AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. do any home hospices provide linens 4 hospital beds

    AtlantaRN posted a topic in Hospice, Palliative

    just had a patient family member call and ask why linens are not provided for home hospice patient. I've been doing this 4 years and have never worked for an agency that provided linens. We always...

  2. Escorted out of the patients home.........

    AtlantaRN posted a topic in Hospice, Palliative

    So i have a scheduled admission today. I was a few minutes early. Met family member, who lives out of state-he is poa and he is well organized. He provides a copy of his power of attorney, a list...

  3. Family member complains after death...

    AtlantaRN posted a topic in Hospice, Palliative

    We had an end stage copd pt who was on service greater than 2 years. Pt had 2 caregivers who are nurses. Pt with several revokes for aggressive tx with intubation as 1 caregivers goal was sustaining...

  4. Family member complains after death...

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Truth. Social worker really helped put the situation in perspective for us. Complicated grief and transference secondary to unresolved conflicts in the relationship. Plus it's the holidays. Thank you...

  5. Worried about tomorrow

    AtlantaRN posted a topic in Hospice, Palliative

    Asked to come in n meet w branch director n mgr clinical practice. Word is a facility complained about me this weekend. Said that i said "we dont do continuous care," and they said when i returned...

  6. Worried about tomorrow

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    It all worked out. Facility said i TOLD them to call x-company. My bosses knew better, they just had to hear my side of the situation. Thank

  7. Careplanning for Comorbidities?????HELP?????

    AtlantaRN posted a topic in Hospice, Palliative

    I understand careplanning....but we got a note from our QI person that we should be careplanning for comorbidities.... Qi lady says if pt has hx hypertension we need to be careplanning for...

  8. How many patients do you see each day?

    AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

    no, 16hrs a day is not normal. Our case managers work 8-10 hrs a day, but if they get near overtime, they can usually take part of a day off (corporate does not like ot). cms see 4-6 pts a day,...

  9. Pain management: CA pt mets to bone and '20%of kidney function left'

    AtlantaRN replied to coogabooga's topic in Hospice, Palliative

    Choline Magnesium Trisilicilate 1200mg, i can't recall 2-3 times a day can help with bone pain (its an old drug, and its cheap, but it works), also steroids are helpful. dexamethasone can be titrated...

  10. Careplanning for Comorbidities?????HELP?????

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    I guess my issue is, this is hospice and there is NO real recovery....just symptom management. Narcotics cause gi sluggishness, so of course i'm gonna open a gi care plan and add senna to the...

  11. IV certification / wound vacs / PCAs common?

    AtlantaRN replied to amarilla's topic in Hospice, Palliative

    It depends on the company. Some hospices sell hospice as an "extention of home health," which is wrong because hospice is end of life care. NO pcas, no wound vacs. mostly oral meds and wound care...

  12. Taking the time to educate the families

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    "Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start...

  13. Taking the time to educate the families

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    "Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start...

  14. Nurse burnout/Moral distress/Compassion fatigue

    AtlantaRN replied to Lee238's topic in General Nursing

    original poster------you hit the nail on the HEAD! Thank you for starting this thread. i have shared it with my whole office---we are all experiencing levels of your symptoms. Some days are bettter...

  15. Compassion Fatigue

    AtlantaRN replied to GinaDecorRN's topic in Hospice, Palliative

    This is a good thing! I have shared the link with my

  16. oxygen orders vs nursing perceptions

    AtlantaRN replied to Meliss214's topic in Hospice, Palliative

    i had a patient with pulmonary fibrosis that was on 15liters.....he did fine for about 2 weeks, then he passed. he also had been a smoker yrs prior and had

  17. Pain med PRN ATC

    AtlantaRN replied to Nursingluv101's topic in Hospice, Palliative

    Thats why it's prn instead of scheduled....you did the right thing. Did day nurse come into a patient in pain? No? you did the right thing. some folks just want to tell everyone how to manage the...

  18. Any hospice RNs work for more than 1 company?

    AtlantaRN replied to lvbnarn's topic in Hospice, Palliative

    nope. im on the south side of atlanta and they are all competitive and won't allow you to work for another hospice company. Now, if you work for a large company, you could work for another location,...

  19. Discharge from Hospice

    AtlantaRN replied to BabyRN2Be's topic in Hospice, Palliative

    i don't really know, i just know adele music is dramatic, so i would believe that is why it's on the

  20. Is turning dying patients comfort care or not?

    AtlantaRN replied to C0252786's topic in Hospice, Palliative

    i know when patients have agonal breathing, or long periods of apnea, we are fearful if we turn them, it will send them on to meet Jesus. you have to turn patients to clean them. also, I know it is...

  21. AFTT and what your hospice covers

    AtlantaRN posted a topic in Hospice, Palliative

    Questions, Questions, many many questions..... I've been a nurse for 16 yrs, hospice for last 5. What i knew to be true seems not to be true anymore. We have a new "qi" person who has come to our...

  22. Foley Care in Hospice

    AtlantaRN replied to AZHospice's topic in Hospice, Palliative

    AACN Updates Clinical Guidelines to Prevent CAUTIs this may be a good place to start. we used to change foleys q30days in the home, but have moved to only changing if there is a

  23. going for interview but starting to seem shady

    AtlantaRN replied to NissaNurse's topic in Home Health

    I wouldn't give any pertinent personal information-social security number, a copy of my license.....NOTHING to someone who asks me to "meet at a DQ," instead of a business

  24. Discharge from Hospice

    AtlantaRN replied to BabyRN2Be's topic in Hospice, Palliative

    [h=3]OMG-today there is an Adele song uploaded..... "Monday, 12 March 2012[/h] Warning: Some parts of this journal may be triggering. Please stay away if you think this will trigger you in any way....

  25. Discharge from Hospice

    AtlantaRN replied to BabyRN2Be's topic in Hospice, Palliative

    i read just the intro of her blog.......i smell a rat as