkley was SPOT...

  2. Brian Short News

    CANRN replied to tnbutterfly - Mary's topic in General Nursing

    This is such sad news. My prayers go out to the entire

  3. Social Worker on call 24/7?

    CANRN posted a topic in Hospice, Palliative

    I am an on-call RN and have run into a situation I have never had before (been doing hospice 6 years) The company I work for is not providing an on call SW anymore, strictly to save money. There have...

  4. Social Worker on call 24/7?

    CANRN replied to CANRN's topic in Hospice, Palliative

    I thought the core services had to be available 24/7. Supposedly, our SWs are "available" but try getting one when you need one. Being at a difficult admission, death or just a panic call from a...

  5. Hospice Charting and Recertifications

    CANRN replied to abcwood's topic in Hospice, Palliative

    LCD= Local Coverage Determinations. These are the criteria guidelines for specific hospice admission criteria based on the patient's diagnosis. You can find these on the CMS website but, your company...

  6. Fingerstick blood sugars higher

    CANRN replied to Vtachy1's topic in Hospice, Palliative

    I wondered about that when you posted that! I think adding insulin to her regime is needed. Good luck! About the shaking, my Mom was Diabetic and when she was being treated for cancer, her glucose...

  7. NEW Hospice Case Manager & SAFETY ?'s :0) Need input from EXPERIENCED hospice nurses!

    CANRN replied to ShimmaShimma0304's topic in Hospice, Palliative

    I don't carry a purse with me, I keep my driver's license and debit card in my nursing bag. Honestly, I have felt safer in bad areas as crazy as that may sound. Anytime I have had to go into a bad...

  8. Fingerstick blood sugars higher

    CANRN replied to Vtachy1's topic in Hospice, Palliative

    Since your patient is not showing any signs of rapid decline, I would certainly notify her doctor and let him/her know that the patient's blood sugars are running high and tell him that her daughter...

  9. Kennedy Terminal Ulcers

    CANRN posted a topic in Hospice, Palliative

    Have any of you had much experience with this type of ulcer? The Kennedy Termial Ulcer? I had a patient I admitted a few weeks ago. He was in a LTC facility. This man develped the worst KTU's I have...

  10. What Diagnosis would you say this patient is?

    CANRN posted a topic in Hospice, Palliative

    I was sent to do an admission in a LTC facility. The patient was having respiratory distress with stridor. HORRIBLE stridor! Past history included Alzheimer's disease with dementia and Psychosis. The...

  11. What kind of nurse are you?

    CANRN replied to RNMariposa's topic in General Nursing

    You have a

  12. What kind of nurse are you?

    CANRN replied to RNMariposa's topic in General Nursing

    Good pros and cons! Your right, having a brick and mortor school is important especially if they have established nursing programs. Indiana Wesleyan Univesity has a wonderful campus in Marion INdiana...

  13. What kind of nurse are you?

    CANRN replied to RNMariposa's topic in General Nursing

    I have not practiced in any of those areas. I have had my ADN for 15 years. I am currently taking classes for my BSN and I will be done in October. It is an online course. All the schools in this area...

  14. Hospice Nurse Transporting Patient Medications

    CANRN replied to Mazzi's topic in Hospice, Palliative

    Ya know, some nurses just don't get it! Instead of seeing how that fast intervention benefited the patient, she climbed on her high horse and destroyed someone's life. HER behavior (the DON's) was...

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

    CANRN replied to weavrvirgorising's topic in Hospice, Palliative

    That is the problem with so many hospice nurses, they do not care for themselves. When you think you are the only one that can take care of a death or the only one who can care for your patients, you...

  16. National average for pt caseload

    CANRN replied to Em1995's topic in Hospice, Palliative

    OMG!!! This sounds exactly like a facility I go to. State there regularly, they expect hospice to fix everything. We write orders and they don't follow them, when you do find the nurse to see how...

  17. Hospice Nurse Transporting Patient Medications

    CANRN replied to Mazzi's topic in Hospice, Palliative

    I understand about some of the neighborhoods and at night. However, I personally, have never taken meds at night as the pharmacy is not available to outpatient services. If there is a concern about...

  18. Hospice Nurse Transporting Patient Medications

    CANRN replied to Mazzi's topic in Hospice, Palliative

    I live in Ohio and have delivered meds to patients. When doing an admission, we usually stop by the pharmacy and pick up the comfort meds, this includes narcoticcs, especially if the patient maybe...

  19. Hospice CNA Frustrated re:caseload

    CANRN replied to southcarolina716's topic in Hospice, Palliative

    I am thinking the case load is 12-14 patients. that is where they try to keep us. It was posted a few years ago, Not sure if it is medicare reg or not. Just the standard. I wish you luck, I don't know...

  20. 1 Week vs 7 days

    CANRN replied to momtotwo's topic in Hospice, Palliative

    7 DAYS, you must see them every 7 days. My once a weekers are seen on Wed. If I skip a Wed and make it Thurs, we are out of compliance. Sometimes, I have a patient I need to increase to once a week,...

  21. new grad straight to hospice

    CANRN replied to bsngrad2be's topic in Hospice, Palliative

    I agree, your life experience is a big plus and will serve you well. I do think that having some critical care experience is also needed. I'll tell you why. When I graduated, I was offered a job at...

  22. Kennedy Terminal Ulcers

    CANRN replied to CANRN's topic in Hospice, Palliative

    Milk of Mag soaked 4X4's! I will have to try that. Your right, the heels looked just like you described. I had never seen heels so ugly. They looked just like what comes on the coccyx. Thanks for...

  23. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    Thanks!! I had not heard of

  24. Kennedy Terminal Ulcers

    CANRN replied to CANRN's topic in Hospice, Palliative

    I am aware of this site and have actually printed it out and used it for educating LTC personnell. I just have never seen them on a heel, but I swear, that is what it looked like. I have emailed Karen...

  25. Hospice CNA Frustrated re:caseload

    CANRN replied to southcarolina716's topic in Hospice, Palliative

    NO! What you are experiencing is not normal. The one hospice I worked at expected their HHA's to be at IDT, they are part of the team. The one I work at now, does not. I would like to see that...