4boysmama

4boysmama

Hospice + Palliative

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All Content by 4boysmama

  1. M9bile phone use in home hospice

    4boysmama posted a topic in Hospice, Palliative

    Today my clinical mgr pulled a few of the field nurses aside to "remind" us that we are not supposed to share our phone 's with pts, ever. Problem is - we are not provided with work phones, so we...

  2. How did you know hospice nursing was right for you?

    4boysmama replied to purplevega's topic in Hospice, Palliative

    I knew hospice was for me before I even started with an actual/official hospice job. I worked LTC and the patients/cases I felt most invigorated/challenged/passionate about were those at end of life...

  3. M9bile phone use in home hospice

    4boysmama replied to 4boysmama's topic in Hospice, Palliative

    I came up with a creative solution that my clinical manager was happy with - I bought a cheap tracfone and 180 minutes/180 texts for $30 and 90 days of service. That's more than enough for my needs...

  4. How many visits per day? (Case Management)

    4boysmama replied to nurseontheway's topic in Hospice, Palliative

    Depending on the day, usually 4-6. If one is an admission, then usually just

  5. Most common meds in Hospice/Palliative care?

    4boysmama replied to shellebelle212's topic in Hospice, Palliative

    roxanol, ativan, bowel regimen meds (senna, colace, bisacodyl, lactulose, etc), lasix and zaroxolyn, fentanyl patches, levsin, albuterol/duonebs, compazine/nausea meds, seroquel, and diazepam. most...

  6. LPNs in hospice?

    4boysmama posted a topic in Hospice, Palliative

    I work for a pretty small hospice office, and we just hired an LPN to work part time. Mgrs hyped it up like it was going to be such a big help to those of us with full caseloads and aking lots of...

  7. Help! MS Contain vs Roxanol reaction

    4boysmama replied to elimayrn's topic in Hospice, Palliative

    (bolding mine) I doubt much that we'll go that route, because hospice is a 100% covered benefit with rtaher strict criteria to qualify for from medicare (ie: government footing the bill). here,...

  8. Help! MS Contain vs Roxanol reaction

    4boysmama replied to elimayrn's topic in Hospice, Palliative

    Honestly, how the heck does non-o2 dependent copd get hospice certified in the first

  9. Help! MS Contain vs Roxanol reaction

    4boysmama replied to elimayrn's topic in Hospice, Palliative

    I had a feeling that was going to be your answer! I might suggest methadone then, it'll be effective for pain (cause that's whatever the patient says, even if he smiling when he says it lol!)...

  10. Help! MS Contain vs Roxanol reaction

    4boysmama replied to elimayrn's topic in Hospice, Palliative

    does pt have history of drug use? that would increase his tolerance of opiates. Now, as far as a "reaction" - it sounds like he was flooded with meds doing the MS Contin and the roxanol together, thus...

  11. Thinking of leaving hospice

    4boysmama replied to NurseStephy80's topic in Hospice, Palliative

    I could not thrive in a hospice job if I had that call schedule! CMs at my company do have to do weekend rotating coverage (suppossed to be 1 weekend a month, but we're down a nurse so it's more like...

  12. What do you guys do to de-stress?

    4boysmama replied to OBigdog26's topic in Health, Stress Management

    read (sometimes something relatedto work,like recently I read all of Ira Byock's books elated to palliative care) and sometimes a fiction book that will take me far, far away. yoga, meditation,...

  13. That one random nugget of information from nursing school that you've never forgotten..

    4boysmama replied to blah_blah_blah's topic in General Nursing

    I'll never forget the first time our instructor told us "Nancy Reagan, RN" to remember the order for mixing insulin...and more than half the (young) class looked around like, "Who the heck is that?!"...

  14. IV Skills for Hospice?

    4boysmama posted a topic in Hospice, Palliative

    I'm currently a SNF unit nurse, just accepted a new position with home hospice. In my current job, we have an IV team that places all lines and phlebotomist that does lab draws, so I've got virtually...

  15. Mom of 4 - can I handle nursing school?

    4boysmama replied to berry987's topic in General Students

    yes, you can do it and be successful! I did :) My boys were 4, 7, 10, and 12 when I started nursing school. They helped me study, they cheered me on, and they celebrated every victory with me! It...

  16. Home Hospice nursing in Philadelphia area?

    4boysmama replied to HomeHospiceRN's topic in Hospice, Palliative

    if you are trying to escape hot, humid summers...you need to keep going a lot further north than here in Philly lol! We average in the 90s with 90% humidity for most of

  17. New to mds

    4boysmama replied to Mrs.1908's topic in MDS Coordinator Information

    we have two master excel spreadsheets; one for OBRA and one for PPS. The PPS I have set so that once I enter an admission date, it populates the ARD and grace days for up to 90 days after admission....

  18. Nurse to patient ratio on night shift LTC (no state regulations)

    4boysmama replied to traumaqueen36467's topic in Geriatric, LTC

    My facility has one short term rehab unit where the overnight ratio is 24:1 (with 2 nurses for the entire unit of 48 beds). One of our LTC units (with higher acutiy) has 2 nurses with 56 beds total...

  19. I want a social life

    4boysmama replied to Rexie's topic in General Nursing

    adjust your expectations of "social life=weekend" and make plans to meet friends on weekday evenings when you're off, or meet for lunch on their lunch break, etc. There's plenty of time in a week for...

  20. MDS Coordinator Skills-organization

    4boysmama replied to crnacc's topic in Geriatric, LTC

    I'm confused - are you the on MDS for the entire building, or just for the 16 bed skilled unit? I'm getting to indea that it's the 16 bed skilled that you're responsible for, and it's that work that...

  21. Hospice oriented staff position

    4boysmama replied to JBMmom's topic in Geriatric, LTC

    Like Michelle126, I think I'd suggest a palliative care case manager - it would encompass the hospice-oriented discussions you detailed, but would also benefit other pts/residents that aren't...

  22. Using the E Box for meds

    4boysmama replied to CoffeeRTC's topic in Geriatric, LTC

    I'm so sorry that your uncle did not get adequate pain mgmt That is just unacceptable! there is no excuse to let someone be in pain if you are able to alleviate it, but are unwilling to do the...

  23. Using the E Box for meds

    4boysmama replied to CoffeeRTC's topic in Geriatric, LTC

    when we get a new admit with narc orders, we make sure that the discharging facility is sending scripts for the nrcs. As soon as the admit comes in with the papers, we verify with doc and then fax...

  24. new job--3-11 supervisor--advice please!!

    4boysmama replied to NurseCard's topic in Geriatric, LTC

    in my 180-bed facility with a rehab unit, 2 long term units and a locked dementia unit - our supervisor pretty much never sits down all shift lol! She helps with admissions (virtually all our...

  25. if you graduated in the last 5 years

    4boysmama replied to Fruit Sucker's topic in General Nursing

    I graduated May 19th, took ACLS the week of graduation, kaplan the week after, nclex on june 10, had my first interview on june 14. got that job, started work on july 3