pfeliks

pfeliks

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All Content by pfeliks

  1. Are you a RN or LPN???

    pfeliks replied to LH...RN's topic in Geriatric, LTC

  2. Hospice and GIP admissions

    pfeliks replied to NC29mom's topic in Hospice, Palliative

    I just put a patient in an OTC on GOP for uncrotrolled

  3. Medicare Diagnosis Changes

    pfeliks replied to Stella1688's topic in Hospice, Palliative

    I work for a national hospice. This month we've been told we can no longer use AFTT or Debility as primary hospice diagnoses due to changes in CSM. We've been scrambling to try and qualify our AFTT...

  4. Let's talk $$ for hospice. (Idea lifted from Agency nursing)

    pfeliks replied to SuzieVN's topic in Hospice, Palliative

    RN On salary. 65,000 as a case manager Massachusetts The rare times I am on call: 5.00/hour,45 dollars for a visit, 145 dollars for an admission 0.45 cents a

  5. On call question

    pfeliks replied to HillieRN's topic in Hospice, Palliative

    Fwiw. Case Managers and on call nurses make the same starting salary, 65,000 dollars. Is this in line with other Hospice

  6. On call question

    pfeliks replied to HillieRN's topic in Hospice, Palliative

    Where I work we have two dedicated on call nurses who each work 7 days on and 7 days off. They are salaried positions. The company I work for has an average daily census of about 60. The case managers...

  7. Question

    pfeliks replied to dialysisnurseLC's topic in Hospice, Palliative

    What symptom would you be waking up a sleeping patient to

  8. Ethical dilemma

    pfeliks replied to tnguy31's topic in Nursing Student Assistance

    Does this patient meet the COPS to qualify for ES pulmonary? The picture you paint doesn't seem so. Disabling dysphasia at rest? PO2 less than 88% on RA? Frequent ER visits for pulmonary...

  9. Roxanol/Ativan cocktail

    pfeliks replied to ajitamamasita's topic in Hospice, Palliative

    I have 2 end stage pulmonary cases right now. I find using roxanol and Ativan indispensable for symptom relief. Roxanol works best on Air Hunger. Ativan works best on the anxiety associated with air...

  10. Ex California Hospice RN looking to come back

    pfeliks replied to QEOLAdvocate's topic in Hospice, Palliative

    I work for Beacon Hospice in Massachusetts. It is part of a nationwide company called Amedisys. I feel we'll supported there.. I don't know if we have Care Centers in

  11. Using PPS rating correctly-chairfast vs. bedfast

    pfeliks replied to juniper111's topic in Hospice, Palliative

    If someone is in bed requiring hoyer lift to transfer to a broda chair, at the Hospice at which I work we consider them bed

  12. Mentor

    pfeliks replied to kennyfanKY's topic in Hospice, Palliative

    I'm sure you carry a cell phone. You can always call your fellow case managers, clinical manager, medical director, hospice pharmacy etc. for clinical support when you are unsure and alone out in the...

  13. Dear God, Help me

    pfeliks replied to artsmom's topic in Geriatric, LTC

    Instead of telling demented patients to Sush! the babies are sleeping! We give them life-like baby dolls to hold. It works like a charm. A good NON pharmacological interventions. We refer to them as...

  14. On-call hospice nurse

    pfeliks replied to lwheatley's topic in Hospice, Palliative

    I'm a case manager who does on-call infrequently to cover when no on-call staff is available. I get 5 dollars an hour to be on call. 45 dollars for a visit and 145 dollars to do an

  15. What can I do or say???

    pfeliks replied to loveanurse777's topic in Hospice, Palliative

    At my Hospice we are taught to use this phrase. "Your loved one isn't dying because they're not eating, they're not eating because they're

  16. Diabetes The Hows and Whys Please

    pfeliks replied to athomemom56's topic in Diabetes, Endocrine Nursing

    Just an FYI. Diabetes is the cause of gastroparesis in about 30% of cases. 70% of gastroparesis cases are idiopathic and unrelated to diabetes. I happen to be one of the 70%. For the record, GP...

  17. How long was you orientation traing when you started in LTC?

    pfeliks replied to Mrsearly2009's topic in Geriatric, LTC

    I came to lct as an experienced acute care nurse. My orientation to lct was 3 weeks. They asked me after2 weeks if I felt ready. I said no and got an extra week. I needed every one of those days of...

  18. Suggestion to prevent damage to lips when vomiting?

    pfeliks replied to Jackoswald's topic in Geriatric, LTC

    I'm more concerned as to why this patient has intractable nausea and vomiting. Find and treat the reason and the lip problem will disappear. In the meantime, Have you tried 8 Mgs of Zofran

  19. First State Audit!

    pfeliks posted a topic in Geriatric, LTC

    It's official. A State Auditor will audit my med pass tomorrow morning. My first time. Any

  20. First State Audit!

    pfeliks replied to pfeliks's topic in Geriatric, LTC

    Can a resident receive oral medication in a "public" area(hallway, day room etc.) or do you have to Bring them to their room or a treatment room to administer oral medication? My residents are all...

  21. state survey

    pfeliks replied to katsanchezRN's topic in Geriatric, LTC

    What's an ij tag? I'll be going through my first state survey this

  22. Advice - Patient Ratio and BS Check in ALF

    pfeliks replied to LFalcon's topic in Geriatric, LTC

    I work in a small, not for profit facility. Our census has a max of 40 patients. On days we have 2 nurses and 5 cnas. Evenings we have 2 nurses and 4 cnas. Overnight we have one nurse and 2 cnas. I...

  23. Hourly rate for RN's, LPN's, CNA's in Your State

    pfeliks replied to pirituba's topic in Geriatric, LTC

    I'm an RN-BSN on Cape Cod. I make 24 dollars an hour. The executive director of my facility just gave all the staff nurses a one dollar an hour raise. He told me he hopes it will help retain good...