pfeliks

pfeliks

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All Content by pfeliks

  1. PO morphine tablets for SOA?

    pfeliks replied to elimayrn's topic in Hospice, Palliative

    I give up. What does SOA stand

  2. Hospice nursing for a nurse with depression and anxiety....mistake???

    pfeliks replied to NurseFries's topic in Hospice, Palliative

    FWIW, I have never thought of my job as a Hospice Nurse to be particularly

  3. New hospice nurse: Burned out!!!

    pfeliks replied to MsPrettyHospiceRN's topic in Hospice, Palliative

    You can start by turning off your

  4. Thinking of leaving hospice

    pfeliks replied to NurseStephy80's topic in Hospice, Palliative

    I have been in Hospice for four years. I am lucky in that the company I work for has 2 dedicated on-call nurses. They cover ALL after hours work. Case Managers never have to take

  5. Homecare Homebase

    pfeliks posted a topic in Hospice, Palliative

    My hospice is in the process of transitioning from its own proprietary software to HCHB. We are in our "couch visit" phase where we are entering all of our patient's data into HCHB. I still don't know...

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

    pfeliks replied to nurseontheway's topic in Hospice, Palliative

    4 visits a day is the goal at the Hospice at which I work. But visits are weighted differently. Routine=1 Recert=2 admission

  7. What should I have done differently?

    pfeliks replied to B-RN-ISEE's topic in Hospice, Palliative

    Another small thing. When visiting a patient in a facility you are going to taker Vital Signs as part of your assessment. Offer the results of your vital signs to the nurse taking care of the patient....

  8. LPNs in hospice?

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

    At the Hospice at which I work, LPN's are not allowed to take call fro the exact reasons you state. I'm in

  9. IV Skills for Hospice?

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

    In my three years as a RNCM, I have never had to start an iv or do

  10. Hospice Care Plans

    pfeliks replied to Pride/hardwork17's topic in Hospice, Palliative

    The software that your company uses from EMR is going to drive what your plan of care is going to look

  11. is hospice nurse and hospice case manager same thing?

    pfeliks replied to rearviewmirror's topic in Hospice, Palliative

    If you are thinking that Hospice Case Management will relieve you from "bedside" nursing, you are

  12. Newly hired New to hospice

    pfeliks replied to elimayrn's topic in Hospice, Palliative

    I agree. There is not much information to be found on what end stage will look like. I had a patient with neurofirbromatosis Type2. This was a new disease to me. I went to the internet to search for...

  13. New to Hospice

    pfeliks replied to Worthless_Nut's topic in Hospice, Palliative

    Just an FYI. You'll need some time as a Hospice Nurse prior to being eligible for sitting for the examination: 'To be eligible for the HPCC CHPN® Examination, an applicant must hold a current,...

  14. Tell me about the Liasons where you work.....

    pfeliks replied to jschut's topic in Hospice, Palliative

    It sounds to me like your liasons are practicing Nursing without a license. Determination of Eligibility is a Nursing/Doctor decision, not an unlicensed liasons

  15. Question for current Hospice nurses

    pfeliks replied to bugaboo848's topic in Hospice, Palliative

    I work for a small office. 3 full time case managers with a census of around 40. We have 2 dedicated on call nurses. They each work one week on and one week off. They cover from 5pm to 8 am on...

  16. Affordable Care Act penalty as a TN?

    pfeliks replied to raindrop's topic in Travel

    Why should the Original poster get a subsidy? She states she makes 90K. Subsidies are for people who need

  17. Approaching tough subjects with the boss

    pfeliks replied to Butterflyxx0621's topic in Hospice, Palliative

    5 admissions in one day!!!!!!

  18. Have you ever been assualted by a patient?

    pfeliks posted a topic in Hospice, Palliative

    I'm an RN Case Manager and I follow a number of patients at an assisted living facility who all have dementia. One was a 72 year old man with temporal- frontal lobe dementia with combative behaviors....

  19. January 2015 Caption Contest: Win $100!

    pfeliks replied to Joe V's topic in News, Announcements

    We're ordering Chinese, are you

  20. palliative meds

    pfeliks replied to Kissy1818's topic in Hospice, Palliative

    Our "benzo" of choice for end of life palliation is Ativan Intensol (2mg/ml). No needles necessary. Optimal

  21. When entering orders, please remember....

    pfeliks replied to RNBearColumbus's topic in Geriatric, LTC

    Patient was "difficult to AROUSE".....DID YOU TRY HARD ENOUGH?....IT'S

  22. on call

    pfeliks replied to Michele F L's topic in Hospice, Palliative

    None!

  23. Best tips for blood draw on elderly

    pfeliks replied to Kitty Hawk's topic in Hospice, Palliative

    I've been a RN case Manager for 2 years now. I started out in heme/onc and then did Bone Marrow transplants. I've never had blood drawn on a home patient. What tests are you drawing for? We would only...

  24. Question about dressing

    pfeliks replied to NurseDianne's topic in Hospice, Palliative

    Yes our agency had to pay for the supplies which were not cheap. But as they were recommended by our wound team, the bean counters couldn't deny the charges I also work for a company where most...

  25. Question about dressing

    pfeliks replied to NurseDianne's topic in Hospice, Palliative

    I had a patient exactly like that and after a wound care consult(iWork for a national company). We used unna boot with zinc,fan folded so there was no circumfrential wrapping. Then wrapped with...