Zee_RN BSN, RN

Zee_RN has 17 years experience as a BSN, RN and specializes in Hospice, Critical Care.

Latest Activity

1. Death Visit Protocols

   Zee_RN posted a topic in Hospice, Palliative

   Hospice staff -- what are your protocols for death visits when a patient dies? Obviously, if it is a home patient an RN needs to visit and pronounce. But what if it's 2AM and they are in a skilled...

2. homecare homebase

   Zee_RN replied to NC29mom's topic in Hospice, Palliative

   The Plan of Care does not meet compliance standards in the Commonwealth of Pennsylvania either as it cannot be customized (at least for hospice). You can tell hospice is a force-fit into this home...

3. KPS & PPS

   Zee_RN posted a topic in Hospice, Palliative

   When you are evaluating and assessing patients and assigning performance scores do you use the Karnofsky (KPS) and Palliative Performance Score (PPS) or just one of the two or something different...

4. Help!!

   Zee_RN replied to leandrawoods84's topic in Hospice, Palliative

   My organization is fortunate enough to staff in such a manner that our RN Case Managers rarely take call. They work a regular Mon-Fri 8-5p week (salaried position). They take "on call" only when our...

5. Coverage for incontinence supplies

   Zee_RN replied to Race Mom's topic in Hospice, Palliative

   We cover incontinent supplies including briefs, chux, creams, wipes ... but we do not provide pull-ups as Medicare has classified them now as "underwear." Some hospices do, though. We have opted not...

6. question on aide coveage for hospice

   Zee_RN replied to 4boysmama's topic in Hospice, Palliative

   Our aides are scheduled 7 days a week...although few patients are actually seen every day. Some are, though. We like to start patients off with daily visits to get a full understanding of what they...

7. Bipap

   Zee_RN replied to Rexie's topic in Hospice, Palliative

   I would have ensured the patient was comfortable prior to removing the bipap. Bipap is not an absolute contraindication to hospice...but in a hospital setting, I can see where it would be viewed as...

8. Frequent Falls

   Zee_RN posted a topic in Hospice, Palliative

   What are your procedures for patients who fall frequently? (Or any patient falls, for that matter). We spend A LOT of administrative time dealing with those frequent fall patients, particularly those...

9. Thinking of leaving hospice

   Zee_RN replied to NurseStephy80's topic in Hospice, Palliative

   I work for a small, for-profit hospice. Average census around 63. We have dedicated on-call nurses who cover the evening/nights (5pm-8am weekdays) and the weekend (Fri 5p to Mon 8a). The only times...

10. Visit Frequency

    Zee_RN replied to Zee_RN's topic in Hospice, Palliative

    Thank you! That has been our organization's approach as well. I've seen it done differently in another agency. The new reimbursement plan, as well, will be based on the frequency model as you...

11. Visit Frequency

    Zee_RN posted a topic in Hospice, Palliative

    When you order visit frequency for the RN upon admission, do you count the admission assessment visit as a visit? In other words, if you admit a patient and order RN visits 2 times a week, do you...

12. Plan of Care

    Zee_RN posted a topic in Hospice, Palliative

    My organization uses an electronic health record system with a very confusing Plan of Care option, more suited for home care than hospice. My question is .... who updates your NURSING plan of care?...

13. Question About the Certification Exam

    Zee_RN replied to westieluv's topic in Hospice, Palliative

    I'm registered for the exam on June 8. The only thing I'm worried about is opioid-equivalent equations and such. I've never done that stuff. How much should I worry? And what is the BEST resource for...

14. The Other Professions of Nursing

    Zee_RN replied to elizabeth8503RN's topic in Nursing Humor

    Yeah we have that script too. I WILL always ask the patient the first part "Is there anything else I can do for you right now?" with a easy and relaxed attitude. I will NOT outright lie to the patient...

15. The Other Professions of Nursing

    Zee_RN replied to elizabeth8503RN's topic in Nursing Humor

    Mover: because you have to transfer the patient in the semiprivate room, and all his furniture and medical equipment, to another room because the lab test just came back +MRSA. Or because he wants a...