CHPN1680

CHPN1680

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All Content by CHPN1680

  1. Has anyone read this?

    CHPN1680 replied to aimeee's topic in Hospice, Palliative

    The mega corporate hospices - Vitas, Odyssey, Vistacare, all do about 80% of their business in nursing homes where the length of stay is much longer. They mostly invest their marketing dollars in the...

  2. Hospice patient receiving TPN ?

    CHPN1680 replied to Blackcat99's topic in Hospice, Palliative

    We take many patients with TPN as many hospices will not. Every situation is different. Most often, these patients are coming from an acute care setting where the focus has been on curative measures....

  3. confusion re: hospice care

    CHPN1680 replied to pattyzaccy's topic in Hospice, Palliative

    I agree. I work for a for profit and have not experienced the "trolling". I have always been proud that we continue to do the right thing for the patient and family regardless of the cost. I have...

  4. Hospice Team Interview! Help!!

    CHPN1680 replied to rosemadder's topic in Hospice, Palliative

    I have not heard of this approach but I think that I like it! I know that the prospect of this kind of interview seems a bit overwhelming but view it as an opportunity for you to ask them what they...

  5. Trying to find my Niche

    CHPN1680 replied to bellcollector's topic in Hospice, Palliative

    I was an LPN for 12 years. I worked sub-acute and LTC. I always wanted to work in hospice but LPN's were really not employed in hospice in my area either. When I finally finished the RN program, I...

  6. Advice for a returning nurse who's been out of practice for years?

    CHPN1680 replied to DebbieP's topic in Hospice, Palliative

    Check out http://www.hpna.org . There are lots of links etc.. that may help you find some good info and

  7. Assisted living- what happens when patients need more care?

    CHPN1680 replied to lexilou's topic in Hospice, Palliative

    I have run into similar problems with patients as ALF's. Often, the problem becomes a financial one because some patients are often running low on financial resources and the addition of private...

  8. Not doing well in Nursing school

    CHPN1680 replied to Acey's topic in General Students

    The nursing program is ovewhelming for everyone. You stated yourself that you haven't been doing the reading or studying enough. There many things that you can do to improve your grades. Without...

  9. Not a real nurse??

    CHPN1680 replied to xmaxiex's topic in LPN, LVN Corner

    My mom has been working in CT for many years. I have heard her speak of this ridiculousness of having an R.N. co-sign orders. This is something fairly recent. Not only has she been charge nurse for...

  10. Nervous about NCLEX results

    CHPN1680 replied to NurseJaime29's topic in LPN, LVN Corner

    Congratulations! Enjoy the rewards resulting from your hard work. Welcome to

  11. Artificial feeding-Terri Schiavo

    CHPN1680 replied to ktwlpn's topic in General Nursing

    As I sit here reading postings, I can hear in the backgound continuous reports on Fox news about Terri's case. It is rather unfortunate that what should be a personal matter has become such a media...

  12. Pre-pouring meds

    CHPN1680 replied to momrn50's topic in Geriatric, LTC

    When I first started in LTC, I worked for a facility that still used the old ticket system for meds. I thought that it worked great! You would pre-pour meds and the tray had holes in it for the med...

  13. PDA use for nurses?

    CHPN1680 replied to WIEZ's topic in General Nursing

    Thanks for the info. I will check it

  14. PDA use for nurses?

    CHPN1680 replied to WIEZ's topic in General Nursing

    I have been using Epocrates on my PDA for 2 years and am quite pleased with it. I have not seen the Davis Drug Guide for PDA's. Is there anyone out there who has used both and what is your opinion?...

  15. Lab Work

    CHPN1680 replied to webblarsk's topic in Hospice, Palliative

    We do lab work quite often and for different reasons. It is very appropriate to use lab work for diagnostic reasons in order to provide the correct treatment. We also will draw labs if there is a...

  16. Vacation denied

    CHPN1680 replied to Butternut's topic in General Nursing

    I grant PTO requests based on the order they are received. The PTO calendar is posted and up-to-date. You can look at it and make requests based on what is available. I find it to be the fairest way...

  17. Why are some staff nurses such HATERS!

    CHPN1680 replied to kjt2004's topic in Agency Nurses

    Absolutely! I have always been glad for the help. I always try to give an extra detailed report and a quick orientation to the unit. The patients deserve

  18. Artificial feeding-Terri Schiavo

    CHPN1680 replied to ktwlpn's topic in General Nursing

    it certainly is not an easy situation. we don't do a very good job in this country at talking about these things before the situation arises. i would be o.k. with having a feeding tube inserted if...

  19. Artificial feeding-Terri Schiavo

    CHPN1680 replied to ktwlpn's topic in General Nursing

    I agree. How many out there would want to stay alive in that state? Take everything else out of the equation. I can't imagine anyone knowing that this would be the state in which they existed would...

  20. Share Your Funniest Patient Stories...

    CHPN1680 replied to Trvln Nurse's topic in Nursing Humor

    I was working in a LTC facility and there was a celebration for one of the residents. It was her 100th Birthday. She was quite somnolent as the party began so I spoke to her reminding her that this...

  21. MDS staffing

    CHPN1680 replied to FrazzledRN's topic in Geriatric, LTC

    It sounds like you have enough MDS staffing if they would allow you to stick to just that. I was an MDS Coordinator for 9 years in facilities from 60 to 250 beds. At the 250 bed facility, there were 3...

  22. Hospice akin to "giving up"???

    CHPN1680 replied to zacsmimi's topic in Hospice, Palliative

    Please don't let that nurse care for anyone that I know! It is truely unfortunate that a nurse (especially in a LTCF ) does not understand the benefits of hospice. Obviously this nurse knows nothing...

  23. Roll Call

    CHPN1680 replied to Tweety's topic in Men in Nursing

    I must say that for the most part, in my day to day practice, I don't even consider my gender. My interaction with others is based on who I am not on my gender. That being said, certainly there are...

  24. LPN student in Hospice

    CHPN1680 replied to ChristinaV's topic in Hospice, Palliative

    We have LPN's that help the case managers with routine visits and the also do continuous care. It really does vary from state to state and agency to agency. It sounds like you would be a welcome...

  25. Some insight?

    CHPN1680 replied to Schmoo1022's topic in Hospice, Palliative

    My typical visit begins with a short check-in with the charge nurse to find out if there have been any new issues or problems since my last visit. I then generally visit the patient. Once per week, I...