BerryhappyRN MSN, RN

Are you sure you are not just "Profiling" the meds with the hospice pharmacy but having the order filled by the local pharmacy with the hard script? Your scenario seems odd to me, any company whether hospice/MD or otherwise that is allowing this to g...

Thank you RN4Vets, your post is exactly what I needed to read. I recently applied for my dream position at a local VA healthcare system, then interviewed, and was offered a part-time (not what I was hoping for!) position in my speciality. Initially I...

Absolutely, positively true. You are just now noticing? Everything has become monetized, even death.

AAAGGGHHH! Thanks for asking! I used to be an ALF hospice nurse, I am now a LTC hospice nurse. The greatest thing that is lacking on both sides is COMMUNICATION! Somehow, someone has GOT to figure out how to better communicate: Changes in condit...

I understand you frustration, but please don't give your patient's your direct number. You are opening yourself to providing 24/7 care, and the patient will also suffer if your phone is turned off and they don't think to dial your company's number w...

No worries. The DON and the MDS coordinator came in and worked only AFTER I walked out. She was probably glad I quit.

Just get the HPNA book and study guide. If you study what is in their book, you will be prepared.

Job I hated the most: Dry cleaners = Hot as HELL Least rewarding job: Flight Attendant/Stewardess/Air Waitress...I finally realized there was NO chance for advancement! Worst job...sadly was a nursing job. I actually walked off the job because ther...

Does UF require a GRE/GMAT? Thanks!

My transcripts did not arrive on time so I must re-apply for next semester. Bummer! No worries, try, try again! Good luck everyone!

Please let me vent about pts/families/mgmt/scheduling/protocol/P&P's/etc without sharing it with other staff members! Thanks for letting me vent!

Just notified that my application is INCOMPLETE. Ugh... I forgot to have my previous school (15 years ago!) send in my transcripts. Made a rush order and am now back in line! Keeping my fingers crossed!:)

I completely agree with Jensmom7! Your new mantra should be CHART BEDSIDE! CHART BEDSIDE! CHART BEDSIDE! If you don't finish your charting by the end (or shortly after) your visit, you will get bogged down with other needs during your day and end u...

Here is what happened. I am a hospice nurse who covers five facilities. I had two patients "circling the drain". One of them was actively dying but comfortable, and the other was on continuous care. At the actively dying patients facility, one of...

Sounds dumb but keep a gallon size ziplock bag in your car for trash. I keep mine right between the drivers seat and middle console. All those little bits and pieces of trash that you will accumulate while driving and eating will fill up your ziploc...

I think it takes more courage to realize when you need to stop doing something, then it takes to start doing something. I applaud your courage of looking at yourself and really seeing what is best for you and your family at this moment. How can yo...

At my hospice RNCM's are expected to make 19 visits per week to be considered productive. This is easy when your caseload is over 14, sometimes a strain if the caseload is under 12 or under. I like to load up the beginning of the week, sometimes ma...

We have work mobile phones but are still reminded to block our numbers before we call patients. If a patient/family member does not take blocked calls I typically wait until I return to the office to call them. I stupidly provided my number ONE TIM...

It took me 5 years to decide to go back and finally earn my RN, two more years to complete my BSN, and am now working on my MSN. I recommend diving right back into the deep end as soon as possible. You are already conditioned to study and if you go...

Why are you nervous? Do you do coding or handle finances? We have had lots of training, educating and explanations about "capturing" all illnesses as to best reflect the patient to maximize Medicare reimbursement, but I don't find that intimidatin...

I agree, you are being abused my dear! Try a different company? Maybe not for profit? I am in Florida, and yes our caseloads average 12-15, sometimes 16, but we shut our phones off at 5p and are never on-call unless we WANT to work triage (nights)...

How was the interview???

Can I just say, please don't call them "a dead person"? No offense, just some educating here. The person should always be referred to as "the patient", or "your mom", "your dad", "your baby", "your husband", "your wife", "your love", even "the dece...

I like Allscripts. Some quirks, but fairly flexible. I think it is worth a look. Suncoast Soultions wasn't horrible either. Give them a try too.

iowahomecarenurse what you are describing is frightening! Luckily I work for a not for profit hospice, and Florida still has a few counties that require a "Certificate of Need" so we are the only hospice in 4 counties. We work diligently for our p...