idobelieve

Hello Carla, I am an RN Case Manager for a hospice company. I have residents in ALF and SNF. Med audits are good to do but your concern is the hospice patient. I would have the med techs to give me a copy of all the hospice patients mar so that you can make sure that in your system it matches what meds the patient is receiving while in the ALF. Check the hospice patients physician orders on a daily bases to stay abreast on new meds being added and meds being discontinued and this way you can inform your pharmacy that your hospice company use what meds are discontinued. This is a starting point and I am new to hospice also but I truly love my job. I hope this helped.

I am new to hospice with excitement, I will be only visiting hospice patients in facilities. If anyone has any information on what to expect and what to be mindful of. I have been in nursing for over 10 years and hospice has always been one of my dream jobs. Thanks for all your help and time.

The nurse did not give insulin to a patient on time and blood sugar rose 400's. Who gets the medication error write up, the nurse, supervisor, or both and the supervisor had no knowledge of the situation until hours later.

Their are 60 skilled, 60 long term,attend all meetings, make wound rounds, no staffing or MDS

You don't feel this is too much and a possible risk of losing your license?

I am being asked to manage 2 units in a 120 bed LTC facility, which is a toal of 120 residents; need input please!

You are correct egglady that nursing is not all about charting but when your facility has their state survey then charting is just as important.

Thank you for the additional information. I will immediately begin performing these things also. Please feel free to give anything else you can think of. I am really concerned and my unit to be on top of things.

Wow! Thank you for your help and I will begin these things in the morning. I just want to do my best to the Glory of God. Any other pointers you may have please send them too me because I am eager to learn and hunger for knowledge in doing a good job. Thank you so very much.

Any help is greatly appreciated. I am trying to prepare for the next state survey but where should I begin to start cleaning up the mess left by the last unit manager?

We lived their for 3 yrs. due to my husband being stationed their at Hurlburt Field. Hospital on base and hospital downtown called Ft. Walton Beach Medical Center where I worked as a float LPN then. Slow area, beachy, great shopping in Destine, was really building up when we were leaving. Still have friends their who love it. North Western Florida State College in Niceville which is not far away. Crest view area is nice and has built up a lot. Navare is great area also and from Eglin to Pensacola would take you about maybe 45 minutes to get the area and mall. Eglin is in Ft. Walton Beach and they also have a mall and was adding on before we left. The activities are centered around the beach life so if you like boating, swimming, water, then kool. Panama city about 1.5 hrs away. So this should give you some help, it was great but we retired in Orlando.

I will be praying for you, I know how you feel, I just pass my RN boards. Focus, calm your nerves, take your time and read the question, and be cautious in second guessing yourself.

Rita1015, I used the NCLEX RN 4000 CD and on that, it has sections to focus on your weak areas separately as well as select all and that is how I studied. Hope this helps and I know exactly how you feel and what you're going through and with hard work, God on your side then you can make it. Don't lose the momentum and stay on your course:hpygrp:

I did the "Miller Nursing Review" in Kissimmee, Florida

I finally pass and all the Glory goes to God and Him alone. I always knew I had what it takes to be an RN, but I would panic, freak out, and not apply myself to the fullest as I did this time. I studied the Saunders RN 5th edition 2 times, went through the Priortization,Delegation, Assignment book 3 times and I did all the questions on the NCLEX RN 4000, and got a complete understanding of the concepts. And lastly but most important of them all, I had faith in God to take me through. Now for some this is overboard, but for me this is what it took and I also had a fabulous RN Refresher Course. My test stopped at 75 questions and I walked out of the test center totally in crocodile tears all the way home with my husband driving with no sound heard except my sniffing. Took the exam Nov. 19, 2011 and Monday checked the Florida Board of Nursing and my name was not their, I automatically assumed I had failed. Check back Tuesday my name not thier and now I really knew it was over, until Friday afternood I received my license in the mail and all I Know is that God gave me my heart desire.