mc3 ASN, RN

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All Content by mc3

  1. mc3

    I think Hospice needs hospice...

    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...
  2. 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...
  3. 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...
  4. mc3

    Suter Group

    Has anyone had experience with the Suter Group? They are new management consultants with our hospice... Thanks,
  5. mc3

    Suter Group

    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...
  6. mc3

    LVNs in hospice

    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....
  7. mc3

    Should Patient be Revoked???

    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...
  8. mc3

    LVNs in hospice

    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...
  9. mc3

    LVNs in hospice

    Oh, and our case load is 26 patients right now, plus 15 extras we see once a month or so (free service from our hospice).......
  10. mc3

    LVNs in hospice

    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...
  11. 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...
  12. mc3

    Hospice Nurse Burnout

    I assume you wanted LPN's input also?
  13. mc3

    Checking Out Hospice Nursing

    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,...
  14. mc3

    Are the LPNs get the dirty works?

    "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...
  15. Hi, I'd take a look at it, too. It covers the basic disease processes and interventions you'd take. Good luck - let me know how you do!
  16. 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...
  17. mc3

    Crisis in confidence

    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...
  18. mc3

    Crisis in confidence

    P.S. See what I mean? My is mind foggy? (Actually, was just a typo. Really)
  19. mc3

    What to do??????????secretions.....

    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...
  20. mc3

    LPN'S are NURSES TOO

    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...
  21. mc3

    IV Certification through Medtexx

    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...
  22. 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...
  23. 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...
  24. 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...
  25. mc3

    My experience with hospice

    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?