Katillac RN

That's not a pic of me. That's Nurse Ratched from One Flew Over The Cuckoos Nest for you young pups.

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All Content by Katillac

  1. Katillac

    Can non-profit hospice survive high cost of palliative care?

    Katillac replied to Mazzi's topic in Hospice, Palliative

    OK, well. . . it seems like this is a sore spot for you. I can't imagine why a health care agency would scrimp on patient care in order to give big bonuses and huge salaries to staff and nothing to...
  2. Katillac

    Can non-profit hospice survive high cost of palliative care?

    Katillac replied to Mazzi's topic in Hospice, Palliative

    I believe that the difference is that the for-profits are set up to. . . make money. So there may be an interest in spending as little as absolutely necessary on patient care in order to maximize...
  3. Katillac

    Hospice in LTC.................

    Katillac replied to webblarsk's topic in Hospice, Palliative

    i look at the delegation of care of patients in an ltc much the same as i do patients in our hospice residence. the primary nurse in the case functions as the case manager, while the staff nurse...
  4. Katillac

    confusion re: hospice care

    Katillac replied to pattyzaccy's topic in Hospice, Palliative

    No, old age isn't a terminal disease, nor is TMBD (Too Many Birth Days) a hospice diagnosis. But debility is. Latest figures suggest that up to 10% of a LTC's residents may be hospice appropriate,...
  5. Katillac

    Can non-profit hospice survive high cost of palliative care?

    Katillac replied to Mazzi's topic in Hospice, Palliative

    My hospice is a not-for-profit hospice, and we use donated monies for a lot of our patient care budget items. We are allowed to do that because unlike the for-profits, our financial focus is not on...
  6. Katillac

    Can non-profit hospice survive high cost of palliative care?

    Katillac replied to Mazzi's topic in Hospice, Palliative

    My hospice sees it as part of their mission to provide the best symptom relief, or palliative care possible given the available options, with cost as a consideration. If palliative radiation is the...
  7. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    OK, I'm just back from a glorious vacation, so I'll bite again. How, exactly, do you "prevent the pain before it gets there"? I hope what you mean is that you give routine and/or long acting...
  8. Katillac

    Has hospice changed your world view?

    Katillac replied to req_read's topic in Hospice, Palliative

    Your hospice appears very different than mine. In mine, we have a medical director, but he is not the primary physician and does not usually prescribe for our patients. The primary MDs for our...
  9. Katillac

    Was I justified in writing up Nursing Assistant?

    Katillac replied to hhrhrn41's topic in General Nursing

    I'm glad you think that might work for you. You also might want to try throwing in the validation with the directives: "You're very observant. Thank you for bringing ______________ to my attention....
  10. Katillac

    Was I justified in writing up Nursing Assistant?

    Katillac replied to hhrhrn41's topic in General Nursing

    Well, if your intention was to get this person to change his thinking and/or behavior, I'm not sure writing him up for this specific incident was the most effective way to go about it. He appears to...
  11. Katillac

    Unreasonable expectations/bandaid care

    Katillac replied to tippi's topic in Hospice, Palliative

    Sounds like you are feeling a little overwhelmed. I wish things were going better for you. My mailbox door is open if you want to PM.
  12. Katillac

    Unreasonable expectations/bandaid care

    Katillac replied to tippi's topic in Hospice, Palliative

    Oh, my word! How ever do you do it? Between initial assessment, weekly wound, pain, and follow up assessments, HHA care plans, nursing care plans and their updates, HHA supervisions and...
  13. Katillac

    Unreasonable expectations/bandaid care

    Katillac replied to tippi's topic in Hospice, Palliative

    Of course it's unreasonable. It's also illegal. Unless you are salaried, you must be paid for the hours you work. You must be paid for all time during which you perform an activity that benefits or...
  14. Katillac

    Living wills..

    Katillac replied to karenG's topic in Hospice, Palliative

    hi, karen! i wasn't sure if our laws were the same as yours, so i did some research. your mental capacity act of 2005 (there may be others) seems to give people the right to decide when they are of...
  15. Katillac

    **Confused about euthanasia**

    Katillac replied to Honeyz78's topic in General Nursing

    I think the poster meant that lethal doses of barbituates are what is commonly prescribed to provide assisted suicide. I don't think she intended to imply that Seconal provides pain relief. It's so...
  16. Katillac

    hospice nurse testing

    Katillac replied to marypo7's topic in Hospice, Palliative

    Can't help you with the LPN/LVN exam, but I took the RN exam from the same organization. It was challenging, I thought much more so than nursing boards, but with the study guide and the core...
  17. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    You have indeed adopted a controversial stance. Your view must have presented a challenge for you if you did hospice work given that the ethics associated with the hospice philosophy prohibit...
  18. Katillac

    My patient fired me!

    Katillac replied to InfoNurse1595's topic in General Nursing

    It sounds like you really needed to feel liked by this patient, as if you had certain expectations of her based on your relationship of the night before and were hurt when she didn't meet your...
  19. Katillac

    Question about per diem?

    Katillac replied to wannabenursetx's topic in General Nursing

    I don't see any reason why you shouldn't work per diem for two places, however you need to understand that there will likely be times when the two will conflict. Depending on how big a pool of per...
  20. Katillac

    CNA's in a hospice setting

    Katillac replied to NicInNC's topic in Hospice, Palliative

    Our aides are responsible for providing, along with the nurse with whom they work, for the wellbeing of our residents. They provide most of the morning ADLs and HS care. They give bed baths, showers,...
  21. Katillac

    Simple Pleasures of Hospice Nursing

    Katillac posted a topic in Hospice, Palliative

    Here are a few things that have brought me satisfaction in my work as a hospice nurse: Getting blood the first time from a patient with "no veins". Standing in the doorway of a resident's room...
  22. Katillac

    Simple Pleasures of Hospice Nursing

    Katillac replied to Katillac's topic in Hospice, Palliative

    I can really relate to those "moments". Thanks for sharing them!
  23. Katillac

    Discouraged!!!

    Katillac replied to mc3's topic in Hospice, Palliative

    Maybe a good first step would be to check Florida's Nurse Practice Act and see what restrictions there are on an LPN's practice. Then put together a comprehensive list of the specific job activities...
  24. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    Done
  25. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    I don't get it. You said in an earlier post: "to NOT stay ahead of pain is a cruel and abusive act of blatant neglect." But now you're willing to wait until TWO episodes occurs? What happened to not...