AtlantaRN RN

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 instruct families to use what they have in the home...

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 of medications, a list of daily duties he expects t...

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 life. Recently a hired caregiver called on call t...

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 for your response. I just hurt when others hurt.

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 their call i asked "is she dead yet.". I would NEVE...

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 God.

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 hypertension, even if now he is aftt and now he has hypoten...

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, more if they are in a facility and driving is not an ...

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 up to 96mg/day but insomnia is a major side effec...

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 patients routine scheduled medications. Hypotension tre...

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 would consist of duoderms or wet to dry dressings. ...

"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 happening, the families are at a loss. I too am a on ...

"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 happening, the families are at a loss. I too am a on ...

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 than others. I don't want to go back on antidepr...

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

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 copd.

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 patient.....

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, prn. does your company have an ipu unit where yo...

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

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 painful to stay in one position. I am not opposed...

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 office and stated that hospice should pay for nutrit...

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 problem.....

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 address.....

[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. If I can help in any way, just please let me knw...

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