AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Daughter doesn't want hospital to know Patient on hospice

    AtlantaRN posted a topic in Hospice, Palliative

    Strange situation. Patient apparently began vomiting on Friday night, family members didn't call hospice...waited until monday morning and took her to her regular physician. He sent her over to the...

  2. Daughter doesn't want hospital to know Patient on hospice

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Excellent observation. I work that way to, what I can fix, and what I can't... Manager said that when she gets out of the hospital, it's major education for sister and patient. Patient basically...

  3. Hospice charting (Neg- Charting) ?

    AtlantaRN replied to Joebrown's topic in Hospice, Palliative

    Negative charting... I always chart what I see. In hospice you NEVER say the patient is improving (but you can say "patient states i'm having a good day.") In the hospital setting, negative...

  4. Daughter doesn't want hospital to know Patient on hospice

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Strange situation continues. I went to the hospital today, as is protocol. I needed to find out if admission was related to her diagnosis (it was not). Daughter was there and said" I TOLD you that...

  5. Getting into HH after a termination

    AtlantaRN replied to RN2be_07's topic in Home Health

    I believe the only thing a former employer can do is "verify" your time of employment with them. I don't believe legally they can "expound" on reasons why you left. I've never been terminated from a...

  6. Transitioning Question

    AtlantaRN posted a topic in Hospice, Palliative

    I had a social worker ask me if a patient was "transitioning"...and stated that meant within a 2 week window of passing. I thought transitioning was more like a 3 day timeframe. Any help is greatly...

  7. List of CIII medications for pain

    AtlantaRN posted a topic in Hospice, Palliative

    anyone have a link or a list of CIII meds for pain? We have a new protocol which has our patients go to their own local phamacies for medications. Patients and nurses at my hospice are not happy...

  8. AmBisome at home

    AtlantaRN posted a topic in Hospice, Palliative

    Anyone administer AmBisome at home? thanks!

  9. AmBisome at home

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Spoke this afternoon with oncologist, he has stopped the Ambisome...we changed to an oral antifungal. It's sooooo hard for families who have gone from agressive treatment to hospice. thank you for...

  10. List of CIII medications for pain

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Yes, this is a corporate driven issue. My manager was suprised that the local pharmacies would require an original to dispense. I went through this with my former employer, and it didn't last long....

  11. New CoPs....

    AtlantaRN replied to andre's topic in Hospice, Palliative

    It would have REALLY helped if my company would have "rolled out" the changes when the requirements were first known. It's easier to modify gradually instead of a one day change. We sat through a 2...

  12. New CoPs....

    AtlantaRN replied to andre's topic in Hospice, Palliative

    mid arm circumferance, and be sure to document WHICH arm you used and how many inches from the elbow you measured. What is a real *itch is this was previously only required on alzheimers dementia...

  13. New CoPs....

    AtlantaRN replied to andre's topic in Hospice, Palliative

    "nurse the notes and not the patients" not funny, I know. I'm with you. It takes soooo much more paperwork. On our nurses notes, we not only have to measure all patients mid arm circumferance, but...

  14. Some days I just can't take it.....

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    husband that is retired, son that lives close by, i've met both of them. they seem supportive. husband checks on patient during the night so daughter can get sleep. she is active in her church,...

  15. A Definite Over Stepping of Boundaries

    AtlantaRN replied to scribblerpnp's topic in Hospice, Palliative

    I worked with a nurse on a neuro unit. Had a patient that had been a frequent patient, who had a husband who was a big wig at a large telecom company. Said patient died, nurse went to funeral. Next...

  16. Question on code status and hospice

    AtlantaRN replied to moeluvrn's topic in Hospice, Palliative

    Yes. Patient may understand that they have a life limiting illness, but aren't comfortable with being a DNR. Some companies are changing that to "AND" Allow Natural Death--that seems to be more...

  17. "Evaluate and Treat" question

    AtlantaRN posted a topic in Hospice, Palliative

    Do your doctors write orders that say "evaluate and treat" without giving you a hospice diagnosis? patient is 95 with recent hip fracture, hx of afib, dvt, diabetes, and bakers cyst...only on 3...

  18. "Evaluate and Treat" question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    mc3: Yes, new hospice referrals... I love when MD's will write "evaluate and treat for adult failure to thrive" or the like. Alot of times it's not clear that patient has end stage anything.

  19. Readmission of patient whose family calls 911

    AtlantaRN posted a topic in Hospice, Palliative

    It is my understanding that a patient with CVA has had more than 2 readmissions after family called 911 for UTI for kleibsella x2. We had treated the patient with Bactrim several times during this...

  20. Etrace phones

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    don't like it...it sounds too much like 1984 and "big brother" watching me

  21. TPN in hospice setting?

    AtlantaRN posted a topic in Hospice, Palliative

    patient with lung cancer with mets to liver and bone. Sent home from hospital on TPN... I've never encountered ivf or tpn in the hospice setting... Is this normal? ((I was an ICU rn for 10 yrs, so...

  22. TPN in hospice setting?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Just came home from a visit with the patient that had had TPN. They stopped it yesterday morning (what a blessing), but he is soooooo wet. Expiratory and inspiratory rhoni. I did turn him over on...

  23. 4 months and already "burned out' any ideas?

    AtlantaRN replied to kk2000's topic in Hospice, Palliative

    I worked for a small hospice just a few miles from my home, and struggled and prayed for 1.5 years. I sought advice on this forum, and the concensus was move on and don't look back. Wise advice that...

  24. Pancreatic Ca and Nausea

    AtlantaRN replied to SCgirl1962's topic in Hospice, Palliative

    i have the same problem with a patient in his late 40's with pancreatic cancer, i've tried abhr suppositories, levsin, phenergan, nexium 40mg bid, and nothing will touch

  25. Port Access Question

    AtlantaRN posted a topic in Infusion, Intravenous

    Any help is greatly appreciated. I'm a hospice nurse with a patient with stage III-IV lung cancer. She has an implanted port to her right chest wall, it is quite visible and easily located. In the...