Zee_RN

Zee_RN BSN, RN

Hospice, Critical Care

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All Content by Zee_RN

  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. 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...

  5. 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...

  6. 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...

  7. 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...

  8. 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...

  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 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...

  11. 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...

  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. BP Cuff Readings vs. Arterial BP

    Zee_RN posted a topic in MICU, SICU

    Disagreement at work yesterday. Which do you use: Left radial artery SBP reading: 70 (I don't remember diastolic) Right brachial non-invasive cuff SBP reading: 109 Which one do YOU use to base...

  14. 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...

  15. Night Shift Differential

    Zee_RN posted a topic in General Nursing

    What does your facility pay for working night shift? (I define night shift as being 7P to 7A or 11P to 7A.) I have interviewed a few nurses lately for our ICU and each have said they won't work...

  16. ANA Cost?

    Zee_RN posted a topic in Activism, Healthcare

    I'm taking the easy way out here...I guess I could go look it up on a website or something but I knew someone here would know... When I graduated nursing school, I sent for info on joining ANA. To...

  17. 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...

  18. Nurses obtaining blood consent

    Zee_RN posted a topic in General Nursing

    In the Commonwealth of Pennsylvania, I have always been told that registered nurses are not to obtain informed consent for blood transfusions; it is out of their scope of practice. Only physicians can...

  19. 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...

  20. Nurses obtaining blood consent

    Zee_RN replied to Zee_RN's topic in General Nursing

    I'll have to call the BON. They've just never been helpful in the very few calls I've made in the past -- downright rude, actually, so I was hoping to avoid that. Thanks for the

  21. Nurses obtaining blood consent

    Zee_RN replied to Zee_RN's topic in General Nursing

    In emergency situations, blood can be given without a consent. In nonemergent but middle of the night situations, I've worked in places were (a) the resident -- in a teaching hospital -- was called to...

  22. Nurses obtaining blood consent

    Zee_RN replied to Zee_RN's topic in General Nursing

    Thank you for that link and the document. Unfortunately, I need documentation specifically about blood transfusions; that is speaking of surgical informed consent. There is mention of a complication...

  23. Quick?? on TPN..

    Zee_RN posted a topic in General Nursing

    A quick reply if you have a thought would be appreciated...my friend is staring at these bags as I type.... My friend works at nsg home and she is administering TPN and lipids via separate infusions....

  24. "Let me get out of your way"

    Zee_RN replied to FireStarterRN's topic in General Nursing

    Yes, I'll take those families over the ones that won't move an inch despite seeing you struggle to get to the patient with your hands full of meds, IVs, etc. I'll never forget having a patient in...

  25. Telemetry Staffing Ratios

    Zee_RN posted a topic in General Nursing

    I'm trying to gather information on telemetry unit staffing ratios, including ancillary help. It would be of tremendous help to me (as a manager trying to get a better ratio) if you could answer the...