SoCalRN1970

SoCalRN1970

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All Content by SoCalRN1970

  1. Bait and Switch... It keeps happening. WHY????

    SoCalRN1970 replied to RNfortoLong's topic in Hospice, Palliative

    Well, welcome to hospice... it's alot of smoke and mirrors. I have been in hospice 8 + years. Only two of my employers ( and i have worked alot of perdiem or part time hospices.. too ) have...

  2. Sticky situation.....please help!

    SoCalRN1970 replied to RNWithAHeart's topic in Hospice, Palliative

    FYI for what it's worth. I worked at a small hospice ( it wasn't a small business it was affiliated with a huge medical center ) but we had like 20 = 30 patients at any given time. Our consents...

  3. Sticky situation.....please help!

    SoCalRN1970 replied to RNWithAHeart's topic in Hospice, Palliative

    Dear RNWAH, I need to say thank you for elaboration. So many regs and compliance issues are super simple to fix, but what you described is a HOT MESS! All it would take is a disgruntled pateint or...

  4. Sticky situation.....please help!

    SoCalRN1970 replied to RNWithAHeart's topic in Hospice, Palliative

  5. Sticky situation.....please help!

    SoCalRN1970 replied to RNWithAHeart's topic in Hospice, Palliative

    MY BIG CONCERN.. was this patient you admitted "appropriate for hospice"?? I have worked at Vitas and a smaller but larger hospice doing admissions for a few years. #1 Both agencies I worked for...

  6. Hospice nurse with no nursing experience

    SoCalRN1970 replied to misia84's topic in Hospice, Palliative

    I also wondered why one would wait 5 years before taking the boards? There are alot of reasons I am sure.. But... if you don't use it you lose it. I know that I was extremely lucky.. and I mean...

  7. Imposing compassion?

    SoCalRN1970 replied to TLDey's topic in Hospice, Palliative

    In the end... we can not force our beliefs or opinions one way or another. We can not treat patients to our standards without approval from the patient or DPOA. The best and only response I have...

  8. Hospice nurse with no nursing experience

    SoCalRN1970 replied to misia84's topic in Hospice, Palliative

    There is a huge learning curve for the speciality of hospice. One as an RN must have sharp assessment and clinical skills. These can not be taught but rather learned on the job. Hopefully your...

  9. Imposing compassion?

    SoCalRN1970 replied to TLDey's topic in Hospice, Palliative

    The patient who was seeking treatment with herbals etc was alert. This was her wish. It was very clear. Patients who are not able to communicate and show non verbal signs of pain, and the family...

  10. Imposing compassion?

    SoCalRN1970 replied to TLDey's topic in Hospice, Palliative

    We as Hospice Case Managers can not fix it all. I understand the struggle with this as most nurses do in this speciality. I had a family that believed in holistic medication only. NO pain meds...

  11. Is it time to leave hospice??

    SoCalRN1970 posted a topic in Hospice, Palliative

    Hello all, I am in a crossways of sort. I have just spent the last 7 months working as a hospice case manager and I am beyond burnt. I feel horribly sad admitting this. I resigned from an agency...

  12. Hospital career after hospice nursing

    SoCalRN1970 replied to mharden's topic in Hospice, Palliative

    I love it when I see a new grad wanting to jump into hospice. But this is really not the case. It's a case of desparation to get into a middle zone while a position might be offered downe the road at...

  13. Is it time to leave hospice??

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    I feel the same.. hunt down he share holders. Our office had multiple complaints I mean multiple... ( 5 ) that I know of and many more not admitting to the corporate integrity line. NOTHING WAS...

  14. Lip care for patient on oxygen

    SoCalRN1970 replied to MissIt's topic in Hospice, Palliative

    I'd suggest KY. It's been used before with great response..and it's alot less expensive then the items you

  15. Abuse in the home

    SoCalRN1970 replied to ErinS's topic in Hospice, Palliative

    Hello there.. I have been very fortunate to have had pretty good outcomes when it comes to issues with abuse. Not always physical, but rather emotional, financial or neglect. APS for the most part...

  16. Odessey Hospice

    SoCalRN1970 replied to Lonestarrn02's topic in Hospice, Palliative

    I work at this time for the big O. They are hourly. If census is low.. you still make your 8 hours as long as you work it and are full time. Only Perdiem staff get cancelled. Wages here on the...

  17. appetite stimulants in hospice

    SoCalRN1970 replied to dalmos's topic in Hospice, Palliative

    benefit the family in most cases. Some patients ask for it, but usually it's under pressure from family who is concerned about . Many cultures have a hard time regarding nutritional and feeding...

  18. Advice needed

    SoCalRN1970 replied to dreamriderRN's topic in Hospice, Palliative

    Very concerning. I had a SW who was giving medical advice to patients unsolicited. I actaully instructed my patients family to tell her that "that sounds like it should come from the nurse" and not...

  19. What is your Hospice paying for mileage

    SoCalRN1970 replied to jeannepaul's topic in Hospice, Palliative

    BIG O.. pays 43cents a mile. Recently gave us a big 2 cent increase with gas prices up. OH THANK YOU.

  20. Anger or violence from a patient or family?

    SoCalRN1970 replied to hrn1's topic in Hospice, Palliative

    I agree with the previous poster. I know for sure that there are areas that are just not safe day or night, but I have gone to them in order to see a patient. I never felt unsafe... Most patients...

  21. Horrible Interview issues.. advice? I am running dry...

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    Hey Twedie.. After my last last 6 months at the big o.. time to go. It's a holy mess batman. it's so unfortunate, the program has wonderful staff, but at the end of the day... I am not proud to be...

  22. Silverado hospice anyone?

    SoCalRN1970 replied to tyler3222's topic in Hospice, Palliative

    Vitas, Companion both are fairly reputable companies... also Silverado has cleaned up so much..so glad to hear

  23. What is your response to lay people?

    SoCalRN1970 replied to Vtachy1's topic in Hospice, Palliative

    Hello there.. this a very common question. I often find it quite touching that families and friends will ask how do you do this kind of work? I always have the same response. I find it the most...

  24. Seeking Team Manager Position.. or rather offered. What should I ask for salary?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    LOL.. Our cost of living is crazy though..

  25. Seeking Team Manager Position.. or rather offered. What should I ask for salary?

    SoCalRN1970 posted a topic in Hospice, Palliative

    Hello all, I am not sure what to say when I am asked about salary for the mentioned position. Its for our current office. This job has been open for months.. I am more than qualified and feel that...