Kaisu

Hospice

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All Content by Kaisu

  1. Kaisu

    National Standard Productivity

    Kaisu replied to mukluk2's topic in Home Health

    Start of Care is 2 points, Recert is 1.5 points, regular visit 1 point, unless more than 2 cares are required, for example, wound care and ostomy care, still 1 point, add a wound vac and now it is 3...
  2. Kaisu

    Opoid crisis and providing hospice care

    Kaisu replied to angshallad's topic in Hospice, Palliative

    I have no problems obtaining whatever narcotics my patients need. It is so easy that I have had the thought that at some point, things are going to get tougher. I can't imagine the regulatory agency...
  3. Kaisu

    The Essentials of Medication Reconciliation in Home Care

    Kaisu replied to Melissa Mills's topic in Home Health

    Critical part of the admission process. I believe medication issues are a major reason for hospital readmission and/or patient harm and a prime teaching opportunity. I have taken out literally...
  4. Kaisu

    Looking for ideas

    Kaisu replied to Hoosier_RN's topic in Dialysis, Renal, Urology

    I would present these "higher ups" with the details of the methods you mentioned, as well as the fact that you came to a forum looking for ideas, that unless they can come up with ways to "make"...
  5. Kaisu

    GA Paramedic looking for guidance

    Kaisu replied to SleepyMedic's topic in Georgia Nursing

    Medic to RN here.. not in Georgia but I can tell you - Go for the RN. I knew when I started nursing school that hospitals/floor nursing was NOT for me. My 4 months on med/surg after I graduated...
  6. Kaisu

    Help! New EMR System

    Kaisu replied to AshBlonde83's topic in Hospice, Palliative

    I'm using HCHB on my phone. Android Samsung Note 5. I find it works very well. I love having everything I need on one device. It did take getting used to , but I have no major
  7. Kaisu

    Patient sent a friend request

    Kaisu posted a topic in Hospice, Palliative

    I'm pretty sure I know what you guys are going to advise, but I'm putting it out here anyway. Although we do get close to patients, I try at all times to remain professional. Today, I was shocked...
  8. Kaisu

    Worst Nursing Scrub Color Worn?

    Kaisu replied to RNliveoak's topic in Scrubs, Uniforms, Gear

    Black. Death called - He wanted the uniform
  9. Kaisu

    My New Job!!

    Kaisu replied to DallasRN's topic in Home Health

    I am delighted to hear this. I too am absolutely privileged to work in a wonderful agency. It really makes all the difference in the world. Please post again to let us know how its
  10. Kaisu

    Share your real world thoughts

    Kaisu replied to Mike.Deck's topic in Home Health

    Working in pairs would be amazing. I saw a lot of gnarly stuff running 911, but I always had a partner with me who had my back and vice versa. I have thought often that with some of the situations...
  11. Kaisu

    Share your real world thoughts

    Kaisu replied to Mike.Deck's topic in Home Health

    1. What best describes your job? RN Case manager - uh I guess that means nurse 2. What is your #1 Achilles Heel in this industry Currently it is brutal driving times because of the area I work in....
  12. Kaisu

    Excited to transition to HH

    Kaisu replied to madareebrahim's topic in Home Health

    It sounds like you have many of the big factors for success in place. It is key to work with a supportive and reputable agency. I cannot over-emphasize that. Another important thing to remember is...
  13. Kaisu

    Miles on my car

    Kaisu replied to friendlylark's topic in Hospice, Palliative

    I bought a brand new car and then was dropped into a rural area due to staff shortages. I have put on almost 10K miles in less than 3 months. On one of my trips over a very bad road I took a hard to...
  14. Kaisu

    What does this presentation mean? NOT HOMEWORK.

    Kaisu replied to FolksBtrippin's topic in General Nursing

    I may be way off base here but I hear unilateral lower extremity edema and pain and I think blood clot. Notwithstanding, medical evaluation totally indicated. Great assessment data by the
  15. Kaisu

    Witness to violence

    Kaisu posted a topic in Home Health

    I went into a home to do a start of care for an elderly female discharged from hospital after an acute exacerbation of a chronic condition. Present in the home was the patient's elderly spouse (also...
  16. Kaisu

    Witness to violence

    Kaisu replied to Kaisu's topic in Home Health

    This is an opinion based on years of calling APS while running EMS and now in HH. APS in this state is a joke. I have yet to see one effective APS response to the myriads of times I and others have...
  17. Kaisu

    Jail or Hospice job for new RN?

    Kaisu replied to Santa Monica's topic in Nursing Career

    I am very curious as to what part of the country can a new grad get a hospice offer. Here, and as far as I was aware, in most parts of the country, hospice jobs go to nurses with experience. As far...
  18. Kaisu

    7 Questions About Near Death Awareness

    Kaisu replied to J.Adderton's topic in General Nursing

    In the days before she died, my mother described scenes with loved ones that had passed before. She would look up toward the corner of the room where the ceiling and the wall met and say things like...
  19. Kaisu

    Need a little encouragement

    Kaisu replied to Sweetb90's topic in General Students

    It sounds like where you are failing is in attention to detail and followup. It is your responsibility to find out when deadlines, etc. are and to comply. This is an essential part of nursing. You...
  20. Kaisu

    RN to LPN

    Kaisu replied to nas12's topic in LPN, LVN Corner

    I don't believe the OP was putting down LPNs. I think she is looking to work while she sorts out what to do about failing the
  21. Kaisu

    Why is it always my job to go further?

    Kaisu replied to KalipsoRed21's topic in Home Health

    I find your decisions and judgement sound. I question the culture in your place of work. It sounds like an echo chamber or possibly a gang
  22. Kaisu

    What in the world is this rhythm?!

    Kaisu replied to BSN_Studnt's topic in Critical Care

    What I see is a short PR interval. I've never seen that clinically, but a google search reveals Lown-Ganong-Levine
  23. Kaisu

    Pain patients being denied their medication!

    Kaisu replied to hppygr8ful's topic in Pain Management

    This is really great news. I have been following this thread to find out how you made out. Seems you managed perfectly. I am
  24. Kaisu

    Can't Get Hired Because of Old Nurse Mindset

    Kaisu replied to Nurse Beth's topic in Career Advice Column

    I got hired for my first nursing job at 59, and for the job of my dreams at 60. I am an excellent writer and worked over my resume and cover letter for each job. I researched the organization and...
  25. Kaisu

    Seeking fellow medics out there

    Kaisu replied to merchan5967's topic in General Students

    I did the paramedic to RN bridge program up in Wisconsin. I was a medic and am now a nurse in Arizona. The transition was challenging. We are trained to intervene. It took a while to integrate the...