AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. New Hospice Case Manager

    AtlantaRN replied to AddieRN's topic in Hospice, Palliative

    ADDIE: Also, there are alot of great books on palliative care. There is a little red book-i can't remember what it is called, but it is like a "cheat sheet" for caring for each body system. I have...

  2. New Hospice Case Manager

    AtlantaRN replied to AddieRN's topic in Hospice, Palliative

    ive been an RN for 14 yrs, the last 4 in hospice. Did 3 yrs as day shift case manager for hospice. The last yr, i've done weekend on call. I do a great job, but all it takes is someone to...

  3. Do you believe in life after death?

    AtlantaRN replied to Piecukonis's topic in Hospice, Palliative

    yes. I've seen too many patients speak to deceased loved ones. I've had patients tell me, "there is an angel at the foot of my bed that tells me i'll be going soon...." These are not delerium...

  4. HELP!! What about what the PATIENT WANTS?????

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    She came on board 4 days after going home. Her pps is 40%, and apparently she can still participate in clinical trials while on hospice......so the marketer says. I guess if it isn't costing her...

  5. Alzheimers Diagnosis questions regarding items covered....

    AtlantaRN posted a topic in Hospice, Palliative

    End stage alzheimers, patient can still eat, daughters feed pureed diet and it takes her a good 30min-1hr to finish. Daughters now want hospice to pay for ensure. Also patient has been on aricept,...

  6. HELP!! What about what the PATIENT WANTS?????

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    She didn't want to see me today, i called one of our chaplains, she said she would follow up on monday. The problem I had friday was doc just came out of the room and I didn't think it was right to...

  7. Do all hospice nurses work 50 to 60 hours a week?

    AtlantaRN replied to momorn's topic in Hospice, Palliative

    pretty much, unless you are the weekend on call nurse, then it is hit or miss, you may work 20 hrs (but i still can't really sleep because i can't take my sleep meds because someone may call through...

  8. Overworked hospice nurse

    AtlantaRN replied to momorn's topic in Hospice, Palliative

    25 is an outrageous caseload, even with a lvn backup.....if you split it, it's like 12-13 patients each....how many are only one visit a week? not many, i'm sure if you are stressing. as a patient...

  9. New to Hospice, Not to Nursing, have many questions

    AtlantaRN replied to rlloyd227's topic in Hospice, Palliative

    It sounds like you work for the last for profit hospice I worked for. Boss would "say" she was out marketing---she would call the office line and it would plainly show that she was calling from her...

  10. Alzheimers Diagnosis questions regarding items covered....

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Thank you kdrntx1-i looked in the computer system and patient is NOT on aricept, daughter said she "had been" on it, but i'm sure it was stopped months ago as it was having no effect. patient is chin...

  11. part time Rn casemanager, full caseload and Lvns in office

    AtlantaRN replied to americanTrain's topic in Hospice, Palliative

    OUr census is just at 60. 5 fulltime Rn case managers. I'm the weekend call nurse, and the dayshift nurses take turns backing me up 8-5 sat & sunday. Mgt is in the process for interviewing for...

  12. On-Call position

    AtlantaRN replied to AmandaCRN's topic in Hospice, Palliative

    I do weekend call. 5pfriday til 8amonday..... our census is 60 in and around atlanta, ga I have 160 pto hours/year. essentially 4 weeks off/yr. pay is good and i have a backup nurse and...

  13. Wasting controlled substances

    AtlantaRN replied to onewithhospiceheart's topic in Hospice, Palliative

    I use a chux, diaper, or similar, pour meds liquid tabs everything on the diaper, then in the home usually there are used coffee grounds, etc.....(you can even open the bedside bag if patient had a...

  14. Hospice nurse "survival kit"

    AtlantaRN replied to mrsraisinkain's topic in Hospice, Palliative

    granola bars!!! munchies that can stand the summer heat in the car!!!! Good

  15. Hospice RN carrying medications in their car

    AtlantaRN replied to 10 year nurse's topic in Hospice, Palliative

    We can deliver, but never never never NEVER remove ANY controlled substances for ANY REASON......destroy them. In the past, my company has used a form for delivering meds, including controlled...

  16. How do you explain Respite vs GIP ???

    AtlantaRN posted a topic in Hospice, Palliative

    I explain GIP as a high level of care preventing a patient from going to the emergency room (uncontrollable anything-bleeding, vomiting, diarrhea)......respite as a "caregiver break....". Families...

  17. Comfort kits

    AtlantaRN replied to Mandee's topic in Hospice, Palliative

    my philosophy on e-kits---better to have it and not need it than to need it and not have it. roxanol for dyspnea/pain/breakthrough pain, ativan for anxiety, haldol, tylenol supp, compazine supp,...

  18. How Much Does a Hospice Nurse Make?

    AtlantaRN replied to EmilyLucille523's topic in Hospice, Palliative

    not enough. midtown atlanta $34/hr with 10 yrs critical care hospital background and 4 yrs hospice. i do an on call position

  19. Learning Curve for Being an On-Call Hospice Nurse

    AtlantaRN replied to westieluv's topic in Hospice, Palliative

    It just takes time. some weekends will be better than others. remember to call the field nurses---you are taking care of their patients on the weekend....that is how i feel as the weekend nurse....

  20. Do you visit hospice patients daily while in hospital?

    AtlantaRN posted a topic in Hospice, Palliative

    Initially, we would make "contact" (any member of the idt team could do this not just the nurse) a phone call to the patient (if coherent), family, nurse on duty at the hospital....now my job requires...

  21. Do you visit hospice patients daily while in hospital?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you all for responding........he is in icu and it is not

  22. Actually missing hospital nursing now

    AtlantaRN replied to tinderbox's topic in Home Health

    Its like missing the ex-husband........remembering only the good parts..... autonomy, you never had that in the hospital setting......

  23. Atropine 1% Eye Drops SL

    AtlantaRN replied to Lexxie's topic in Hospice, Palliative

    She just doesn't know any better...........................educate. drying secretions is more important than a rapid heart

  24. part time Rn casemanager, full caseload and Lvns in office

    AtlantaRN replied to americanTrain's topic in Hospice, Palliative

    i wouldn't do it......part time pay for a full time job..... don't walk-RUN

  25. Changes to On Call Job Description

    AtlantaRN replied to pixiec11's topic in Hospice, Palliative

    When I have an admission, I call my backup nurse, or the nurse administrator/clinical manager to take the calls while I am doing an admission....Then I call the service and tell them to roll the phone...