hospicemom replied to powerflash's topic in Hospice
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 at least given the order to go ahead and start if...
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 books out there for purchase however I am not com...
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 still not managed can you give the PRN dose at that t...
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 involved in any specialty.
hospicemom replied to Brightonrn1's topic in Hospice
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 unfortunatly I have not had in the years I have b...
hospicemom replied to Brightonrn1's topic in Hospice
:)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 in hospice about 4 years and took the online sae ...
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 "screen" for appropriateness before it goes to hospice...
hospicemom replied to hospicemom's topic in Hospice
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 frustrating.
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 driving MY patients body down the road. SO...I appl...
hospicemom replied to seasonedlpn's topic in Hospice
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 and syringed onto the tumor.
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 hospice involvement.
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 medicaid(T19) and they will pay the room and boar...
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 docs.
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 reponsible to write and how to sign these orders ie.( T.O/...
hospicemom replied to hospicemom's topic in Hospice
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. When you admit someone respite do this.... inpatient ...
hospicemom replied to AtlantaRN's topic in Hospice
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 first sign of secretions works well usually.
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 me.
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 effective.
hospicemom replied to debblynn13's topic in Hospice
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 well.... however I strongly disagreed with this. My pat...
hospicemom replied to cherokeesummer's topic in Hospice
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 invasive.