AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Leaving one company for another question

    AtlantaRN posted a topic in Hospice, Palliative

    I'm leaving my current employer of 1.5 years and going to a competitor for better benefits and no call (thank you Jesus). I figured I would give my notice and work two weeks, but I was told monday...

  2. Don't want to do this anymore

    AtlantaRN posted a topic in Medical-Surgical

    Its just gotten too darned hard, and punative. In the last 3 months, since joint commission is coming....they took away our "crocs", said an infection control problem because of the holes in the top...

  3. Disposing of medications at time of death

    AtlantaRN replied to RubyRN,CHPN's topic in Hospice, Palliative

    crush medications and put them in with coffee grounds, rather than flushing them and contaminating the water

  4. Standing orders/protocols

    AtlantaRN replied to RNWithAHeart's topic in Hospice, Palliative

    my former hospice had a contract with http://www.hospicepharmacia.com and they have "comfort paks" that have an assortment, a "buffet" if you will of medications from handling secretions (atropine...

  5. Leaving one company for another question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Dee: my email is

  6. Leaving one company for another question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    It is my understanding that because I've been hired by a competitor in the Atlanta market that it is normal to be released with 2 weeks severance plus my accrued paid time off. Another nurse who...

  7. Leaving one company for another question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    I just feel bad for my patients and families because some of them i've had for a year and a half.... some of my folks were alzheimers patients and some cancer patients that have had a slow decline......

  8. Leaving one company for another question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    What is really sad in this situation is the company has a slogan of "CARE, COMFORT AND COMPASSION." I'm not taking it personally. Working for them was emotionally exhausting just with the office...

  9. new nurse- hospice case manager

    AtlantaRN replied to weavrvirgorising's topic in Hospice, Palliative

    If you don't stand your ground, they will walk all over you... If the on call nurse had an at home emergency, the next person she should have called is the clinical services manager or the...

  10. Continuous Care Question

    AtlantaRN posted a topic in Hospice, Palliative

    As case managers, does your company rely on you to evaluate and decide when continuous care should start for a patient? Also, once continuous care is started---is it still your responsibility to...

  11. Medical Supplies Question

    AtlantaRN posted a topic in Hospice, Palliative

    As a medicare reimbursed hospice. Are we ONLY responsible for the medical supplies related to their diagnosis, or for ALL their medical supplies. Let's say you have a patient with a primary as...

  12. Medical Supplies Question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    I was not correct, his primary is lung cancer and the catheter is in the pleural space. Thing is, my administrator is trying to get ME to get the mans Psych doc to admit him under "advanced...

  13. Atlanta Area Hospices

    AtlantaRN replied to northga gal's topic in Hospice, Palliative

    i've been with hospice advantage for 1.5 yrs, and just this next month will I be getting a real break...I'll only be on call for 3 nights. It's from closing time at the office until 830am the next...

  14. Atlanta Area Hospices

    AtlantaRN replied to northga gal's topic in Hospice, Palliative

    all hospices will require call from a case manager. Hospice advantage is opening an office in Ellijay, GA in the next few

  15. Boundary HELP!!!!!!

    AtlantaRN posted a topic in Hospice, Palliative

    How do you keep yourself within your scope of practice with patients or families that tend to suck the life out of their nurses and nursing assistants? We had an odd situation, where a family (Lets...

  16. Organization

    AtlantaRN replied to RNWithAHeart's topic in Hospice, Palliative

    http://www.snapware.com I use the stuff made for craft storage, because you can snap several layers together and just use one top. check at joann fabrics, especially after christmas they are super...

  17. Organization

    AtlantaRN replied to RNWithAHeart's topic in Hospice, Palliative

    rubbermaid filing container with the hanging files-in those hanging files, a manila file for each patient--to keep copies of documents that need to go back to patient, etc, also additional paperwork,...

  18. Boundary HELP!!!!!!

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Amen and Thank you!!! for your input. Some folks will just suck the life out of you...

  19. Changing from hospital to home setting hospice

    AtlantaRN replied to Momto3CT's topic in Hospice, Palliative

    I agree with the above poster. All eyes are on you, but I prefer the autonomy of the home setting. The medical director trusts us to do the right thing and keep folks comfortable. My biggest...

  20. Why do so many people fear hospice? Sorry so long...

    AtlantaRN replied to RN2B73's topic in Hospice, Palliative

    It's like my pancreatic cancer patient who denies she is in pain, BP through the roof and 3+ edema to feet---if I don't take the pain meds or my lasix I don't have pain or swelling. We have a death...

  21. Patient denial of pain?

    AtlantaRN posted a topic in Hospice, Palliative

    I have a patient, end stage pancreatic cancer. Never complains of pain or discomfort since our first meeting. Initially, she did report nausea/dyspepsia that Reglan 4 times a day has relieved....

  22. hospice burn out

    AtlantaRN replied to bewell2's topic in Hospice, Palliative

    AMEN!!!! Your time is YOUR time. We have a job that depletes us emotionally. you HAVE to have peace and time to refill your emotional tank. Whether it's reading, watching funny movies, time...

  23. IDG meetings

    AtlantaRN replied to Jost930's topic in Hospice, Palliative

    MAN! We have 33 patients, and rarely go over 30 minutes for the meeting. I'm certain that you actually share careplans about your patients. For us, we just slide a clipboard under the nose of the...

  24. Request for deceased to stay in home overnight

    AtlantaRN posted a topic in Hospice, Palliative

    Has anyone had a family ask for the deceased to remain in the home overnight? I just spoke with the cremation society of georgia, and the funeral director said that buddists require that a body not be...

  25. Request for deceased to stay in home overnight

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    In one of the text books "death, dying, and bereavement", it discusses the history of funerals in europe and in the states. Funerals at home were the norm until the middle of the 1800's. I called...