okielpn75

okielpn75 ASN, RN

LTC, Hospice

Member

  • Content

    48

  • Visitors

    2,404

  • Followers

    0

  • Likes

    1

All Content by okielpn75

  1. LPN's in hospice?

    okielpn75 replied to sclpn's topic in Hospice, Palliative

    In our company the LPN is the PRIMARY nurse. The RN rarely puts eyes on the patient. No nurse in our state is allowed to pronounce. All of our nurses are required to call a doctor to notify of absence...

  2. RN supervisory visit Frequency?

    okielpn75 replied to new2hospiceRN's topic in Hospice, Palliative

    The LPN's complete the IDG forms and show decline on our visit notes. The face to face MD visits that have been initiated have eliminated a lot of the recert paperwork for the RN's. When my RN case...

  3. RN supervisory visit Frequency?

    okielpn75 replied to new2hospiceRN's topic in Hospice, Palliative

    So is it required that an RN do an assessment of the patient or just fill out a supervisory form for the HHA? And does that sup visit require an on site visit or can it be done via

  4. Hospice CNA seeking answers!!

    okielpn75 replied to michelle4698's topic in General Nursing

    Each Hospice patient should have a care plan that is begun on admission. It should be updated each cert period for the CNA. Look at each patient's care plan and do what the POC

  5. RN supervisory visit Frequency?

    okielpn75 replied to new2hospiceRN's topic in Hospice, Palliative

    I was being sarcastic in that aspect of my response. We HAVE to constantly ask our RN's about everything to ensure it is done. If we don't it won't get taken care of. As far as baths I have no ISSUE...

  6. Did you get their bath done? Seriously?

    okielpn75 replied to Bezoars's topic in General Nursing

    Ahhhh so this is why our patients look they way they do after discharge from the

  7. Caseload for a Full time Case Manager

    okielpn75 replied to jyhn's topic in Hospice, Palliative

    In our hospice our RN's see no patients daily and do admissions as they come.. Average about 1 a

  8. Tell me about your continuous infusions

    okielpn75 replied to ErinS's topic in Hospice, Palliative

    We have never used any infusions in my 8 years with hospice. We either use sublingual, topical or rectal meds for symptom management. I am interested in those that do use infusions. Did you see a...

  9. Comfort kits

    okielpn75 replied to Mandee's topic in Hospice, Palliative

    Perhaps in your job that is the case as well it should be since the case manager is SUPPOSED to be ultimately responsible for the management of the patient care. Unfortunately in my job as well as...

  10. Unstable crazy situation-Help!!!

    okielpn75 replied to AtlantaRN's topic in Hospice, Palliative

    APS here in Oklahoma will not do anything in this situation if the person states they want to continue to live there. I had a patient whose son was smearing his own feces on the wall, not feeding her...

  11. RN supervisory visit Frequency?

    okielpn75 replied to new2hospiceRN's topic in Hospice, Palliative

    This I know....but how do I as an LPN supervise an RN? The RN's with our company are TERRIBLE...I keep waiting for the surveyors. Its very frustrating because at this time they are also asking the...

  12. Team Meetings & Hospice Nursing Diagnosis

    okielpn75 replied to LookUp2Sky's topic in Hospice, Palliative

    You tell me. They do start of care's and that's about the extent of it that I see. Even on the new admits the LPN is the one who orders DME and medications. Also the LPN does the follow up visit the...

  13. When to call the doctor

    okielpn75 replied to NurseLoveJoy88's topic in General Nursing

    I would have notified MD via fax. Not a phone call. I would sticker the chart for monitoring, pass it on the following shifts and DOCUMENT

  14. What is your current LPN salary

    okielpn75 replied to Vicky Laursen's topic in LPN, LVN Corner

    Hospice LPN in Oklahoma, 20/ hr , company car plus on call pay, benefits Last year made

  15. Team Meetings & Hospice Nursing Diagnosis

    okielpn75 replied to LookUp2Sky's topic in Hospice, Palliative

    I find some of these posts amazing. Our RN "case managers", and I use that term LOOSELY, do not fill out the IDG forms or present the patients at IDG. They do fill out the goals part of the IDG but...

  16. Admitting patients for the sake of admitting?

    okielpn75 replied to SoCalRN1970's topic in Hospice, Palliative

    I have seen many many patients admitted who were not appropriate as well as MANY patients being recerted who are not at all appropriate for hospice care. There is nothing I can do. I document what I...

  17. Discharge a patient because they go to er?

    okielpn75 replied to AtlantaRN's topic in Hospice, Palliative

    A hospice can NOT discharge a patient immediately for seeking medical treatment. You can offer the pt the option to revoke hospice services. If they choose not to they need to understand that there is...

  18. Hospice Oncall Staffing

    okielpn75 replied to Rhawnda's topic in Hospice, Palliative

    We only have a census of 40. We have 3 LPN's who take all the call. We are also the primary care nurses during regular business hours. We rotate weekends so some months we have two weekends. We...

  19. RN supervisory visit Frequency?

    okielpn75 replied to new2hospiceRN's topic in Hospice, Palliative

    Please tell the above to the RN's at my company as they go months without putting eyes on my