SoCalRN1970

SoCalRN1970

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All Content by SoCalRN1970

  1. NO, my husband is not in pain. Or is he?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    Cognitively impaired, dementia. Wife is acting a bit clueless... btw? She never returned my calls.. so yes, I have my hands

  2. Hospice Oncall Staffing

    SoCalRN1970 replied to Rhawnda's topic in Hospice, Palliative

    With a census if 150... and in a rural area. One runner is a very low staffing ratio IMHO. Usually at about 100 two runners should be used. But that is different from office to office. We...

  3. Hate to discharge a patient that is hospitalized

    SoCalRN1970 replied to AtlantaRN's topic in Hospice, Palliative

    How has this patient been on your service for so long? No offense. curious though. I am going to ask some hard questions. Has the talk.. I'd don't think hospice is right for you happened? I have...

  4. Did I make the biggest mistake of my career?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    The big gun administrator is NOT happy with the lack of response, accountability with the middle management. She didn't say a word,but she and I did have a quick heart to heart. #1 I have NO...

  5. I have an inerview tomorrow!!!!

    SoCalRN1970 replied to WeirdNurseKelly's topic in Hospice, Palliative

    THey may ask you. Why did you choose hospice? Have you recently lost a loved one or family member ? ( this is a screening ?? often they will not hire anyone with a recent loss ) How would you...

  6. I have an inerview tomorrow!!!!

    SoCalRN1970 replied to WeirdNurseKelly's topic in Hospice, Palliative

    I'd ask these as a new nurse and new hospice RN. What kind of mentoring process will be available for me being new to this speciality? What is your standard case load per case manager? ( usual...

  7. Did I simply shadow a lazy Hospice RN during clinical?

    SoCalRN1970 replied to SNB1014's topic in Hospice, Palliative

    I agree with the ladies above. My current agency requires vs on every visit.. But I worked at one agency that did not. I would only take vital signs if there was a change in status! That is how...

  8. Did I make the biggest mistake of my career?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    Good news. Our staff meeting I missed yesterday as I do not have an access code to our company voicemail and this is not my responsibility. I have been asking for weeks.. lol Yesteray I did't go to...

  9. Did I make the biggest mistake of my career?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    I almost feel like I may just get let go at this point. I have been spoeken to by my acting manager more than I have been in the last 5 years put together... I would love to have a heart to heart...

  10. Did I make the biggest mistake of my career?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    I don't work at Vitas, but I work at it biggest nation wide competitor! SO size mean NOTHING

  11. A Definite Over Stepping of Boundaries

    SoCalRN1970 replied to scribblerpnp's topic in Hospice, Palliative

    Bad bad all around. I had a nursing colleague of mine who kept in contact with former family ( widower, and daughter ) of her dead patient. I heard that she was dating this wonderful man who gave...

  12. Shocking mistakes by "new supervisor". Staff losing respect.

    SoCalRN1970 posted a topic in Hospice, Palliative

    Yes, I have found out that new office I am at has a slew of new managers in place. Well, 2 exact, and 2 on stress leave. I finally have had a chance to interact with some of my new nursing...

  13. Shocking mistakes by "new supervisor". Staff losing respect.

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    Yesterday I got a call from this manager ( I'd like to make it one day without having to talk to her please!!) Her issue? I got a call in from a family member the day before and they texted it out...

  14. Whose patient is this???? assistance please

    SoCalRN1970 replied to AtlantaRN's topic in Hospice, Palliative

    This is WHY it's called and ELECTION OF BENEFIT. Big corporations don't get it. It's the patent agreeing and wanting to be on service. an election of hospice

  15. Shocking mistakes by "new supervisor". Staff losing respect.

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    Its happening. I suppose supervisor #25 will be gone by summer. I was a team manager for a very short time. The dominant authoritative approach doesnt' work. You'd be amazed how much your staff...

  16. Can a new graduate be a hospice RN?

    SoCalRN1970 replied to fireball78's topic in Hospice, Palliative

    If you volunteer... you will be able to see the inside of the hospice, how it works and perhaps interact with patients on a volunteer basis. ( volunteers do not give medications, or act in a...

  17. Patients families dictating care and treatment

    SoCalRN1970 replied to MomRN0913's topic in General Nursing

    MOM RN proceed with caution. This one has lawsuit from crazy

  18. What's the difference between per diem and registry....

    SoCalRN1970 replied to pattycake's topic in General Nursing

    I agree with above. However, I find that a perdeim status usually means you are an employee used as needed. In a sense you are employed by the facility you work for. Registry is an agency that you...

  19. Natural remedies at end of life???

    SoCalRN1970 replied to dancingdaisy's topic in Hospice, Palliative

    You must let the patient choose her course. It's her choice to be in pain and use alternative treatements. THe best thing you do is offer treatment.. and docuement everything. I had a very sweet...

  20. Discharge a patient because they go to er?

    SoCalRN1970 replied to AtlantaRN's topic in Hospice, Palliative

    Depends on if this is a cardiac hospice patient. If the pateint was admitted to the hospital or requested to have agressive tests.. a discharge if admitted would happen and if it was his decision...

  21. Team Mate working out of scope or practice?

    SoCalRN1970 posted a topic in Hospice, Palliative

    Here we are with another bizarre twist with my agency. I was just handed my own assignment about 2 weeks ago. I like to especially on higher levels of care have a very clear frequent line of...

  22. Team Mate working out of scope or practice?

    SoCalRN1970 replied to SoCalRN1970's topic in Hospice, Palliative

    I have taken care of this. The SW understands I know my role.... and that I "appreciate" her "input" on the issue. "I have taken care of it". The family has been educated to call upon the RN (not...

  23. Patients families dictating care and treatment

    SoCalRN1970 replied to MomRN0913's topic in General Nursing

    But I have a hard time taking the dtr who is on your first patient seriously. 1 year of nursing school has given her huge huge case of delusional grandeur...... This was cut and pasted from my...

  24. Patients families dictating care and treatment

    SoCalRN1970 replied to MomRN0913's topic in General Nursing

    Part of being a class act is acknowledging when you offended, or unintentionally spoke without much thought which is what I did. I apologized. Is that not enough. It was said without much...

  25. Whose patient is this???? assistance please

    SoCalRN1970 replied to AtlantaRN's topic in Hospice, Palliative

    Make sure you clearly document this situation clearly from your side. CYA. I have had managers back pedal ans push the blame for patient revocation of services on the