AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Question. Has this happened to one of your patients, and if so, what did you do? I had a patient who has end stage alzheimers, history of ileus, who has been doing well since june of this year (after...
  2. Hospice Team Leader

    Our team coordinator is essentially a secretary. she takes all the phone calls and calls the appropriate people to forward information.
  3. I have a nursing home patient, who has been on a KCL specialty mattress prior to going on hospice. The nursing home facility has been renting one (at the nursing home expense), as the patient is now...
  4. No ativan for hospice patients

    We use xanax over ativan because the patients feel euphoric as well as
  5. I have 16 right now, but I have two primary facilities (4 at one facility, and 6 at another), so it isn't too bad... we have 3 prn nurses- one has 7 patients herself... we can call on the prn nurses...
  6. Isn't this part of the rights and responsibilities portion of hospice? It is on our literature that it is the patients responsibility to let the hospice nurse know of any pending procedures, etc......
  7. Anyone else Salaried here?

    What was I thinking. Did I really think i'd only work 40 hours a week? In the last 4 weeks i've worked 45.5-49hours a week..... I asked for Wednesday off (because last wednesday I had off and I still...
  8. Burning out fast

    " I just wonder what other people do as far as office time. Are you expected to sit in the office after your patients are seen, until 5 pm? I feel like this is really wasting my time and...
  9. Anyone else Salaried here?

    I'm the only full time nurse there, except for the administrator and social worker, and they are rarely in the office. Saying "no" is what I need to learn. Thank you for your input. I just have to...
  10. Anyone else Salaried here?

    Unfortunately, I am not good at setting limits. I feel the weight of this position crushing me to the point I can't take a deep breath. There is no one to back me up (last monday I worked 16.75...
  11. Anyone else Salaried here?

    I probably wouldn't have such a hard time with it if my administrator put in more hours also. She writes on her time sheet 8:30-5p, but she is never there before 9 and i've never seen her stay until...
  12. Anyone else Salaried here?

    I took a beautiful day today, there was a "mandatory meeting" at 8:30, I was there at 8:15, by 8:45 no one else had showed, so I called my administrator and went to my first appointment. I got a call...
  13. no, you are not sick. It is rewarding to help a patient through to the end. It is rewarding to help a family keep their loved one at home. I love my patients and families, i'm just having trouble...
  14. Oncall pay

    I got burned last monday, I work m-f 40 hour week, then we have 10days a month we do call. Last monday I was out a total of 16.75 hours...... never again.
  15. Anybody else have problems with the LTC's contracted Pharmacies??? We get all our class II narcotics and Comfort Paks from HP, but last shipment of tylox, they didn't bubble pack for the...
  16. Assisted Living question...

    we have a patient in assisted living, who has been declining since friday. I've worked 10.25 hours today, I get a call from the facility at 6pm, asking a nurse be sent out to give this patient 5mg...
  17. Assisted Living question...

    patient is in NO distress. Just apnea periods......but no pain. come to find out they DO have 2 med techs at night, just the administrator trying to force continuous care, when patient doesn't...
  18. Lovely facility, and we are blessed to have 2 patients there... New nurse consistently calls at the end of her shift to request "need a nurse to come and look at mrs. M," well by the time you call...
  19. bladder cancer and spasms

    I don't have a clue, I was hoping B&O suppositories would
  20. 3 weeks into nsg program, he wants to quit...

    Update: son dropped out of nursing school, took a summer off (i thought that was gonna kill me)....anywhoo, now is in an apprenticship program for A & P with airplanes (airframe and powerplant)....
  21. Flying Solo - Hellllllllllllllllllllp

    If he refused any interventions, then there was no choice other than er visit for him; to get him stable. I've been an RN for 11 yrs, and doing hospice exclusively for the last few months. Each...
  22. Should Patient be Revoked???

    UPDATE: I get a call from my hospice stating a competitor has been up at the hospital evaluating the patient for inpatient placement. At the same time I get a call from our marketer saying "you had...
  23. Flying Solo - Week 2 orientation

    we had a nurse start on tuesday, and she did her own admission on Friday. Granted, it was a simple admission and No pump to deal with. I offered to go out with her and she said she would call with...
  24. Should Patient be Revoked???

    nope, no contract with the hospital. The MD that saw the pt today was furious that the patient was admitted (stated he was stable and should have went home from the ED yesterday---apparently 5 of his...
  25. Should Patient be Revoked???

    "But as long as ER dx is not the same as the Hospice Dx medicare should still pay right????" I would think so. I had another patient to have cataract surgery, she didn't mention it until after the...