hospicemom

hospicemom

hospice

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All Content by hospicemom

  1. Hospice Charting and Recertifications

    hospicemom replied to abcwood's topic in Hospice, Palliative

    Local Coverage

  2. Calling Doctor to START end of life Med.

    hospicemom replied to powerflash's topic in Hospice, Palliative

    you need an order before any treatment can begin. Sometimes if its the weekend and I know that the MD will not be around to sign all the papers then I will page and get numerous medications started or...

  3. hospice care plans

    hospicemom posted a topic in Hospice, Palliative

    Looking at switching to a different hospice care plan. Anyone out there who really loves/ likes theirs? If so, where did you find it? I cant imagine there is no hospice specific diagnosis/careplanning...

  4. scheduled meds and PRN dose orders in nursing home

    hospicemom posted a topic in Hospice, Palliative

    example: clonazepam is scheduled TID AND Q4 hours PRN. Question: do you take these as two seperate orders or as one order. To clarify.... If the scheduled dose is at noon and in one hour they are...

  5. How much experience should I get before getting into Hospice?

    hospicemom replied to AddieRN's topic in Hospice, Palliative

    I was a hospital nurse for about 3 years before going into hospice. I think its always a great idea to start in the hospital to get the basics on nursing, medications and things, prior to getting...

  6. Hospice Certification exam

    hospicemom replied to Brightonrn1's topic in Hospice, Palliative

    hey, thanks for the support. I am hammering away on that study question book and everything else I have. Thanks

  7. Hospice Certification exam

    hospicemom replied to Brightonrn1's topic in Hospice, Palliative

    Thank you for your kind words. However, I did not pass. My score was a 97 and 98 was passing. I also had a lot of ALS questions as well as superior vena cava syndrome and spinal cord compression which...

  8. Hospice Certification exam

    hospicemom replied to Brightonrn1's topic in Hospice, Palliative

    :)I have been studying using the core curriculum, study guide as well as the flash cards. I take the test in two days. I am not sure as to what to expect but I am getting a little nervous. I have been...

  9. Fentanyl Patch

    hospicemom replied to Brightonrn1's topic in Hospice, Palliative

    I have had this reaction with the patch. I am not a big fan of those

  10. nursing home difficulties

    hospicemom posted a topic in Hospice, Palliative

    I am with a hospice who is "affiliated" but not "owned" by a nursing home. We are having much trouble with the nursing home as far as us getting referrals from "anyone", the nursing home wants to...

  11. nursing home difficulties

    hospicemom replied to hospicemom's topic in Hospice, Palliative

    Thanks for all the input. I will suggest an inservice on this to the NH staff. Unfortunatly, the DON is one of the people who is dc'ing orders. Quite

  12. Post mortem care

    hospicemom replied to mc3's topic in Hospice, Palliative

    morticians have wonderful ways of fixing things up when they need to, and MY patients are MY patients until I walk the funeral home out the front door. They dont become the morticians until they are...

  13. Squamous cell CA of Face (graphic content)

    hospicemom replied to seasonedlpn's topic in Hospice, Palliative

    I dont have any new ideas as far as drainage and bandaging goes. I have used ostomy bags on fungating tumors however that would not work on the face. I also used flagyl, crushed and dissolved in 0.9NS...

  14. average # of nursing home patients

    hospicemom replied to Em1995's topic in Hospice, Palliative

    a patient may be able to have PT if it is not related to the terminal diagnosis. example...lung cancer patient with broken hip receiving PT for the hip is fine and medicare will cover it even with the...

  15. average # of nursing home patients

    hospicemom replied to Em1995's topic in Hospice, Palliative

    Hospice never pays for the patients "stay" in the nursing home. If the patient has money he/she is "private pay" in the nursing home for room and board. If the patient does not have money they will be...

  16. Disposing of medications at time of death

    hospicemom replied to RubyRN,CHPN's topic in Hospice, Palliative

    great

  17. md visits in inpatient

    hospicemom posted a topic in Hospice, Palliative

    when you have a patient inpatient hospital does anyone know the requirement for m.d visits? i cant find a medicare policy on it and noone seems to know, including the

  18. inpatient,respite,unrelated,related

    hospicemom posted a topic in Hospice, Palliative

    I am looking for cheat sheets/guidelines for setting up policy and procedure for inpatient related and non related as well as respite. specifically the "how to" stuff. What orders are the RNs...

  19. inpatient,respite,unrelated,related

    hospicemom replied to hospicemom's topic in Hospice, Palliative

    I guess I am just looking for the nursing part. I need to be able to pull out the policy and procedure for inpatient respite (lets say) and give it to the other case manager to use as a guideline....

  20. What to do??????????secretions.....

    hospicemom replied to AtlantaRN's topic in Hospice, Palliative

    we dont suction either. too invasive as well as the fact the secretions will just come back. plus, usually the secretions are deep airway, not upper airway. sounds worse than it is. scope patch on at...

  21. RN Case Mngr Hospice

    hospicemom replied to RNDYN2CU's topic in Hospice, Palliative

    i agree with the palliative sedation. maybe inpatient for a

  22. Oncall pay

    hospicemom posted a topic in Hospice, Palliative

    can I get some comparisons on the oncall pay thats out there. Trying to work with my excecutive officer on fair pay since I am currently oncall 24/7. Thanks to anyone who has input for

  23. Should I be mad at Hospice? My mother...

    hospicemom replied to Roland's topic in Hospice, Palliative

    Ativan is my first drug of choice. I have also used haldol as a "next step" to control nausea and agitation. Ativan is also used for nausea in some cases however i have not found it to be as...

  24. epidurals

    hospicemom replied to debblynn13's topic in Hospice, Palliative

    I have only had one patient with an epidural. Inpatient was the only way we could do this and then the hospital has policies in place they need to follow. It was to be changed 3rd day with me as...

  25. Elevated temperature - question

    hospicemom replied to cherokeesummer's topic in Hospice, Palliative

    The hypothalmus stops working at end of life. I do not use PR tylenol at EOL. I have seen temps rise to 105. Tylenol would most likely be non beneficial and