CANRN MSN, RN

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 ON with the topics we would see, Also, I used LEIK...

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

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 been several times I have needed a SW for a family...

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 family and it gets hairy. It is hard to care for the pa...

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 should have a worksheet also that has the criteria...

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 levels were hard to manage, she always got shaky when...

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 area, they know I am coming. One of the family membe...

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 is living with her and the patient is getting bette...

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 ever seen. My question is this, Have you ever seen...

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 patient was treated twice in the last three month...

You have a PM

Well move over girls and make room for me! I will also be in my 70's and paying off student loans. I graduated hs in 1970, got married, two kids, divorced, remarried, another child and nursing school. Got my ADN in 1997, I will have my BSN in Octobe...

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 and outreach locations as well and then the online...

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 do the BSN completion online. I attend Indiana We...

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 more inappropriate than the nurse that had the best i...

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 are doomed to burnout. When you are off, shut off...

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 things are going you get, "I don't know, I just starte...

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 meds in a home, especially narcotics, we have lock ...

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 having some discomfort. We also have a courier that ...

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 how you do it! Cindy

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, so I will see that patient on Wed, and then again s...

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 the hospcie that cared for my father. I had also don...

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 the tip! I added it to my book of hospice tricks! Ci...

Thanks!! I had not heard of these.

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 Kennedy and asked this same question. I'll post a...