pfeliks

pfeliks

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All Content by pfeliks

  1. PO morphine tablets for SOA?

    I give up. What does SOA stand for?
  2. FWIW, I have never thought of my job as a Hospice Nurse to be particularly sad.
  3. New hospice nurse: Burned out!!!

    You can start by turning off your "caps-lock".
  4. Thinking of leaving hospice

    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 on-call.
  5. Homecare Homebase

    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 what documenting on a visit looks like. For my co...
  6. How many visits per day? (Case Management)

    4 visits a day is the goal at the Hospice at which I work. But visits are weighted differently. Routine=1 Recert=2 admission =3.
  7. What should I have done differently?

    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. H/She may have a "list" of "to dos" which may inc...
  8. LPNs in hospice?

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

    In my three years as a RNCM, I have never had to start an iv or do phelbotmy.
  10. Hospice Care Plans

    The software that your company uses from EMR is going to drive what your plan of care is going to look like.
  11. is hospice nurse and hospice case manager same thing?

    If you are thinking that Hospice Case Management will relieve you from "bedside" nursing, you are wrong.
  12. Newly hired New to hospice

    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 what to expect at the end of life with this disease...
  13. New to Hospice

    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, unrestricted registered nurse license in the United Sta...
  14. Tell me about the Liasons where you work.....

    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 decision.
  15. Question for current Hospice nurses

    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 weekdays and from Froday at 5 pm to Monday at 8 am. When ...
  16. Affordable Care Act penalty as a TN?

    Why should the Original poster get a subsidy? She states she makes 90K. Subsidies are for people who need them.
  17. Approaching tough subjects with the boss

    5 admissions in one day!!!!!! Impossible.
  18. 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. Unfortunately he had a psychotic break and became ...
  19. January 2015 Caption Contest: Win $100!

    We're ordering Chinese, are you in?
  20. palliative meds

    Our "benzo" of choice for end of life palliation is Ativan Intensol (2mg/ml). No needles necessary. Optimal comfort.
  21. When entering orders, please remember....

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

    None!
  23. Best tips for blood draw on elderly

    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 ask for bloods on whose results we would interven...
  24. Question about dressing

    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 supplies are able to be ordered vendor to patient from a...
  25. Question about dressing

    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 surepress padding and then wrapped the whole thing with...