Kaisu

Hospice

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All Content by Kaisu

  1. Kaisu

    My Daughter (also an RN) was arrested

    Kaisu posted a topic in Nurses Recovery

    I got a phone call at 1:15 this morning from ****** County Jail. My daughter has been arrested for possession of meth amphetamine. I am devastated. I live 2000 miles away on the other end of the...
  2. Kaisu

    Morally Conflicted

    Kaisu replied to mmccool719's topic in Home Health

    Did the patient have a living will? Who is the
  3. Kaisu

    Fall assessment in home health

    Kaisu replied to JoanKayRNBSN's topic in Home Health

    Fall assessment is a critical component of the admission. You can use timed up and go (Tug), The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) or any one of many standard stratified screening...
  4. Kaisu

    Where to go from home health?

    Kaisu replied to GapRN's topic in Home Health

    I personally went from home health to hospice. Please do not refer to SNF nurses as drug monkeys. I know intelligent, excellent nurses providing care for SNF patients. They are specialists in...
  5. Kaisu

    Reduced to part time and then ghosted

    Kaisu replied to Hospice RNCM's topic in Hospice, Palliative

    We are not attorneys... to find out if you have a legal case you have to ask a
  6. Kaisu

    Reduced to part time and then ghosted

    Kaisu replied to Hospice RNCM's topic in Hospice, Palliative

    I know it doesn't feel like that now, but this is a good thing that has happened to you. A company that complains that you have made too many visits is a red flag. As a professional, we make the...
  7. Kaisu

    How does hospice care determine there is no coming back

    Kaisu replied to usethehaldol's topic in Hospice, Palliative

    Bless you for being there for your grandmother. I know how truly difficult that can be and you are making wonderful decisions for her. Being with her, talking to her and caring for her will make...
  8. Kaisu

    Should I recertify this patient?

    Kaisu replied to tinybbynurse's topic in Home Health

    Do you not have case conference with your peers to help you decide
  9. Kaisu

    Home Health Per Visit Rate

    Kaisu replied to NurseYaYa30's topic in Home Health

    Not for my agency. I got paid by the hour and driving time was
  10. Kaisu

    Help! PPV versus Houly HH visits

    Kaisu replied to lpn954's topic in Home Health

    The agency I worked for started everyone on an hourly rate because they wanted quality over quantity, especially when the employee was new. Within months, employees were offered a PPV option. I...
  11. Kaisu

    New to HH/ Rant/ Advice

    Kaisu replied to aksti1018's topic in Home Health

    Sounds like the appropriate response to an abusive
  12. Kaisu

    New to HH/ Rant/ Advice

    Kaisu replied to aksti1018's topic in Home Health

    I got paid by the hour, so documentation time was paid for. I was given the option of going to PPV, and would have made a lot more money, but I transitioned into hospice where pay by the hour is...
  13. Kaisu

    Was I wrong? Advise please.

    Kaisu replied to MAKMom's topic in Home Health

    Gotta say - Love your
  14. Kaisu

    Was I wrong? Advise please.

    Kaisu replied to MAKMom's topic in Home Health

    I think you made an error in tact. When they said as often as they like to, that is where I would have left it. It's subtle and not a huge error. Learn from
  15. Kaisu

    New to HH/ Rant/ Advice

    Kaisu replied to aksti1018's topic in Home Health

    Way too many points. You are a valuable employee. Say
  16. Kaisu

    RN Visits

    Kaisu replied to 1jazzynurse's topic in Hospice, Palliative

    You are absolutely correct. You are held to RN standards when looking at that patient in front of you. If something is wrong, and you miss it because you did not do the assessment, how well do you...
  17. Kaisu

    RN Visits

    Kaisu replied to 1jazzynurse's topic in Hospice, Palliative

    I managed 24 with 3 LPNs. It was a temporary situation (lasted about 2 months) while new staff were recruited and onboarded. RN case manager mandated to visit Q 2 weeks for the supervisory....
  18. Kaisu

    What's it like working for multiple agencies?

    Kaisu replied to sunnysideRN's topic in Home Health

    Thank you so much. I appreciate the
  19. Kaisu

    What's it like working for multiple agencies?

    Kaisu replied to sunnysideRN's topic in Home Health

    Zippy 83 - Off topic, but I am curious. What three software programs do you use and which one do you like the best.. and why? If you don't mind
  20. Kaisu

    An Ode to Hospice Nursing

    Kaisu replied to Nurse Lyd's topic in Hospice, Palliative

    It is a difficult job. I've been doing it for two years and I have caught myself wondering if the constant contending with death is healthy for me emotionally. I love the job. I love my patients,...
  21. Kaisu

    Reasonable expectations in HH?

    Kaisu replied to Elpeon75's topic in Home Health

    This is BS. 12 points a day is ridiculous. Our expectation is for 6. You are doing the work of
  22. Kaisu

    Miles on my car

    Kaisu replied to friendlylark's topic in Hospice, Palliative

    I'm lucky. I love to drive. The idea of being stuck in a facility or an office for even half a day makes me itchy.
  23. Kaisu

    3 Hospice Case Studies: LTC Facility, Hospital, and Home

    Kaisu replied to jeastridge's topic in Hospice, Palliative

    I like the facility patients. With the demographics in the area I work in, patient safety, adequate caregivers are a constant headache. In the facilities, I know their meds are managed correctly and...
  24. Kaisu

    Can you squeeze all your patients in M/W/F?

    Kaisu replied to Avill's topic in Home Health

    Home health PPV can be very lucrative. In the beginning, when it takes you 3 hours to document an OASIS admission, it is not practical. A good agency would give you an hourly rate as you learn the...
  25. Kaisu

    Miles on my car

    Kaisu replied to friendlylark's topic in Hospice, Palliative

    It sounds like you voted with your feet. That was an unacceptable arrangement. Good for you for