AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Office is requiring daily paperwork drop off and review??

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    yep-4 page visit notes are the routine visits or for the on call nurse if the patient had a significant change....... our nurses are to drop off notes 2x/week BUT, if anything is missing from a chart,...

  2. Productivity in Hospice?

    AtlantaRN replied to JuiceRN's topic in Hospice, Palliative

    my location has tried to change the way we are paid for mileage, saying they won't pay us for anything they can't bill for-such as delivering briefs, or chux....has anyone else heard of this? I'm...

  3. I hate when I cannot sleep

    AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

    DME person complained about you? Isn't he providing a SERVICE that your company is COMPENSATING his company with $$$$? Don't be discouraged. We order what we believe the patients need at the time....

  4. ICWP and Hospice at the same time????

    AtlantaRN posted a topic in Hospice, Palliative

    I had to look up "independent care waver program," as i had never heard of it. it's like source in that it is a medicaid program that pays for case management, supplies, respite in the patients home,...

  5. Is this normal for new grads?

    AtlantaRN replied to pinoysn's topic in First Year After Licensure

    yep-nurse for 15 yrs here-i work as a weekend on call nurse for hospice, but i still worry i forgot to tell someone

  6. Every visit, pain is 7?

    AtlantaRN posted a topic in Hospice, Palliative

    Have a case mgr with a frustrating situation. She has a pt w breast cancer. Pt nor family ever call the on call service. Nurse will call Monday, Wednesday, and Friday before visiting.... It isn't...

  7. Resigned with a text message!

    AtlantaRN replied to Hospice Nurse LPN's topic in Hospice, Palliative

    Poor form..... What kind of structure did she expect for on call? I'm in my jammies watching "office space" w car full of supplies n ready to roll when phone rings.... Texting resignation-poor form...

  8. Obtaining ekits or an emergency 3 day supply of meds

    AtlantaRN posted a topic in Hospice, Palliative

    We work with a local contracted pharmacy, and they state now they are no longer able to send ekits without a phone call from the physician. We have been really good at getting signed orders and...

  9. Meeting family needs....

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    I feel bad when I can't fix their problem. My husband reminds me it is the families "perception" of a need not met- but the customer is always right. I feel ill equipped when I've has little sleep to...

  10. Meeting family needs....

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    My boss was so mellow w the above situation.... Saying to me "so, she just woke up ****** this morning????". Come to find out, in those 10 days, chaplain n social worker were visiting 3x a week AND...

  11. Meeting family needs....

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    I have a membership to a gun club and have an ar-15 as therapy. I was out most of Sunday night, Monday morning w pt issues, then got a call ar 705a labor day w a family member (of a 97 yr old pt that...

  12. Forgive me, but I've been up 24 hours.......could you please pick a funeral home

    AtlantaRN posted a topic in Hospice, Palliative

    Forgive me, but it's been one of those weekends, that even when I did get home, I was so keyed up, I haven't been able to sleep. Had a rough rough continuous care case this weekend, and my fellow...

  13. Has hospice agencies changed so much, we just don't recognize the industry??

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    I can't imagine being questioned why it would take you 1 hr to go 40 miles through midday traffic. Some companies are just unrealistic and they are hellbent on getting numbers up without giving the...

  14. Odyssey Healthcare on call and triage nurses

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    Odyssey and VistaCare have been bought out by Gentiva (I work for healthfield, one of their companies), I can say that under the Gentiva company, i'm an on call nurse, and have never been shorted. I...

  15. Obtaining ekits or an emergency 3 day supply of meds

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    goldberryRN, you may be able to order just 10ml of roxanol in individually drawn up syringes. that way you only have 200mg of morphine in the home instead of 500mg. On our ekit orders we write...

  16. Obtaining ekits or an emergency 3 day supply of meds

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    goldberryRN, sometimes branch directors will encourage nurses to only order what you need, when the symptom arises......to me, yes it may be cheaper for the bean counters, but in reality, if you are...

  17. Obtaining ekits or an emergency 3 day supply of meds

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    eKITS kits are the only way i can successfully do my on call job imho. it never fails, a patient has never been nauseated, you KNOW it will happen at 2am on sunday morning. my philosophy is "better to...

  18. building teamwork

    AtlantaRN replied to debRN10's topic in Hospice, Palliative

    coffee at the office, encourage staff to talk about their homelife.....and food at idt or monday morning meetings is always appreciated.....i work with a good team now and we support each

  19. Forgive me, but I've been up 24 hours.......could you please pick a funeral home

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    CODE BROWN is not an emergency..............We do NOT replace family.....if they can do it for their children, they can do it for their adult family members

  20. On-call nurses...how do you pay your bills?

    AtlantaRN replied to Lucky724's topic in Hospice, Palliative

    AND mileage door to

  21. On-call nurses...how do you pay your bills?

    AtlantaRN replied to Lucky724's topic in Hospice, Palliative

    Gentiva pays salary for on call nurses......$2/hr is for the hourly nurses who do backup for the on call nurses, then they get time and 1/2 for going out to do visits or

  22. Forgive me, but I've been up 24 hours.......could you please pick a funeral home

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    had 6 hrs sleep=better now, thank you

  23. This is your emergency????

    AtlantaRN posted a topic in Hospice, Palliative

    I'm a weekend on call rn and had the strangest call earlier today. My job is to keep patients out of the ER and symptom control......... Primary caregiver calls into the service to report "mother is...

  24. This is your emergency????

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    One of our case managers asks quite frequently "how did u handle said situation before hospice?". I don't mind driving, I don't mind the calls, but I do expect it to be a true "issue" and not just...

  25. What is an easy caseload?

    AtlantaRN replied to cosmicmama's topic in Hospice, Palliative

    12-14 is a good caseload. right now our case mgrs have between 9-18 a piece. granted, we are metro atlanta and cover a large service area. one nurse puts easily 500+ miles a week on her car. i'm a...