AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. How long are your visits in the home?

    AtlantaRN replied to NurseFeelGood2005's topic in Hospice, Palliative

    45 minutes to 3 hours for a regular visit. It depends on the situation and how receptive patient, caregiver is to information.

  2. Salary Question

    AtlantaRN posted a topic in Hospice, Palliative

    How does your company handle salary compensation... I worked 43 hours last week, and that was with taking Monday off. 8 hours was deducted from my paid time off, and 32 hours were paid by the...

  3. Copies of original Orders

    AtlantaRN posted a topic in Hospice, Palliative

    Just a question about copies of orders. I make a copy of the original order to keep with the MAR until the physician signs the original and it is safely in the chart. (of course across the copy it...

  4. Hospice Calls when I'm NOT on Call

    AtlantaRN posted a topic in Hospice, Palliative

    First of all, I do LOVE this hospice I work for. I've only been there for 2 months, but they are a good group. I work another job 6 days a month, I've rearranged my days at the other job to...

  5. What to do??????????secretions.....

    AtlantaRN posted a topic in Hospice, Palliative

    Ok, i've only been back in hospice for 3 months, but I have questions... 10 yrs ago, when I did hospice, our agency had a portable suction setup so should a patient be unable to handle secretions, we...

  6. end of life care falling short in LTC

    AtlantaRN replied to ktwlpn's topic in Hospice, Palliative

    I'm with you when it comes to LTC facilities. We have one facility where the DON won't ALLOW us to place a comfort kit. Therefore, if there is a crisis, an RN has to run and deliver roxinol,...

  7. DME question

    AtlantaRN posted a topic in Hospice, Palliative

    Do you order the gambit of everything available when you start services? For instance, I have a patient who didn't need oxygen until today...It took 2 hours to get the 02 out there (she had been...

  8. Medical Supplies question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you for replies. the formulary does have diapers and wipes, chux; and an assortment of wound care supplies. I'm not as freaked out as I was when they first instituted the

  9. Medical Supplies question

    AtlantaRN posted a topic in Hospice, Palliative

    Does your company have a cap on medical supplies you can order for a patient? Also, do you order your own supplies or is it delegated to office staff? Does your company have a "formulary" for said...

  10. Do you ever feel like you can't deal emotionally?

    AtlantaRN replied to Jo Dirt's topic in Hospice, Palliative

    death and dying is the easy part for me. What I have trouble with is the family dynamics at times. I have a patient now, with copd. he lost his wife 9 months ago, he had cared for her in a...

  11. Impaction Question...

    AtlantaRN posted a topic in Hospice, Palliative

    Got a patient with lung, brain, and bone mets. Impacted, he emphatically refused digital disimpaction, even after ativan and 80 morphine. so I had 2 fleets enema in my bag, didn't work. went out...

  12. Family has fear of pain meds

    AtlantaRN replied to RNSUEIA's topic in Hospice, Palliative

    it is difficult to change deep seated beliefs. I had a family that just refused morphine for the mom with colon cancer because "her sisters had cancer and once you say morphine it's near the end."...

  13. Use of an Oxymetor

    AtlantaRN replied to Mazzi's topic in Hospice, Palliative

    I use one for routine use. It is necessary for anyone with lung cancer or any primary pulmonary diagnosis. I'm the only one at my office that has one (hubby had a pe 6 yrs ago). I let the other...

  14. Can a Sticker on my car = Hippa Violation?

    AtlantaRN posted a topic in HIPAA Challenges

    I had a sticker on the back of my car that said "hospice nurse". I have found that even with a gps, at times the gps isn't all that accurate and in town Atlanta-folks aren't real patient; so I was...

  15. Racial Issues

    AtlantaRN replied to AnabelRN's topic in Hospice, Palliative

    I have never been in that situation. You just do your job and you excused yourself by extending condolences to the daughter. What else were you supposed to do? Your manager can second guess you,...

  16. Patients with Debility diagnosis...

    AtlantaRN replied to Nurse4nursing's topic in Hospice, Palliative

    What about failure to thrive or as another nurse posted, something more definitive. That is a red flag for medicare...IMO. linda that is like we have a patient who had a cva 10+ years ago, and the...

  17. Question about "terminal diagnosis"

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    she can't be failure to thrive because she is in the upper 200 range, if memory serves, and she is 5'11" i'll go with CHF. thanks for all you

  18. Question about "terminal diagnosis"

    AtlantaRN posted a topic in Hospice, Palliative

    Just signed up a patient yesterday, in her late 60's, chairbound. she has had numerous surgeries, including a massive infection to her hip and femur (therefore she has no hip or femur). other ankle...

  19. Question about "terminal diagnosis"

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    yes, heart failure should do it. Actually, I was at the assisted living facility to sign up her hubby who has end stage copd...she brought out a list of her meds and her surgeries and she asked if I...

  20. Salary vs Per Diem

    AtlantaRN replied to Allow Mystery's topic in Hospice, Palliative

    I'm with you, it DOES suck the life out of you. I got a call at 4:59 p from the secretary "reminding" me that I am salaried....and she threw in "we are all doing more than our share", this from a...

  21. Salary vs Per Diem

    AtlantaRN replied to Allow Mystery's topic in Hospice, Palliative

    I"m salary, and I sure do miss hourly, like KJB, I put in way over 40 hours, and i get no overtime. I am TAKING it in comptime though. My boss isn't happy, but if she can slide in around 9 and...

  22. Need your input before we all quit.......

    AtlantaRN replied to KJB_65's topic in Hospice, Palliative

    God BLESS YOU!! I have 14, with 10 of them being in facilities, and two are a husband and wife in the same home. All of mine in facilities are stable, and the home patients fairly stable. The other...

  23. Port Access Question

    AtlantaRN replied to AtlantaRN's topic in Infusion, Intravenous

    THank you sooo much! I looked online and ordered a #22 gauge 3/4" from sterling medical. It should be in by the time it's port access time. thanks

  24. Ah-ha! Hospice Care Plans

    AtlantaRN posted a topic in Hospice, Palliative

    Coming from a critical care background, i've been having issues with writing care plans for the hospice patient. In critical care, it's all "cure, cure, cure", "improve, Improve, etc." I just got a...

  25. After Hospitalized, Patient goes to another hospice

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    We contract with a facility for inpatient hospice. Thanks for the input, I've not had this happen before.