I have been doing this for 4 years but yes, I definitely see big changes. The politics are becoming unbearable - big push to sign more people up, find reasons to put them on Continuous Care, go...
Oh, thank you for this post!!!!! Does it count for comments on your review, as well? I'm having difficulty swallowing some comments made on mine. Question - is it worth trying to rebut what they...
RN4ustat; Yikes! I work with an RN - we alternate weeks so she can see all pts q14 days. Split the pt load 50/50. Current pt load is 32 - maybe 7 are exceptionally needy - and we are seriously...
Yes, sorry - typo. It's the Studer Group. From what I've been told they are a management consulting firm that's been brought into our hospice - not sure exactly why! I'm trying hard to keep an open...
Yes - of course - that goes without saying. My point is that if I have extra time (after everything has been done that I can do - including helping the CNA - I offer my assistance to another nurse....
I agree with RNKittyCat - this may need a new title but I've had pt's who revoke and come back so many times it annoys me. It seems they want hospice for the extra nursing and HHA assistance, but...
You use the LPN's to supplement the HHA's? Is that really a good use of resources?? No offense, but if my agency asked me to supplement the HHA's I would politely refuse..I have too much work of my...
Hello, I'm an LPN who has worked in hospice for almost 4 years. I work with an RN Case Manager. We split the case load 50/50 and alternate weeks, so each pt has an RN visit x1 every 2 weeks - the...
I just feel that I'm going to get a lot of flak on this, but here goes...Since there's such a nursing shortage, why not let LPN's take the RN test with some parameters? I just thought of a few: 5...
Hi Larry in Florida: I'm in central FL too. If you just want to try it out, try doing some PRN pool work. It's a good way to see if you like hospice, and try the different areas - home care, LTC,...
"Only the real LPN's"? Are the others fake? If the only reason you are trying to get your RN so you don't have to do "dirty" tasks you will be sadly disappointed. Every RN that I've worked with has...
Hi, Yes, I've been certified for 1 1/2 yrs. You definitely need to get the LPN/LVN study guide - go to the HPNA website and order it if your organization doesn't provide it. I think there were a few...
I'm not sure what is going on with me lately I've been out of nursing school for 3 1/2 years now. For some reason, I am having the most difficult time with the most basic of nursing skills. For...
I was taught not to suction patients at all. It's invasive, it can cause them much discomfort, and actually increase the amount of mucous the body produces in response. Much better to reposition...
How about this one? We just got a memo before Christmas stating that RN's would receive a $100 bonus as well as time and a half for working Christmas and New Year's Day, but LPN's got only time and a...
Hi, I took the Medtexx IV course in Orlando and it was very good. It was a lot of money, but I wanted the certification, and I wasn't working at the time. I've since taken further IV cert courses...
Just wondering...have worked in hospice for 2 years now. I know there is no such thing as an "average" visit time for our patients. But, for the routine full assessments, without problems, how much...
Not to my satisfaction, no. I've seen several cases where, IMHO, the patient could have been kept much more comfortable alot sooner. He just won't listen.. And yes, he does claim to be a palliative...
Yikes!!! $24,000?? Have you tried a local community college? I went to school in Mass and it cost me, all told, about $10,000. Not including licensure. I now live in FL - looks like LPN's start at...
Me neither! I feel like I'm so fortunate to be able to have this job, and I look forward to going to work every day..how many other nurses can truly say that?